Bellbrook
873 W Avon Rd, Rochester Hills, MI 48307
Bellbrook is a nursing home in Rochester Hills, Michigan. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (248) 656-3239
- Last standard health inspection
- February 18, 2026 (8 months ago)
- Certified beds
- 36
- Residents per day, on average
- 34.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Mercy Services for Aging Nonprofit Housing Corporation
- Chain
- Trinity Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Michigan average (8 vs 32).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of May 27, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Health citation
CMS removed citation F0684 from the health inspection on December 17, 2024.
1 citation
Health inspection on February 18, 2026
CMS lists this as a standard inspection.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on March 5, 2026.
CMS has cited this home for F0645 2 times since 2024.
5 citations
Fire safety inspection on February 18, 2026
CMS lists this as a standard inspection.
Citation E0015. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on March 20, 2026.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on March 20, 2026.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2026.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on March 20, 2026.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on March 20, 2026.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
5 citations
Health inspection on December 17, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 14, 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 14, 2025.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on January 14, 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on January 14, 2025.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on January 14, 2025.
1 citation
Fire safety inspection on December 17, 2024
CMS lists this as a standard inspection.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on January 9, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of March 28, 2024
Health citation
CMS removed citation F0656 from the health inspection on January 10, 2024.
Health citation
CMS removed citation F0684 from the health inspection on January 10, 2024.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
2 citations
Health inspection on January 10, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0626. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS lists it as corrected on February 7, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 7, 2024.
4 citations
Fire safety inspection on January 10, 2024
CMS lists this as a standard inspection.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 7, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 7, 2024.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on February 7, 2024.
Citation K0753. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on February 7, 2024.
CMS update of December 21, 2023
Fine
CMS changed the fine from September 14, 2021 from $20,000 to $13,000.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- TRINITY CONTINUING CARE SERVICES5% or greater direct ownership interest · 100% · since 07/01/1991
- CHE TRINITY INC5% or greater indirect ownership interest · 100% · since 07/01/2018
Questions
When was Bellbrook last inspected?
CMS lists February 18, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Bellbrook have?
CMS lists 8 health citations since January 10, 2024. CMS also calls these deficiencies.
Has Bellbrook been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Bellbrook?
Its CMS overall star rating is 5 of 5.
Is Bellbrook a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.