Clarkston, MI

WellBridge of Clarkston

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

5655 Clarkston Road, Clarkston, MI

(248) 707-3400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Wellbridge Group

Operator or chain grouping

Approved since

2019-03-07

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

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

0.55

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.39

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.25

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.94

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.73

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

4.47

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,819

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

Performance score

10.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.54

Baseline 24.35% · Performance 22.85% · Measure score 1.54 · Achievement 0 · Improvement 1.54

Healthcare-associated infections

Baseline 6.21% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 59.76% · Performance 64.60% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.58

Baseline 3.58 hours · Performance 3.81 hours · Measure score 2.58 · Achievement 2.58 · Improvement 0.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.82%	10.72% 2.1 pts worse	Worse than the National Rate · Eligible stays 373 · Observed rate 14.75% · Lower 95% interval 11%
Discharge to community	57.11%	50.57% 6.5 pts better	Better than the National Rate · Eligible stays 392 · Observed rate 51.53% · Lower 95% interval 51.82%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	99.17%	95.27% 3.9 pts better	Numerator 239 · Denominator 241
Falls with major injury	0.41%	0.77% 0.4 pts better	Numerator 1 · Denominator 241
Discharge self-care score	34.68%	53.69% 19 pts worse	Numerator 60 · Denominator 173
Discharge mobility score	49.71%	50.94% 1.2 pts worse	Numerator 86 · Denominator 173
Pressure ulcers or injuries, new or worsened	4.17%	2.29% 1.9 pts worse	Numerator 10 · Denominator 240 · Adjusted rate 5.08%
Healthcare-associated infections requiring hospitalization	8.38%	7.12% 1.3 pts worse	No Different than the National Rate · Eligible stays 231 · Observed rate 9.09% · Lower 95% interval 6.05%
Staff COVID-19 vaccination coverage	29.66%	8.2% 21.5 pts better	Numerator 43 · Denominator 145
Staff flu vaccination coverage	34.17%	42% 7.8 pts worse	Numerator 68 · Denominator 199
Discharge function score	50.29%	56.45% 6.2 pts worse	Numerator 87 · Denominator 173
Transfer of health information to provider	98.73%	95.95% 2.8 pts better	Numerator 156 · Denominator 158
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 38 · Denominator 38
Resident COVID-19 vaccinations up to date	22.66%	25.2% 2.5 pts worse	Numerator 29 · Denominator 128

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 3.8 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	1.5 1.3 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.2 · Expected 1.9 · 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	6.3%	3.1% 3.2 pts worse	3.3% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 8.1% · Q3 4.6% · Q4 1.5% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	4.1% 3.2 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	4.1%	5.5% 1.4 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 2.1% · Q4 1.9% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.3%	19.6% 3.7 pts worse	19.6% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 25.0% · Q3 21.6% · Q4 20.0% · 4Q avg 23.3%
Percentage of long-stay residents who received an antipsychotic medication	13.0%	16.5% 3.5 pts better	16.7% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 16.2% · Q3 12.5% · Q4 14.0% · 4Q avg 13.0% · 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	6.9%	13.9% 7 pts better	16.3% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 0.0% · Q3 10.4% · Q4 6.6% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.7%	11.7% 3 pts better	14.9% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 5.9% · Q3 7.8% · Q4 7.3% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	1.7% 0.8 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.7% · Q3 3.2% · Q4 1.6% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.8%	20.4% 14.6 pts better	19.8% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 8.5% · Q3 3.5% · Q4 5.0% · 4Q avg 5.8%
Percentage of long-stay residents with pressure ulcers	6.3%	5.6% 0.7 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.4% · Q3 8.2% · Q4 1.5% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.1%	82.8% 12.3 pts better	81.7% 13.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 92.8% · Q3 97.6% · Q4 98.6% · 4Q avg 95.1%
Percentage of short-stay residents who had an outpatient emergency department visit	8.2%	11.5% 3.3 pts better	12.0% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 8.3% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.3% 0.5 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.7% · Q3 0.6% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.4%	79.5% 11.9 pts better	79.7% 11.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.5%	24.2% 2.3 pts worse	23.9% 2.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 28.3% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-15 · Fire 2025-05-15

6 health deficiencies

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

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-06-05 · Fire 2024-06-05

14 health deficiencies

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

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2023-06-15 · Fire 2023-06-15

13 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-05-15

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-05-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-05-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-05-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-05

F · Potential for more than minimal harm 2024-06-05

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-16

F · Potential for more than minimal harm 2024-06-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-06-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-05

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-06-25

F · Potential for more than minimal harm 2023-06-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-15

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 2025-06-05

D · Potential for more than minimal harm 2025-04-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-03-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-01-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-17

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 2024-12-30

E · Potential for more than minimal harm 2024-06-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-05

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 2024-06-25

E · Potential for more than minimal harm 2024-06-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-05

F839 · Administration Deficiencies

Health

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-06-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-10-02

D · Potential for more than minimal harm 2024-06-05

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

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 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-10-02

D · Potential for more than minimal harm 2024-06-05

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 2024-06-25

G · Actual harm 2023-08-16

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-29

F · Potential for more than minimal harm 2023-06-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-07-10

E · Potential for more than minimal harm 2023-06-15

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 2023-07-10

E · Potential for more than minimal harm 2023-06-15