Deficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 1
Jun 23, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that staff failed to respond timely to Resident A's call light, leaving the resident on the toilet for approximately two hours on the morning of June 18, 2025.
Findings
The investigation confirmed that Resident A was left on the toilet for nearly 90 minutes despite using his call pendant and bathroom pull cord to summon assistance. Staff failed to respond timely to the alerts, and the system in place was deemed ineffective during the incident. A violation was established for failure to provide timely assistance.
Complaint Details
The complaint alleged that Resident A was left on the toilet from approximately 6:20am to 8:20am on June 18, 2025, despite pressing his call pendant and pull cord multiple times. The allegation was substantiated with a violation established.
Deficiencies (1)
| Description |
|---|
| Staff failed to respond to Resident A's call light timely, leaving him on the toilet for almost 90 minutes. |
Report Facts
Capacity: 85
Complaint Receipt Date: Jun 17, 2025
Investigation Initiation Date: Jun 18, 2025
Inspection Date: Jun 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patty Spina | Administrator | Interviewed during onsite inspection regarding the complaint |
| Erin Ottenbreit | Authorized Representative | Named as authorized representative of the licensee |
| Elizabeth Gregory-Weil | Licensing Staff | Author of the Special Investigation Report |
Inspection Report
Renewal
Deficiencies: 0
Apr 30, 2024
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the Home for the Aged license effective 05/21/2024.
Report Facts
License effective date: May 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Author of the renewal letter |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 2
Apr 25, 2023
Visit Reason
The investigation was initiated due to a complaint alleging inadequate care and medication errors involving Resident A at Cedarbrook Of Rochester.
Findings
The investigation found that the allegation of inadequate care was not substantiated, but the allegation that Resident A was administered the wrong medications was substantiated. Additionally, it was found that the staff member who administered the incorrect medication was not trained to do so.
Complaint Details
The complaint alleged inadequate care for Resident A resulting in falls and injury, and that Resident A was administered incorrect medications on 2/26/2023. The inadequate care allegation was not supported, but the medication error was substantiated.
Deficiencies (2)
| Description |
|---|
| Resident A was administered the wrong medications. |
| Associate 4 administered medication without proper training. |
Report Facts
Capacity: 85
Incident time: 1910
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Lang | Director of Nursing | Interviewed regarding Resident A's falls and medication error |
| Patricia Spina | Administrator | Present during interview and mentioned in report |
| Erin Ottenbreit | Authorized Representative | Present during interview and recipient of report |
Inspection Report
Renewal
Census: 33
Capacity: 85
Deficiencies: 0
Apr 20, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Cedarbrook Of Rochester.
Findings
The facility was found to be in compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 25
Number of residents interviewed and/or observed: 33
Capacity: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patty Spina | Administrator | Named as facility administrator |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 2
Jul 14, 2022
Visit Reason
The investigation was initiated due to a complaint alleging safety hazards, inaccurate resident records, lack of family notification regarding care changes, and delayed family notification after a resident fall at Cedarbrook Of Rochester.
Findings
The investigation found no violation regarding uncovered electrical outlets and resident record accuracy, but established violations for failure to involve family in care plan changes and delayed notification to family after a resident fall.
Complaint Details
The complaint alleged uncovered electrical outlets in the memory care unit, inaccurate resident records, lack of family notification about increased care and billing, and delayed family notification after a resident fall. Two violations were established related to family notification and care plan changes; violations related to electrical outlet safety and record accuracy were not established.
Deficiencies (2)
| Description |
|---|
| Failure to involve family members in significant changes to the resident's service plan. |
| Failure to immediately notify the resident's authorized representative of a fall incident. |
Report Facts
Capacity: 85
Complaint Receipt Date: Jul 6, 2022
Incident time: 4.5
Notification delay: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara P. Zabitz | Health Care Surveyor | Author of the Special Investigation Report |
| Lauren Costigan | Administrator | Facility administrator interviewed during investigation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the investigation report |
Inspection Report
Original Licensing
Capacity: 85
Deficiencies: 0
Nov 19, 2019
Visit Reason
This is an original licensing study report for Cedarbrook Of Rochester to determine compliance with applicable licensing statutes and administrative rules for issuance of a temporary license.
Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. The report describes the physical layout, services offered, and safety features of the facility, recommending issuance of a temporary license.
Report Facts
Licensed capacity: 85
Memory care beds: 42
Memory care double occupancy rooms: 7
Assisted living beds: 43
Assisted living double occupancy rooms: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erin Ottenbreit | Authorized Representative/Administrator | Named as the facility administrator and authorized representative. |
| Elizabeth Gregory-Weil | Licensing Staff | Author of the licensing study report. |
| Russell B. Misiak | Area Manager | Approved the licensing report. |
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