Wellbridge Of Rochester Hills
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
perimeter of the facility campus, and staff not following the elopement policy and process including not responding appropriately to the wander guard alert door alarm, and observing Resident R901 unsupervised outside beyond the facility entry door. Review of the policy, Elopement, revised December 2008, revealed, .(highlighted) 2. If an employee observes a resident leaving the premises, he/se should: a. Attempt to prevent the departure in a courteous manner; b. Get help from other staff members in the immediate vicinity, if necessary; and c. Instruct another staff member to inform the Charge Nurse or Director of Nursing Services that a resident has left the premises.(highlighted) 4. If an employee discovers that a resident is missing form the facility, he/she shall: a. Determine if the resident is out on an authorized leave or pass; b. If
the resident was not authorized to leave, initiate a search of the building (s) and premises; (handwritten).
Call code Pink (alert) - 600 (hall) phone. c. If the resident is not located, notify the Administrator and the Director of Nursing Services, the resident's legal representative (sponsor), the Attending Physician, law enforcement officials.d. Provide search teams with resident identification information, and e. Initiate an extensive search of the surrounding area.(Wander guard books are located at Front Desk and both Team rooms). Review of the facility Code Pink process, undated, revealed the facility had a clear process for what to do when door alarms sounded, calling a Code Pink overhead, performing a head count, searching including interior and perimeter ground search, and beyond if indicated, notification of the Sheriff's department as needed, resident assessment when found, proper notifications, and completing an incident report and the appropriate documentation. During the onsite survey, past noncompliance (PNC) was cited
after the facility implemented actions to correct the noncompliance which included Resident R902 was medically assessed, proper notifications were completed, and Resident R902 was placed on a 1:1 supervision. A one-time audit of residents was completed to ensure wander risk assessment needs were place, code alert bracelets were in place and functioning, and staff were reeducated on code alert bracelets and checking them every shift. Licensed nurses and nursing assistances (CNAs) were educated to ensure timely response to code alert bracelet alarms with compliance assured. The DON/designees conducted elopement drills weekly for 12 weeks to provide monitoring and ensure staff were checking and responding timely to code alert and door alarms, with the QA (Quality Assurance) process ensuring compliance.
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WellBridge of Rochester Hills in Rochester Hills, 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 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 WellBridge of Rochester Hills or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.