Wellbridge Of Rochester Hills
WellBridge of Rochester Hills in Rochester Hills, MI — inspection on September 25, 2025.
Found 1 citation. 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
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 R902 was medically assessed, proper notifications were completed, and 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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