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Complaint Investigation

The Springs At Rochester Hills Rehab And Nursing C

October 7, 2025 · Rochester Hills, MI · 1480 Walton Blvd
Citations 2
CMS Rating 1/5
Beds 126
Provider ID 235036
Healthcare Facility
The Springs At Rochester Hills Rehab And Nursing C
Rochester Hills, MI  ·  View full profile →
Inspection Summary

The Springs at Rochester Hills Rehab and Nursing C in Rochester Hills, MI — inspection on October 7, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

got mad and I saw her hit [R803] on the arm.

She [R802] kept hitting her. I said to [R802] you have to understand because [R803] just doesn't understand.When asked to confirm if they were assigned to that unit with R802 and R803, Nurse ‘B' reported on that day (9/26/25) they worked on the first floor.

Nurse ‘B' further reported, I came upstairs and that's when I saw the interaction between the two residents.

When asked if they could recall the time it occurred, Nurse ‘B' stated, I wanna say it was probably after dinner, because I had just took my lunch break. I remember it was still light outside.On 10/7/25 at 1:20 PM, a phone interview was conducted with Nurse ‘E'.

When asked to recall their events of the incident between R802 and R803, Nurse ‘E' reported, [R802] was my resident and the resident that got hit [R803] was not my resident.

Was in middle of med pass and turned and looked and when seen resident {R803] on the ground, [R802] was thinking another resident was her husband and [R802] knocked her on the floor.[R802] been having a mental status change, this is new for her.

When asked if they were aware of any other incidents between R802 and R803, Nurse ‘E' reported, Believe it was probably just one.

Heard about a resident to resident with [R802] sometimes she can be aggressive with other residents. I don't know. I think I can recall hearing something of hers from another nurse on another shift, or her past history.

Just happened the other day.

Don't want to speak on something I overheard.On 10/7/25 at 1:27 PM, a phone interview was conducted with Nurse ‘T'.

When asked to recall their events of the incident between R802 and R803, Nurse ‘T' reported, I was assigned to [R803]. I was down the hall at the med cart and the other nurse I heard her yell out for me cause I heard a bump.

She yelled out [Nurse ‘T's' name] and I looked down and [R803] had both hands on the floor and her head was on the wall a bit. [R802] was kicking at her. It wasn't hard, only so much she can do in her wheelchair. I'm not sure how she got on the floor but ran down to separate them.When asked if they were familiar with R802 and R803's behaviors and if they were aware of any other instances between the two residents, Nurse ‘T' reported they were not.Nurse ‘T' further reported the hospice nurse came onsite to evaluate the resident and there was a small area in her eyebrow.On 10/7/25 at 2:40 PM, an interview was conducted with the Administrator (who also was the facility's Abuse Coordinator) and the Director of Nursing (DON).

When asked to explain the details of the incidents between R801 and R802, the Administrator deferred to the documentation provided in their investigation file and what was reported to the State Agency.When asked about how it was determined the facility was not able to substantiate actual abuse had occurred between R801 and R802, the Administrator deferred to the documentation in their investigation file and State Agency portal and offered no further details.

When asked about the discrepancies within the witness statements of what was actually witnessed and what was included in the investigation, they acknowledged the discrepancies but were not able to provide any additional explanation.According to the facility's policy titled, Abuse and Neglect dated 6/28/2025: .Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish.Willful, as used in this definition of abuse means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.Physical abuse includes but not limited to infliction of injury that occur other than by accidental means.

Examples: hitting, slapping, kicking, squeezing, grabbing, pinching, punching, poking, twisting, roughly handling.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/07/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Springs at Rochester Hills Rehab and Nursing C

1480 Walton Blvd Rochester Hills, MI 48309

SUMMARY STATEMENT OF DEFICIENCIES

Review of undated staff signature sheet for meeting sign-ins for Abuse and Neglect Policy 1.

Resident to Resident altercations included Abuse & Neglect / Elder Justice Act Quiz documentation from 9/22/25 - 10/1/25.

There was no evidence that Nurse ‘B' had received any training/education from the facility.According to the facility's policy titled, Abuse and Neglect dated 6/28/2025: .REPORTING: All allegations and/or suspicions of abuse/neglect must be immediately reported to the facility Administrator or designee in the absence of the administrator.All allegations and/or suspicions of abuse must be reported to the Administrator immediately.All allegations of abuse will be reported to the appropriate State Agencies immediately after the initial allegation is received.The Administrator is the Abuse Coordinator.

Preliminary Investigation Report: The abuse coordinator must submit a preliminary investigation report to the appropriate State Agencies immediately once assurances for the resident's or other resident's safety have been established.

However, if the event that caused the allegation involved abuse or resulted in serious bodily injury, the allegation of abuse must be reported to appropriate state agencies immediately and not later than 2 hours after receiving the allegation of abuse or not later than 24 hours if the event that caused the allegation did not involve abuse and did not result in serious bodily injury.

Facility ID:

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 Rochester Hills, 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 The Springs at Rochester Hills Rehab and Nursing C or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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