Skilled nursing · Rochester Hills, MI

Bellbrook

873 W Avon Rd, Rochester Hills, MI 48307

5 / 5CMS 36 bedsCapacity May 2026Inspected

PALMELLE

Top 15%

Federal · State

Strong

The Palmelle read

Strong. Bellbrook carries a Palmelle Clarity Score of 85 out of 100, derived from federal CMS Care Compare data plus Michigan state records. Health inspection rating sits at 5-star, staffing at 5-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at 6.9 percent, below the 14 percent national median. Long-stay sedative prescribing is at 35.5 percent, above the 15 percent national median. RN coverage is 1.31 hours per resident per day. Nurse turnover 39 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Michigan DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

No federal fines

Zero fines on record in the last 36 months.

Low antipsychotic prescribing

This

6.9%

National

14%

Below national median. Suggests staff manages behaviors with non-medication approaches.

Low rate of falls with major injury

This

0.0%

National

1.6%

Below national median. Suggests careful fall-risk assessment and active monitoring.

High registered-nurse coverage

This

1.31

National

0.78

More RN time per resident than national average. Earlier catch on medical issues.

Worth asking about

High sedative / sleep-medication prescribing

This

35.5%

National

15%

Above national median. Worth asking — sedative use sometimes rises when antipsychotic prescribing comes under pressure.

Federal CMS + Michigan state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★5 / 5

Staffing★★★★★5 / 5

Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This

1.31

Nat

0.78

Total nurse hours / resident, daily

This

4.15

Nat

3.62

Annual nurse turnover

This

39%

Nat

53%

Annual RN turnover

This

41%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

6.9%

Nat

14%

Sedative / sleep med

This

35.5%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

0.0%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID235470

OwnershipNon profit - Corporation

ChainIndependent

Beds36

Avg residents35

Citations · last 36 months

Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 35%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is just 7% — well below the national median of about 14%. This facility is treating behavior and dementia symptoms with engagement, environmental design, and personalized routines instead of prescriptions. That's hard to do and rare to find.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 0.0% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Registered nurse coverage is 1.31 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility earned the highest possible health-inspection rating from CMS. That means the inspectors who showed up unannounced, walked the halls, talked to residents, and reviewed records found a clean operation. Worth weighing heavily — inspection ratings are the hardest data point to game.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Michigan DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for Bellbrook?

Bellbrook has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 5 of 5 on health inspection, 5 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Bellbrook been cited for resident harm?

CMS data flagged 5 concerns on the latest reconcile. The full record for Bellbrook appears in the record section above.

Does Bellbrook use antipsychotic medications?

6.9 percent of long-stay residents at Bellbrook are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 35.5 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Bellbrook's Palmelle Clarity Score?

Bellbrook has a Palmelle Clarity Score of 85 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and Michigan state inspection data. Higher is better.

How can I tour or contact Bellbrook?

Bellbrook is located at 873 W Avon Rd, Rochester Hills, MI 48307. Phone: (248) 656-3239. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Bellbrook a special focus facility?

Bellbrook is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Bellbrook's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Bellbrook has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Bellbrook compare to other Rochester Hills skilled nursing facilities?

Bellbrook holds a Palmelle Clarity Score of 85. Browse the full Rochester Hills directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Bellbrook?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Bellbrook and two other facilities on your shortlist.

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