Pomeroy Living Rochester Skilled Rehabilitation
Pomeroy Living Rochester Skilled Rehabilitation in Rochester Hills, MI — inspection on August 28, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
discontinued patient remained hypotensive, lethargic and was transferred to inpatient hospice. I have
agreeable with plan of care and. understands the grave prognosis.
Patient has shallow breathing
was interviewed and asked about the delayed UA, culture and sensitivity results and the DON stated they were newly employed with the facility and realized coming in that there were issues with the contracted laboratory.
The DON stated they started a past non compliance regarding the laboratory services.
The DON identified delayed completion and reporting of test results. At 9:02 AM, the DON stated they were trying to find a new laboratory provider for the facility.
The DON was asked about R202's clinical signs/symptoms of a UTI that was not initially reported to the Physician/NP, the failure to timely identify and treat R202's UTI and the DON acknowledged the concern, stating they were awaiting the results of the testing before treatment was started.
The DON explained that the resident was newly admitted to the facility so the staff was unaware of the change from the resident's baseline.
The DON was asked why the CBC and CMP was not ordered/completed.
The DON stated they read the note regarding the test pending, however they could not find results. A review of a facility policy titled Acute Change in Condition dated July 2021, documented in part . An Acute Change of Condition (ACOC) is a sudden, clinically important deviation from a resident's baseline in physical, cognitive, behavioral, or functional domains.
Clinically important means a deviation that, without intervention, may result in complications or death.
Resident's are assessed upon admission to establish Baseline Data.
Changes (symptoms) in a resident's condition are communicated by any staff member to nurses.
Document in the medical record all interventions to address the change of condition.
Changes (symptoms) are communicated to the physician.No further explanation or documentation was provided by the end of the survey.
235477 08/28/2025
Pomeroy Living Rochester Skilled Rehabilitation 3500 West South Blvd Rochester Hills, MI 48309
however not reported to the Physician until 8/19/25.
The DON stated they recognized the long
Physician.
The DON stated they had started education with the nursing staff regarding the concern.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.