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Bellbrook

873 W Avon Rd, Rochester Hills, MI 48307 · Oakland County · (248) 656-3239

36 certified beds, about 34 residents a day · Non profit - Corporation · Medicare and Medicaid since 1988

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235470 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 18, 2026, inspectors cited 1 health deficiency (the Michigan average is 9.9, the national average 9.2).

None of its 8 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.46 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.53 of those hours.

40.9% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Trinity Health, an affiliated group of 19 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
February 18, 2026Standard inspection · 1 citation
  1. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a level I PASARR (Preadmission Screening and Resident Review) screening was completed for one (R6) of one resident reviewed for PASARR's.
December 17, 2024Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen. This deficient practice had the potential to affect all residents that consume food from the kitchen.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to thoroughly and accurately investigate allegation(s) of staff to resident physical/verbal abuse for one (R91) of two residents reviewed for abuse.
  3. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on interview and record review the facility failed to timely transmit Minimum Data Set (MDS) assessments to the Centers for Medicare and Medicaid Services (CMS) within 14 days after completion for two (R311 and R333) of three residents reviewed for resident assessments.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record reviews the facility failed to ensure an Annual Resident Review (ARR) level I screening was completed and submitted annually for a level II OBRA (Omnibus Budget Reconciliation Act of 1993) evaluation for one (R2) of one resident reviewed for PASARR's (Preadmission Screening Annual Resident Review).
  5. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record reviews the facility failed to implement a resident centered care plan with individualized interventions that identified behaviors and/or mood concerns for one (R13) of five residents reviewed for unnecessary medications.
January 10, 2024Standard inspection, Complaint inspection · 2 citations
  1. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteThis citation pertains to Intake Number(s): MI00141179. Based on interview and record review, the facility failed to permit readmission into the facility after a hospitalization for one (R61) of three residents reviewed for closed records.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate hand hygiene and glove use during wound care for one resident, (R9) of one resident reviewed for infection control during wound care, resulting in the potential for the spread of infection.

Fire safety inspections

10 fire safety citations on file: 5 on February 18, 2026, 1 on December 17, 2024, 4 on January 10, 2024.

Every fire safety citation10 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · February 18, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 18, 2026 · Corrected (the home has a date of correction)
  3. E
    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.
    K 222 · February 18, 2026 · Corrected (the home has a date of correction)
  4. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 18, 2026 · Corrected (the home has a date of correction)
  5. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 18, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 17, 2024 · Corrected (the home has a date of correction)
  7. F
    Provide properly protected cooking facilities.
    K 324 · January 10, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 10, 2024 · Corrected (the home has a date of correction)
  9. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 10, 2024 · Corrected (the home has a date of correction)
  10. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · January 10, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)4.463.993.86
Registered nurses1.530.780.69
All nursing staff on weekends3.753.503.42
Nurse aides1.80
Licensed practical nurses1.13
Nursing staff turnover (share who left in a year)40.9%44.1%45.8%
Registered nurse turnover30.8%39.2%42.9%
Administrators who left0

CMS expects 3.65 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.75 on weekdays and 3.75 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 4.46 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.461.534.753.75 0.0%0 of 9034
Oct to Dec 20254.151.314.363.61 0.0%0 of 9235
Jul to Sep 20254.131.234.423.39 0.0%0 of 9234
Apr to Jun 20253.881.254.033.49 0.0%0 of 9134
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.010.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.11.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.85.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.314.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.724.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.711.712.0

Owners and operators

Legal business name: MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION. CMS links this home to Trinity Health, a group of 19 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Trinity Continuing Care Services5% or greater direct ownership interestOrganization100%07/01/1991
Che Trinity Inc5% or greater indirect ownership interestOrganization100%07/01/2018
Chandler, AliciaW-2 managing employeeIndividual09/01/2017
Delaney, ElisabethW-2 managing employeeIndividual07/01/2018
Kastner, StevenW-2 managing employeeIndividual01/01/2017
Latovick, PamelaW-2 managing employeeIndividual01/01/2017
Capasso, JohnCorporate directorIndividual01/01/2015
Chandler, AliciaCorporate directorIndividual09/01/2017
Handy, JoanneCorporate directorIndividual01/01/2015
Henkel, ArthurCorporate directorIndividual01/01/2015
Jones, BeverlyCorporate directorIndividual01/01/2016
Kastner, StevenCorporate directorIndividual01/01/2017
Lunsmann, KathleenCorporate directorIndividual01/01/2015
McPherson, MarkCorporate directorIndividual01/01/2018
Minnix, WilliamCorporate directorIndividual01/01/2018
Poole, LejonCorporate directorIndividual01/01/2016
Tag, Anna MarieCorporate directorIndividual01/01/2018
Villarruel, AntoniaCorporate directorIndividual01/01/2016
Wells, DewayneCorporate directorIndividual01/01/2015
Kastner, StevenCorporate officerIndividual01/01/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 18, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 17, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 17, 2024: "Respond appropriately to all alleged violations."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 17, 2024: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Bellbrook's Medicare star rating?
CMS rates Bellbrook 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bellbrook get at its last inspection?
1 health deficiency at the standard inspection on February 18, 2026. The Michigan average is 9.9.
Has Bellbrook been fined?
CMS lists no fines in the last three years.
Does Bellbrook accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bellbrook?
CMS lists 20 owners and managers, and links the home to Trinity Health. Legal business name: MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION.

Sources

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