Pomeroy Living Rochester: Lab Result Delay Violation - MI
The test in question was a urinalysis combined with a culture and sensitivity, the standard lab workup used to identify urinary tract infections and determine which antibiotics will work against them. The culture and sensitivity was completed on August 18. The physician was not notified until August 19.
That gap matters. A urinary tract infection left untreated, or treated with the wrong antibiotic because no one reviewed the culture results, can progress quickly in nursing home residents, particularly older adults who are already medically fragile. The culture and sensitivity result exists precisely to tell a clinician what they are dealing with and how to fight it.
The Director of Nursing acknowledged the delay directly to inspectors. She said the facility had recognized a pattern of slow processing times with its third-party laboratory and described that pattern as problematic. She also said the nurse on duty should have followed up on August 18, the same day the abnormal result came back, and reported it to the physician then. The nurse did not.
The DON told inspectors that the facility had begun educating nursing staff about the concern.
No further explanation was provided. No documentation was offered to inspectors beyond what the DON said in conversation.
The inspection was triggered by a complaint, meaning someone, whether a resident, family member, or staff, contacted regulators before inspectors arrived. The facility did not self-report the issue to the state. Federal inspectors came in because someone outside the chain of command decided the situation warranted a call.
The citation was classified as causing minimal harm or potential for actual harm, the lower end of the federal harm scale. That classification reflects the inspectors' assessment at the time they surveyed. It does not mean nothing happened to the resident whose lab result was delayed. The inspection report does not describe that resident's outcome.
What the report does describe is a system that failed at a routine task. Receiving a lab result and calling a doctor is not a complex clinical judgment. It is a communication step, one that nursing homes perform dozens of times a week. The abnormal result came back. The nurse knew, or should have known, it was there. The physician was not called.
The DON's explanation pointed in two directions at once. On one hand, she blamed the third-party laboratory for slow turnaround times, framing the delay as a structural problem the facility had already identified. On the other hand, she said the nurse should have followed up anyway. Those two things can both be true. A slow lab is a problem. A nurse who does not chase an abnormal result when it finally arrives is a separate problem. The inspection report suggests Pomeroy Living Rochester had both.
Education, the facility's stated response, is the most common corrective action named in nursing home inspection reports. It is also the least verifiable. There is no way for inspectors reviewing a written plan to know whether a training session changed anything about how nurses handle lab results on a Tuesday night when no one is watching. The DON said education had started. The report notes that no further documentation was provided.
The residents affected were described as few, the lowest category in the federal count. That means the inspectors identified the problem as touching a small number of people at this facility, not a widespread pattern across the resident population. Whether the resident whose August 18 result was delayed received appropriate treatment, experienced complications, or recovered without incident is not stated anywhere in the inspection record.
What is stated is that someone made a call to regulators. Inspectors came. A director of nursing confirmed the delay happened, confirmed the facility had known the lab relationship was problematic, and confirmed no one had fixed it before the result sat overnight.
The resident is not named. Their condition going into that test, and coming out of it, is not in the record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pomeroy Living Rochester Skilled Rehabilitation from 2025-08-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 28, 2026 · Our methodology
Pomeroy Living Rochester Skilled Rehabilitation in Rochester Hills, MI was cited for violations during a health inspection on August 28, 2025.
The culture and sensitivity was completed on August 18.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.