Fenton, MI

WellBridge of Fenton

3-star overall rating with 3-star inspections with $49,030 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

901 Pine Creek Drive, Fenton, MI

(810) 616-4100

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

4 / 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

2015-12-21

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

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.08

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.34

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.00

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.56

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.13

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,625

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

Performance score

39.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9922

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 22.45% · Performance 23.69% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

8.97

Baseline 5.74% · Performance 5.15% · Measure score 8.97 · Achievement 8.97 · Improvement 7.37

Total nurse turnover

3.94

Baseline 70.97% · Performance 50.52% · Measure score 3.94 · Achievement 3.22 · Improvement 3.94

Adjusted total nurse staffing

2.77

Baseline 3.70 hours · Performance 3.87 hours · Measure score 2.77 · Achievement 2.77 · Improvement 0.32

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.11%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 219 · Observed rate 11.42% · Lower 95% interval 8.23%
Discharge to community	60.14%	50.57% 9.6 pts better	Better than the National Rate · Eligible stays 212 · Observed rate 55.66% · Lower 95% interval 52.54%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	99.32%	95.27% 4 pts better	Numerator 146 · Denominator 147
Falls with major injury	0.68%	0.77% 0.1 pts better	Numerator 1 · Denominator 147
Discharge self-care score	57.14%	53.69% 3.5 pts better	Numerator 64 · Denominator 112
Discharge mobility score	41.96%	50.94% 9 pts worse	Numerator 47 · Denominator 112
Pressure ulcers or injuries, new or worsened	0.68%	2.29% 1.6 pts better	Numerator 1 · Denominator 147 · Adjusted rate 0.98%
Healthcare-associated infections requiring hospitalization	5.15%	7.12% 2 pts better	No Different than the National Rate · Eligible stays 153 · Observed rate 2.61% · Lower 95% interval 2.93%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 131
Staff flu vaccination coverage	18.55%	42% 23.4 pts worse	Numerator 46 · Denominator 248
Discharge function score	56.25%	56.45% 0.2 pts worse	Numerator 63 · Denominator 112
Transfer of health information to provider	98.33%	95.95% 2.4 pts better	Numerator 118 · Denominator 120
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 15 · Denominator 60

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.7 0.4 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.5 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.5 About the same	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	95.0% 2.8 pts better	93.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.5% · Q3 100.0% · Q4 95.9% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	95.0% 3.6 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	3.1% 2.7 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.6% · Q3 6.8% · Q4 4.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.4%	4.1% 0.3 pts worse	11.4% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 7.4% · Q4 3.1% · 4Q avg 4.4%
Percentage of long-stay residents who lose too much weight	5.6%	5.5% 0.1 pts worse	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.8% · Q3 7.1% · Q4 7.1% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.9%	19.6% 0.3 pts worse	19.6% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 22.6% · Q3 17.9% · Q4 16.1% · 4Q avg 19.9%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	16.5% 5.8 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 11.6% · Q3 14.9% · Q4 8.9% · 4Q avg 10.7% · 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	8.3%	13.9% 5.6 pts better	16.3% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 11.9% · Q3 7.0% · Q4 4.7% · 4Q avg 8.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.6%	11.7% 2.1 pts better	14.9% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 9.6% · Q3 7.4% · Q4 1.9% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.3%	1.7% 2.6 pts worse	1.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 9.2% · Q3 1.4% · Q4 5.5% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.5%	20.4% 13.9 pts better	19.8% 13.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 6.4% · Q3 3.9% · Q4 5.3% · 4Q avg 6.5%
Percentage of long-stay residents with pressure ulcers	1.7%	5.6% 3.9 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 3.5% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	82.8% 15 pts better	81.7% 16.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.3% · Q3 97.7% · Q4 96.5% · 4Q avg 97.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.1%	11.5% 1.4 pts better	12.0% 1.9 pts better	Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 10.2% · Expected 11.2% · 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 1.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.3%	79.5% 18.8 pts better	79.7% 18.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.4%	24.2% 6.2 pts worse	23.9% 6.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 30.5% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-11 · Fire 2024-12-11

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

20 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2022-06-29 · Fire 2022-06-29

17 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-12-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-12-11

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-12-20

F · Potential for more than minimal harm 2023-12-06

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-01-10

F · Potential for more than minimal harm 2023-12-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-10

F · Potential for more than minimal harm 2023-12-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-10

E · Potential for more than minimal harm 2023-12-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-01-10

F · Potential for more than minimal harm 2022-06-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-07-28

F · Potential for more than minimal harm 2022-06-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-07-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-15

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2026-02-06

E · Potential for more than minimal harm 2024-12-11

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 2024-12-20

E · Potential for more than minimal harm 2024-12-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-12-11

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 2024-12-20

D · Potential for more than minimal harm 2024-12-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-11

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 2024-12-20

D · Potential for more than minimal harm 2024-12-11

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 2024-12-20

D · Potential for more than minimal harm 2024-12-11

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-11

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 2024-12-20

D · Potential for more than minimal harm 2024-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-10-24

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 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-08-22

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 2024-09-11

D · Potential for more than minimal harm 2024-03-13

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-04-01

E · Potential for more than minimal harm 2023-12-06

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 2024-01-10

E · Potential for more than minimal harm 2023-12-06

F555 · Resident Rights Deficiencies

Health

Honor the resident's right to choose his or her attending physician.

Corrected 2024-01-10

E · Potential for more than minimal harm 2023-12-06

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 2024-01-10

E · Potential for more than minimal harm 2023-12-06

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

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 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

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 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-10

G · Actual harm 2023-06-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-10

G · Actual harm 2023-06-09

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 2023-07-10

E · Potential for more than minimal harm 2023-06-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-07-10

D · Potential for more than minimal harm 2023-06-09

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 2023-07-10

E · Potential for more than minimal harm 2022-06-29