Wellbridge Of Novi
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
UNM A was then asked why Resident R702's extra 20 mg of Lasix x3 days was not implemented and administered timely and why the nebulizer treatment was not implemented correctly initially causing a delay in the correct administration/dose of the treatment. UNM A stated they would look into it and follow back up. At 2:41 PM, UNM A stated they reviewed the medical record and they were unable to provide further information or documentation on why the extra 20 mg of Lasix was not implemented/administered timely or why the nebulizer treatment was not implemented as ordered by the Provider. No further explanation or documentation was provided by the end of the survey.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/07/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Wellbridge of Novi
48300 11 Mile Road Novi, MI 48374
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Meals was reviewed and documented, in part: .Residents shall receive assistance with meals that meets
the individual needs of each resident.All residents shall be encouraged to eat in the dining room.Residents confined to bed.nursing staff will prepare residents for eating.Nursing staff and/or Feeding Assistants will feed those residents needing full assistance within _____ (*It should be noted that a blank line was in the policy, no time was noted).Resident who cannot feed themselves will be fed with attention to safety.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/07/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Wellbridge of Novi
48300 11 Mile Road Novi, MI 48374
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0777
F 0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake: 2634191.Based on interview and record reviews the facility failed to ensure a STAT (immediate) chest x-ray was ordered and completed as noted by the physician assistant for one (Resident R702) of one resident reviewed for radiology services. Findings include:A review of the medical record revealed Resident R702 was re-admitted to the facility on [DATE REDACTED] with a primary diagnosis of acute on chronic diastolic (congestive) heart failure and additional diagnoses of edema, paroxysmal atrial fibrillation and acute embolism and thrombosis of unspecified deep veins of lower bilateral extremity. A Minimum Data Set (MDS) assessment dated [DATE REDACTED] noted a Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognition. A review of a Physician progress note dated 4/28/25 at 1:57 PM, documented in part .
Reason for visit: request by patient/family/nurse regarding weakness, fatigue, pain. Patient seen and examined. C/O (complaints of) increased weakness and fatigue. Also C/o generalized joint pain. States she is feeling weakness than when she was admitted . C/o dysuria (pain with urination), urgency, urinary frequency. Also c/o SOB (shortness of breath). chronically ill appearing, weak. Diminished BS (breath sounds) with crackles at bases. + (positive) trace BLE (bilateral lower extremities) edema. Assessment SOB, suspect secondary to CHF (congestive heart failure). decompensated CHF, Fatigue, Urinary . UTI, Persistent atrial fibrillation with RVR (rapid ventricular response), BLE edema. Plan. check UA (urinalysis), C&S (culture & sensitivity), CHF - with SOB. Check CXR (chest x-ray) PA (posterior - anterior)/lat (lateral) STAT (immediate). Give extra 20 mg (milligram) Lasix QD (every day) x3 days-1st dose today. Begin duoneb (nebulizer treatment) QID (four times a day). Continue Lasix. A review of the physician orders revealed no order implemented for the STAT chest x-ray until 5/6/25, more than a week later. On 10/7/25 at 1:37 PM, the Unit Nurse Manager (UNM) A (the nurse manager for the unit Resident R702 resided on) was interviewed and asked the facility's practices when a nurse practitioner, physician assistant or physician examines a resident and orders new medications and test to be completed whose responsibility was it to put in the orders for the new medications and tests. UNM A stated the provider would tell the floor nurse to put in the order or they would usually tell them (the unit manager) and they would put in the orders. When asked why Resident R702's STAT chest x-ray was ordered more than a week after the provider examined and noted to have the STAT chest x-ray completed, UNM A stated the ordered probably did not hit the board (electronic medical system notification) delaying the implementation. UNM A stated they would look into the concern and follow back up. At 2:41 PM, UNM A stated they reviewed the medical record and they were unable to provide further information or documentation on why the STAT chest x-ray order was not implemented and completed timely. No further explanation or documentation was provided by the end of
the survey.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
WellBridge of Novi in Novi, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Novi, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WellBridge of Novi or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.