Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pomeroy Living Sterling Skilled Rehabilitation during CMS and state inspections, most recent first.
An LPN administered 12 units of Humalog/Lispro to a resident who was not diabetic and had no insulin order after mistaking the resident for another person who required mealtime insulin. The LPN did not verify identity using the five rights, EMR photo, name and DOB, or wristband before giving the injection, and the resident questioned the medication during administration. The physician later documented that the resident received insulin intended for another resident and had no reaction.
A CNA failed to knock before entering a resident's room, causing the door to hit the resident's walker and resulting in a fall with a head injury. The resident, who required assistance due to an unsteady gait, had activated the call light for help. The facility's policies did not address the need for staff to knock, contributing to the incident.
A resident at high risk for falls, on a blood thinner, experienced two falls in a short period. The facility failed to conduct required neuro checks and implement fall precautions after the first fall. The resident was later found unresponsive with bruising, leading to hospital transport. Staff acknowledged incomplete monitoring and communication issues with the physician.
The facility failed to serve food in a palatable manner and at the preferred temperature for several residents. A random breakfast tray test revealed food temperatures below the expected levels, and residents expressed dissatisfaction with cold food, unappealing desserts, and undercooked meatloaf. A group interview confirmed that food often needed to be reheated, impacting its quality.
The facility failed to maintain sanitary conditions in the kitchen, including lack of paper towels at hand sinks, improperly dated food items, dusty ceiling vents, leaking plumbing fixtures, and an unlabeled chemical spray bottle. These deficiencies were confirmed by the Physical Plant Manager and pose a potential risk to all residents consuming food from the kitchen.
A physician failed to provide visual privacy and did not obtain consent for care in a public area for a resident with severe cognitive impairment. The physician conducted an examination in a day area with other residents present and did not perform hand hygiene, violating facility policies and regulatory standards.
A facility failed to obtain an admission weight for a resident with dysphagia and muscle weakness, resulting in potential unidentified weight loss. The resident was not consistently assisted with meals or fluids, and no weight was recorded despite a physician's order and facility policy requiring weights within the first 24 hours of admission.
The facility failed to date medication dispensing pens when opened and did not label an inhaler with resident identifying information, potentially compromising medication efficacy and patient safety.
Insulin Given to Wrong Resident Without an Order
Penalty
Summary
The facility failed to implement medication pass guidelines for safe medication administration when an LPN administered 12 units of Humalog/Lispro insulin to a resident who was not diabetic and had no physician order for insulin. The resident, identified in the record as having diagnoses including dementia and congestive heart failure, was not prescribed insulin and had been discharged from the facility before the survey review was completed. The incident was documented as occurring when multiple residents had returned from outside appointments and were in the dining room before lunch, and the LPN mistook the resident for another resident who required a standard mealtime insulin dose. The LPN reported that they completed a blood sugar check and then gave the insulin before verifying the resident’s identity by the five rights, the EMR photo, asking the resident’s name and date of birth, or checking a wristband. The resident began to question the injection during administration, at which point the LPN realized the medication had been given to the wrong resident and immediately reported the error to the UM. The physician was notified, and a progress note later documented that the resident had received 12 units of Humalog intended for another resident and had no reaction to the medication.
Failure to Knock Before Entering Room Leads to Resident Fall
Penalty
Summary
The facility failed to ensure that staff knocked and announced themselves before entering a resident's room, leading to an accident. A Certified Nursing Assistant (CNA) entered a resident's room without knocking, causing the door to hit the resident's walker. This resulted in the resident falling and sustaining a head injury. The incident occurred when the resident had activated the call light for assistance, and the CNA assumed the resident was waiting for help, thus did not knock before entering. The resident, identified as R803, had been admitted for aftercare following joint replacement surgery and required partial/moderate assistance with functional abilities. The resident's medical records indicated a history of falls and an unsteady gait, with a care plan in place to minimize risks for functional decline. Despite this, the resident was found directly behind the door when the CNA entered, leading to the fall. The incident was confirmed through interviews and a review of camera footage, which showed the CNA entering the room without knocking. The facility's policies on fall management and resident rights did not address the need for staff to knock before entering a room, contributing to the deficiency.
Failure to Implement Fall Precautions and Monitoring
Penalty
Summary
The facility failed to implement appropriate interventions and monitoring for a resident following a fall, as identified in a complaint investigation. The resident, who was at high risk for falls and had a physician's order for a blood thinner, experienced two falls within a short period. The first fall occurred when the resident was found on the floor, and although a neuro check was initiated, the facility did not take further fall precautions or complete additional neuro checks as required by their guidelines. The resident's medical records indicated that after the first fall, the resident was alert and oriented, with no visible injuries. However, the facility's documentation showed that only one neuro check was completed between the first and second falls, despite the facility's protocol requiring more frequent checks. The second fall resulted in the resident being found unresponsive with bruising, and the facility then called 911 for hospital transport due to the resident's condition and blood thinner use. Interviews with facility staff revealed that the physician was contacted but did not return calls, and the facility acknowledged that additional neuro checks should have been completed. The Director of Nursing and Nursing Home Administrator confirmed that the investigation into the falls was ongoing and recognized issues with physician communication. The facility's Fall Management Guidelines were not fully adhered to, as the necessary assessments and monitoring were not conducted following the initial fall.
Failure to Serve Food at Preferred Temperatures
Penalty
Summary
The facility failed to serve food in a palatable manner and at the preferred temperature for three residents and three confidential group residents. During a random breakfast tray test, the food temperatures were found to be below the expected hot food temperatures, with eggs at 101°F, waffles at 100°F, and sausages at 103°F. The Dietary Manager acknowledged receiving complaints about cold food and admitted that breakfast service is particularly challenging. The surveyor also found the food to be cold, negatively impacting its palatability. Residents expressed dissatisfaction with the food, citing issues such as cold food, unappealing dessert options, and undercooked meatloaf, which led to one resident experiencing diarrhea twice in one week. A confidential group interview with six residents revealed that three of them had concerns about the food being served cold. They reported that the food often needed to be reheated and was not good when served cold. The Administrator stated that food temperatures are checked at the steam table and then covered, but acknowledged that temperature preferences are individual. The overall findings indicate a failure to maintain food at safe and appetizing temperatures, resulting in resident dissatisfaction and potential health risks.
Sanitary Conditions Not Maintained in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as observed during an initial tour. Two hand sinks in the kitchen lacked paper towels, and one hand sink was blocked by a tall rack of dishware, making it inaccessible. In the walk-in cooler, several opened containers of dressings were found without proper date markings, including a container of honey mustard with a use-by date that had already passed. Additionally, dusty ceiling vent covers were observed above clean dishware and the clean drainboard of the dish machine. Leaking plumbing fixtures were also noted, including a steady stream of water from the hose sprayer connection and a leaking drain line underneath the sanitizer bin of the three-compartment sink. An unlabeled chemical spray bottle filled with a blue liquid was found at the three-compartment sink, posing a potential hazard due to the lack of identification. During an interview, the Physical Plant Manager confirmed the dusty ceiling vents and leaking plumbing fixtures, stating they would be addressed immediately. The observations and interviews indicate a failure to comply with the 2017 FDA Food Code, which mandates proper handwashing provisions, date marking of ready-to-eat foods, cleaning of ventilation systems, maintenance of plumbing systems, and proper labeling of chemical containers. These deficiencies have the potential to affect all residents consuming food from the kitchen.
Failure to Provide Privacy and Obtain Consent During Patient Care
Penalty
Summary
The facility failed to provide visual privacy during patient care and did not obtain consent for care in a public area for one resident. On 04/11/24, a physician approached a resident in the day area, which was occupied by seven other residents. The physician attempted to verify the resident's identity and conducted a physical examination without obtaining consent or ensuring privacy. The resident, who has a diagnosis of Dementia with psychotic disturbance and Anxiety, was unable to give informed consent due to severely impaired cognition, as indicated by a 2/15 score on the Brief Interview for Mental Status assessment. The Director of Nursing confirmed that privacy should always be provided during patient care and that consent should be obtained if care is to be conducted in a public area. The physician did not adhere to these protocols, as they did not ask for consent and performed the examination in a public setting. Additionally, the physician did not complete hand hygiene before or after the examination. The facility's policy requires adherence to Federal, State, and other regulatory standards, which were not followed in this instance.
Failure to Obtain Admission Weight for Resident
Penalty
Summary
The facility failed to ensure a weight was obtained upon admission for a resident, resulting in the potential for unidentified weight loss. The resident, who had diagnoses including dysphagia, need for assistance with personal care, and muscle weakness, was admitted to the facility and discharged three days later. During this time, the resident's representative reported that the resident had not been assisted to eat, was not provided fluids consistently, and experienced weight loss. The resident confirmed these concerns. The facility's records revealed no weight had been recorded for the resident, despite a physician's order for daily weights and the facility's policy requiring weights to be obtained within the first 24 hours of admission. The Registered Dietitian (RD) discussed food preferences and fluid restrictions with the resident and their spouse, noting the impact of a neck brace on the resident's dietary intake. However, the RD did not have a weight for the resident while at the facility. The Director of Nursing (DON) confirmed that obtaining a weight is a standard procedure within the first 24 hours of admission. Despite this, no documentation of a weight attempt or subsequent attempts was provided. The facility's policy on weight management, dated July 2021, mandates that residents be weighed upon admission, which was not adhered to in this case.
Failure to Date Medication Pens and Label Inhalers
Penalty
Summary
The facility failed to ensure medication dispensing pens were dated when opened in two of four medication carts, which could potentially decrease the efficacy of the medications. Specifically, an open Ozempic pen in the [NAME] B medication cart was not dated, and in the medication cart for the [NAME] 100 unit, a Lantus insulin pen and a Novolog insulin pen for two residents were not dated when opened. Additionally, a Novolog pen for another resident was dated 02/28/24, which was beyond the recommended usage period. The Director of Nursing confirmed that insulin should be dated when opened and a sticker should be placed on the pen. The manufacturer's prescribing information for these medications specifies that they should be disposed of after a certain period once opened, which was not adhered to in these instances. Furthermore, during an inspection of medication cart B on the Charlevoix unit, it was found that one inhaler did not have resident identifying information labeled on it. An unidentified nurse administering medications on the unit acknowledged that some inhalers were not labeled. The facility's policy on medication labeling requires that even very small items such as inhalers must be labeled with at least the resident's name. This failure to properly label medications and inhalers could lead to medication errors and compromised patient safety.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sterling Heights
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Point Nsg Phy Rehab Ctr Of Madison Heights | 1.6 mi | — | 0 | 0 |
| St. Anthony Healthcare Center | 1.6 mi | ★★★★★ | 2 | 0 |
| Windemere Park Health And Rehabilitation Center | 3.1 mi | ★★★★★ | 2 | 0 |
| Harmony Village Of Clawson | 3.3 mi | ★★★★★ | 3 | 1 |
| Harmony Village Of Warren | 4.5 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.