Howell, MI

WellBridge of Brighton

2-star overall rating with 2-star inspections with $26,686 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2200 Dorr Road, Howell, MI

(517) 947-4400

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

88

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Wellbridge Group

Operator or chain grouping

Approved since

2013-08-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.82

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.49

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.83

CMS adjusted RN staffing hours

Adjusted total hours

4.60

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,209

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9903

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.68

Baseline 22.80% · Performance 22.12% · Measure score 0.68 · Achievement 0 · Improvement 0.68

Healthcare-associated infections

8.92

Baseline 6.05% · Performance 5.17% · Measure score 8.92 · Achievement 8.92 · Improvement 7.86

Total nurse turnover

3.23

Baseline 78.79% · Performance 58.70% · Measure score 3.23 · Achievement 1.22 · Improvement 3.23

Adjusted total nurse staffing

1.98

Baseline 3.36 hours · Performance 3.64 hours · Measure score 1.98 · Achievement 1.98 · Improvement 0.68

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.91%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 357 · Observed rate 8.96% · Lower 95% interval 7.47%
Discharge to community 67.33%
50.57%
16.8 pts better
Better than the National Rate · Eligible stays 363 · Observed rate 63.09% · Lower 95% interval 63.32%
Medicare spending per beneficiary 0.82
1.02
0.2 pts better
Drug regimen review with follow-up 98.6%
95.27%
3.3 pts better
Numerator 212 · Denominator 215
Falls with major injury 0.93%
0.77%
0.2 pts worse
Numerator 2 · Denominator 214
Discharge self-care score 68.9%
53.69%
15.2 pts better
Numerator 113 · Denominator 164
Discharge mobility score 50%
50.94%
0.9 pts worse
Numerator 82 · Denominator 164
Pressure ulcers or injuries, new or worsened 1.86%
2.29%
0.4 pts better
Numerator 4 · Denominator 215 · Adjusted rate 2.53%
Healthcare-associated infections requiring hospitalization 5.17%
7.12%
2 pts better
No Different than the National Rate · Eligible stays 205 · Observed rate 2.93% · Lower 95% interval 2.87%
Staff COVID-19 vaccination coverage 7.91%
8.2%
0.3 pts worse
Numerator 11 · Denominator 139
Staff flu vaccination coverage 12.1%
42%
29.9 pts worse
Numerator 19 · Denominator 157
Discharge function score 55.49%
56.45%
1 pts worse
Numerator 91 · Denominator 164
Transfer of health information to provider 97.88%
95.95%
1.9 pts better
Numerator 185 · Denominator 189
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 31.78%
25.2%
6.6 pts better
Numerator 34 · Denominator 107

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
1.7
0.9 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.1 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.2
1.5
1.7 pts worse
1.8
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.0%
5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
3.1%
2.1 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.1% · Q3 7.0% · Q4 5.9% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.6%
4.1%
3.5 pts better
11.4%
10.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight 12.3%
5.5%
6.8 pts worse
5.4%
6.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 16.2% · Q3 5.3% · Q4 14.0% · 4Q avg 12.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.4%
19.6%
7.2 pts better
19.6%
7.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.5% · Q3 15.4% · Q4 13.3% · 4Q avg 12.4%
Percentage of long-stay residents who received an antipsychotic medication 10.9%
16.5%
5.6 pts better
16.7%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.7% · Q3 12.1% · Q4 11.4% · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.0%
13.9%
4.9 pts better
16.3%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 13.4% · Q3 7.8% · Q4 3.7% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.8%
11.7%
2.9 pts better
14.9%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 7.9% · Q3 7.7% · Q4 4.5% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.9%
0.4 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.7%
1.7%
2 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.1% · Q3 2.4% · Q4 4.1% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.9%
20.4%
13.5 pts better
19.8%
12.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 14.7% · Q3 2.1% · Q4 0.0% · 4Q avg 6.9%
Percentage of long-stay residents with pressure ulcers 4.7%
5.6%
0.9 pts better
5.1%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 2.4% · Q3 6.0% · Q4 3.2% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
82.8%
10.4 pts better
81.7%
11.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 83.2% · Q2 96.0% · Q3 96.9% · Q4 96.3% · 4Q avg 93.2%
Percentage of short-stay residents who had an outpatient emergency department visit 12.0%
11.5%
0.5 pts worse
12.0%
About the same
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 11.0% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.3%
79.5%
14.8 pts better
79.7%
14.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.1%
24.2%
2.9 pts worse
23.9%
3.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 23.8% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-16 · Fire 2024-10-16

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-11-16 · Fire 2023-11-16

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-09-20 · Fire 2022-09-20

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-22

F · Potential for more than minimal harm 2024-10-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-22

E · Potential for more than minimal harm 2023-11-16

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-12-08

F · Potential for more than minimal harm 2022-09-20

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-10-20

F · Potential for more than minimal harm 2022-09-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-10-20

F · Potential for more than minimal harm 2022-09-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-30

G · Actual harm 2024-10-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-06

F · Potential for more than minimal harm 2024-10-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-16

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-10-16

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-10-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-10-16

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-06

G · Actual harm 2024-08-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-18

E · Potential for more than minimal harm 2024-08-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-18

E · Potential for more than minimal harm 2024-08-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-08-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-08-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-05-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-04-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-01

E · Potential for more than minimal harm 2023-11-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-11-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-03-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-03-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-10

G · Actual harm 2022-09-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-10-20

E · Potential for more than minimal harm 2022-09-20

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-10-20

D · Potential for more than minimal harm 2022-09-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-10-20

D · Potential for more than minimal harm 2022-09-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-10-20

D · Potential for more than minimal harm 2022-09-20

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-10-20

D · Potential for more than minimal harm 2022-09-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-10-20

C · Minimal harm 2022-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-20

Penalties and ownership

What sits behind the stars

$26,686 2024-10-16

Fine

Fine · fine $26,686

Fine

Ownership

Branscum, James

5% Or Greater Indirect Ownership Interest · Individual

30% 27 facilities 2013-03-20
E2g, LLC

5% Or Greater Direct Ownership Interest · Organization

30% 8 facilities 2013-03-20
Eisenberg, Leo

5% Or Greater Indirect Ownership Interest · Individual

30% 26 facilities 2013-03-20
Frank M Wronski Living Trust

5% Or Greater Direct Ownership Interest · Organization

30% 3 facilities 2013-11-11
Senior Care Equities #14, LLC

5% Or Greater Direct Ownership Interest · Organization

30% 1 facilities 2013-03-20
Wronski, Frank

5% Or Greater Indirect Ownership Interest · Individual

30% 27 facilities 2013-03-20
Perry, Michael

5% Or Greater Direct Ownership Interest · Individual

5% 29 facilities 2017-01-01
Hunter, Timothy

W-2 Managing Employee · Individual

0% 2 facilities 2021-11-01
Nexcare Health Systems, LLC

Operational/Managerial Control · Organization

0% 26 facilities 2016-01-01
Perry, Michael

Corporate Officer · Individual

0% 29 facilities 2013-11-11
Sangster, Todd

Corporate Officer · Individual

0% 27 facilities 2013-11-11
Shamus, Angela

W-2 Managing Employee · Individual

0% 1 facilities 2020-10-17

Nearby options

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Brighton, MI

3-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
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Staffing
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Fines
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#2

Medilodge of Howell

Howell, MI

2-star overall rating with 1-star inspections with $231,767 in total fines with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$231,767
#3

The Willows at Howell

Howell, MI

5-star overall rating with 4-star inspections with 5 recent health deficiencies

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0

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