Notting Hill of West Bloomfield: Injury Investigation Failure - MI
That gap — between what happened to a resident and whether anyone was obligated to investigate — is what federal inspectors documented when they visited the West Bloomfield nursing home on November 25, 2025.
The inspection was triggered by a complaint. What inspectors found was a facility where an unexplained injury had occurred, where staff acknowledged they had no further information about it, and where the policy meant to govern exactly these situations contained a critical omission: it defined what an injury of unknown source was, but said nothing about what the facility was supposed to do next.
The facility's Abuse Prohibition Policy, last revised in September 2022, was reviewed during the inspection. The policy named the category. It did not describe any process for investigating it. There were no steps. No timeline. No designated responsibility. The policy identified the problem and stopped there.
Skin tears in nursing home residents are not uncommon, and not always the result of neglect or abuse. Elderly skin is fragile. But when a tear appears and no one can account for it, the question of how it happened matters. It matters because the answer could indicate a fall that wasn't reported, handling that was too rough, or something worse. The investigation is the mechanism that distinguishes one possibility from another. Without it, the facility has no way to know, and no way to prevent whatever caused the injury from happening again.
At Notting Hill, that mechanism didn't exist on paper, and apparently didn't exist in practice either.
Staff who spoke with inspectors volunteered something else during the visit: the unit manager, identified in inspection records only as Unit Manager J, had submitted a two-week notice. Their last day of work was approaching. The detail surfaced in the middle of a conversation about the skin tear, offered without prompting.
It's not clear from the inspection record what connection, if any, Unit Manager J had to the specific incident inspectors were examining. What is clear is that the person in a supervisory position over the affected unit was in the process of leaving the facility at the time of the inspection, and that staff raised this fact themselves when asked about an unexplained injury.
The deficiency was cited under F0610, which covers a facility's obligation to investigate and report allegations of abuse, neglect, and injuries of unknown source. Inspectors rated the level of harm as minimal harm or potential for actual harm. A few residents were identified as affected.
That rating sits near the lower end of the federal harm scale, and it reflects the inspectors' assessment that the documented failures had not, at least as far as the record showed, produced serious injury. But the rating describes what was found, not what the policy gap could allow. A facility without a functioning investigation process for unexplained injuries doesn't have a problem that only emerges when something serious happens. It has a problem that prevents it from knowing whether something serious has happened.
The inspection record does not describe the resident who sustained the skin tear in detail, does not say when the tear was discovered, and does not say who first noticed it. What it says is that staff had no additional information about it, and that the facility's written policy, the document that should have governed the response, did not address how such an investigation was supposed to proceed.
Notting Hill of West Bloomfield operates at 6535 Drake Road. The inspection was completed November 25, 2025, and the deficiency record was printed in April 2026.
A policy that names a category of harm without describing what to do about it is, in practical terms, not a policy at all. It is a definition. Facilities are required to investigate injuries of unknown source because the investigation is the only way to determine whether a resident was harmed by something preventable, something criminal, or something that will happen again to someone else. Stopping at the definition, writing down what the category is called and nothing more, leaves staff with no guidance and residents with no protection.
The unit manager gave two weeks' notice. Staff had no additional information. The policy had no investigation process. Each of those facts, taken alone, might be explainable. Taken together, they describe a facility where an unexplained injury to a resident produced no answers and prompted no documented inquiry, in a building where the person responsible for the unit was on their way out the door.
The resident with the skin tear is still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Notting Hill of West Bloomfield from 2025-11-25 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: August 22, 2026 · Our methodology
Notting Hill of West Bloomfield in West Bloomfield, MI was cited for violations during a health inspection on November 25, 2025.
The inspection was triggered by a complaint.
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.