A list of the most recent deficiencies for Wellbridge of Pinckney. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-27 | 2024-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-27 | 2024-01-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-28 | 2023-10-16 | Y |
| Post nurse staffing information every day. | Health | 2023-09-28 | 2023-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-07-28 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-05-02 | 2023-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-09 | 2023-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-02-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-09 | 2023-02-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-02-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-20 | 2022-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-20 | 2022-05-05 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-20 | 2022-05-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-23 | 2022-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-03-08 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-23 | 2022-03-08 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-12-09 | 2021-12-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-09 | 2021-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-12-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-21 | 2021-11-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-21 | 2021-11-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-21 | 2021-11-15 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-10-21 | 2021-11-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-21 | 2021-11-15 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-19 | 2021-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-08-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-21 | 2021-08-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-07-21 | 2021-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-21 | 2021-08-18 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-21 | 2021-08-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-21 | 2021-08-18 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-07-21 | 2021-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-20 | 2020-01-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-20 | 2019-12-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-20 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-20 | 2019-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-20 | 2019-12-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-20 | 2019-12-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-11-20 | 2019-12-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-20 | 2019-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-20 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-20 | 2019-12-06 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-20 | 2019-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-20 | 2019-12-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-18 | 2019-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-18 | 2019-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-18 | 2019-12-06 | N |
