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Complaint Investigation

The Springs At Rochester Hills Rehab And Nursing C

February 25, 2026 · Rochester Hills, MI · 1480 Walton Blvd
Citations 6
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 February 25, 2026.

Found 6 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

FF0584
Resident Rights Deficiencies

Review of the policy, Physical Environment, Environmental

foster appropriate infection control.

The policy did not include any guidance respective to laundering linens or resident's clothing. No additional policy was provided by survey exit.

235036 02/25/2026

The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd Rochester Hills, MI 48309

physical harm, pain, or mental anguish.

Abuse also includes the deprivation by an individual, including

psychosocial well-being.

Instances of abuse of all residents, irrespective of any mental or physical

physical abuse and mental abuse.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.Types of Abuse and Examples: Physical: Physical abuse includes but is not limited to infliction of injury that occur other than by accidental means.

Example: hitting, slapping, kicking, squeezing, pinching, punching, poking, twisting, roughly handling.Any person may potentially harm a resident.

Potential aggressors include but are not limited to, facility staff, other residents, state employees, family members, guardian, and other visitors.If abuse is suspected, the facility will 1.

Take immediate steps to assure the protection of the resident(s).

This may include separation from the alleged abuse and/or provision of medical care.9.

The facility will revise the resident's care plan if the resident's medical, nursing, physical, mental, or psychosocial needs or preferences change as a result of an incident of abuse.

235036 02/25/2026

The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd Rochester Hills, MI 48309

During mealtimes there are times when you don't ask for anything. R102 was

aide and she pulled out 11 wipes and she did wipe me, but my butt (bottom) wasn't clean. R102 had to wait to be changed until the morning, and said she had hard, caked-on stool by the morning. R112 said it made her feel awful to wait so long. On 2/25/26 at approximately 10:40 a.m., R107's Family Member (FM) R reported when they visited, they found R107 soaked this morning when they arrived and found them soaked wet often during their visits. R107 was present during the interview and made gestures pointing to their brief and nodded rapidly, appearing frustrated. FM R confirmed this was upsetting to R107, and to them when they found them soaked.

Surveyor asked R107 yes/no questions and for R107 to identify ten objects in the room, which they did accurately by pointing. It appeared R107 had the ability to convey some basic information and needs, which FM R confirmed.

Concerns regarding residents adl care not being completed timely and staffing concerns were shared with the NHA, the DON, and Regional Nurse Consultant, Registered Nurse (RN) A at exit.

There was no additional comment regarding the concerns.

Review of the policy, Administration: Staffing, adopted 07/11/2018, revealed, Our facility provides adequate staffing to meet needed care and services for our resident population.

Procedures: 1.

Our facility maintains adequate staffing on each shift to ensure that our residents' needs and services are met.

Licensed registered nursing and licensed nursing staff are available to provide and monitor the delivery of resident care services.

Certified Nursing Assistants are available on each shift to provide the needed care and services of each resident as outlined on the resident's comprehensive care plan.

Other support services (e.g., dietary, activities/recreational, social, therapy, environmental, etc.) are adequately staffed to ensure that resident needs are met. 2.

Inquiries or concerns relative to our facility's staffing should be directed to the Administrator or his/her designee.

235036 02/25/2026

The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd Rochester Hills, MI 48309

Review of an email received from the Director of Nursing (DON) on 2/25/26 at

Resident's choice, adopted 8/01/2019, revealed, It is the policy of this facility that residents shall

choosing. PROCEDURES: Residents will be invited and encouraged to assist in the planning and development of the recreation programming.Residents will be informed of activities of preference and interest and programs through:Posted calendarPosted announcementsIndividual communicationIndividual care planResidents will be invited to attend activities and will be provided the opportunity to participate in structured and individual programs.Preferences for residents who have Dementia will be determined through communication with the resident, family, friends and care givers.Assistance will be provided for residents who wish to participate but are not able to get to activities on their own.

Residents who prefer not to participate in structured programs will be offered alternatives and necessary support/resources for meaningful individual pursuit of leisure interest.

235036 02/25/2026

The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd Rochester Hills, MI 48309

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R111 who then reacted with physical contact.

Staff were unsure who made physical contact first, but

residents had marked cognitive impairment per the reports and were immediately separated.

The

regarding adequate supervision and the higher number resident-to-resident incidences were shared at survey exit with the NHA, DON, and Regional Nurse Consultant, Registered Nurse A. RN A indicated the facility had addressed the concerns in their Quality Assurance Improvement Process (QAPI) during the survey. RN A described they had begun to make proactive changes in programming, supervision and care planning on their second floor, related to the care of residents with cognitive impairment, dementia, and geriatric psychiatric concerns.

The NHA and DON had no additional comment.

Review of the policy, Administration: Staffing, adopted 07/11/2018, revealed, Our facility provides adequate staffing to meet needed care and services for our resident population.

Procedures: 1.

Our facility maintains adequate staffing on each shift to ensure that our residents' needs and services are met.

Licensed registered nursing and licensed nursing staff are available to provide and monitor the delivery of resident care services.

Certified Nursing Assistants are available on each shift to provide the needed care and services of each resident as outlined on the resident's comprehensive care plan.

Other support services (e.g., dietary, activities/recreational, social, therapy, environmental, etc.) are adequately staffed to ensure that resident needs are met. 2.

Inquiries or concerns relative to our facility's staffing should be directed to the Administrator or his/her designee.

235036 02/25/2026

The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd Rochester Hills, MI 48309

should be improved to ensure all residents were being offered a snack and understood the concern. On

Dietary Services.

Bed Time (HS) Snack, adopted 7/11/2018, revealed, Policy: It is the policy of the

ensure resident's appetite is satisfied before bedtime.Procedure: 1.

Residents on regular diets are offered a snack before bedtime each evening.3.

Bedtime (H.S.) snacks must be documented, indicating the H.S. snack was offered.

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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