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CIENA HEALTHCARE/LAUREL HEALTH CARE

Ownership rollup across 81 nursing homes in 4 states: Michigan, North Carolina, Ohio, Virginia. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.8 of 5 stars on the CMS overall rating — about 0.3 stars below the ~3.1 average of the 4 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 81 homes rated throughout, the average rose 0.17 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

81
Homes in this chain
9,350
Certified beds115 per home on average
86%
Occupied8,049 residents a day across 9,350 beds
+0.17
Star changeacross the 81 homes rated throughout · 2025-02 to 2026-06
4
States covered
2.8
Average CMS rating~3.1 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection2.5 of 581 rated homesstate surveyors’ findings, ranked within each state
Staffing3.2 of 581 rated homesfrom payroll (PBJ) hours
Quality measures4.0 of 581 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

12 with immediate-jeopardy citations2 Special-Focus candidates9 with an abuse flag37 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$136.2M
Related-party expensesummed across 80 homes · FY2023 cost reports
13%
of operating expensegoes to related companies, across the 80 homes reporting both figures
-4.6%
Operating marginrevenue-weighted across 80 homes with a cost report
$3.1M
Total federal fines37 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 24%Medicare 10%Other / private 66%

Weighted by each home’s average daily census, across the 60 of 81 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Aria Nursing and RehabilitationLansing, MI 1 of 5$75,834 fined
Autumnwood of McBainMcBain, MI 1 of 5$39,000 fined
Christian Park Health Care CenterEscanaba, MI 1 of 5Abuse flag $36,651 fined
Courtney ManorBad Axe, MI 1 of 5
Ely ManorAllegan, MI 1 of 55 immediate-jeopardy SFF candidate Abuse flag $157,741 fined
Kith HavenFlint, MI 1 of 5Abuse flag $119,506 fined
Notting Hill of West BloomfieldWest Bloomfield, MI 1 of 5Abuse flag $167,213 fined
Regency at FremontFremont, MI 1 of 5
Regency at JacksonJackson, MI 1 of 51 immediate-jeopardy Abuse flag $15,593 fined
Regency at TroyTroy, MI 1 of 5
Regency at WaterfordWaterford, MI 1 of 5
Regency at Whitmore LakeWhitmore Lake, MI 1 of 5$235,995 fined
Royalton Manor, LLCSt Joseph, MI 1 of 5$173,966 fined
The Laurels of GalesburgGalesburg, MI 1 of 5$145,115 fined
The Laurels of HudsonvilleHudsonville, MI 1 of 5$31,005 fined
The Manor of NoviNovi, MI 1 of 5$67,496 fined
Laurels Of Norworth TheWorthington, OH 1 of 51 immediate-jeopardy $51,871 fined
Laurels Of West Carrollton TheWest Carrollton, OH 1 of 5
Laurels Of West Columbus, TheColumbus, OH 1 of 5Abuse flag $17,345 fined
The Laurels Of HeathHeath, OH 1 of 5
The Laurels Of Walden ParkColumbus, OH 1 of 5$114,649 fined
Regency At Bluffs ParkAnn Arbor, MI 2 of 5$26,852 fined
Regency at CheneDetroit, MI 2 of 51 immediate-jeopardy $15,593 fined
The Laurels of BedfordBattle Creek, MI 2 of 5
The Laurels of ColdwaterColdwater, MI 2 of 5
The Manor of Farmington HillsFarmington Hills, MI 2 of 51 immediate-jeopardy $269,106 fined
Willowbrook ManorFlint, MI 2 of 5$89,021 fined
The Laurels of ChathamPittsboro, NC 2 of 5$10,527 fined
The Laurels of Forest GlennGarner, NC 2 of 55 immediate-jeopardy $182,083 fined
Laurels Of Athens, TheAthens, OH 2 of 51 immediate-jeopardy $38,912 fined
Laurels Of Mt Vernon TheMount Vernon, OH 2 of 5
Laurels Of Steubenville TheSteubenville, OH 2 of 5
The Laurels Of GahannaColumbus, OH 2 of 5SFF candidate $394,237 fined
The Laurels Of KetteringKettering, OH 2 of 5$41,974 fined
The Laurels Of University ParkRichmond, VA 2 of 5
The Laurels Of Willow CreekMidlothian, VA 2 of 5
Autumnwood of DeckervilleDeckerville, MI 3 of 5$61,621 fined
Boulevard Temple Care Center, LLCDetroit, MI 3 of 51 immediate-jeopardy
Brittany ManorMidland, MI 3 of 5Abuse flag
Hartford Nursing & Rehabilitation CenterDetroit, MI 3 of 5
Regency Heights-DetroitDetroit, MI 3 of 5$19,321 fined
Regency at CantonCanton, MI 3 of 53 immediate-jeopardy $17,345 fined
Regency at LivoniaLivonia, MI 3 of 5
Sheffield Manor Nursing & Rehabilitation CenterDetroit, MI 3 of 5Abuse flag
The Laurels of FultonPerrinton, MI 3 of 5$58,635 fined
The Laurels of KentLowell, MI 3 of 5$62,010 fined
The Laurels of Sandy CreekWayland, MI 3 of 5Abuse flag $14,020 fined
West Bloomfield Health and Rehabilitation CenterWest Bloomfield, MI 3 of 5
The Laurels of HendersonvilleHendersonville, NC 3 of 52 immediate-jeopardy $36,257 fined
The Laurels of SalisburySalisbury, NC 3 of 51 immediate-jeopardy $45,756 fined
Hamilton Respiratory and Nursing CenterHamilton, OH 3 of 5
Laurels Of Huber Heights TheHuber Heights, OH 3 of 5
Laurels Of Worthington, TheWorthington, OH 3 of 5
The Laurels Of Chagrin FallsChagrin Falls, OH 3 of 5
The Laurels Of Bon AirBon Air, VA 3 of 5
The Laurels Of CharlottesvilleCharlottesville, VA 3 of 5$8,824 fined
Hickory Ridge of TemperanceTemperance, MI 4 of 5
Omni Continuing CareDetroit, MI 4 of 5
Ovid Healthcare CenterOvid, MI 4 of 5$79,950 fined
Regency at Lansing WestLansing, MI 4 of 5
Regency at Shelby TownshipShelby Township, MI 4 of 5
Regency at St. Clair ShoresSt. Clair Shores, MI 4 of 5$22,874 fined
Regency at WestlandWestland, MI 4 of 5$10,062 fined
St. Anthony Healthcare CenterWarren, MI 4 of 5
The Laurels of Carson CityCarson City, MI 4 of 51 immediate-jeopardy $121,908 fined
The Laurels of PenderBurgaw, NC 4 of 5
Laurels Of Defiance TheDefiance, OH 4 of 5
The Laurels Of MiddletownMiddletown, OH 4 of 5
The Laurels Of MilfordMilford, OH 4 of 5
Christian Park VillageEscanaba, MI 5 of 5
Fenton HealthcareFenton, MI 5 of 5
Fountain View of MonroeMonroe, MI 5 of 5
Lakeview Manor Healthcare CenterTawas City, MI 5 of 5
Qualicare Nursing HomeDetroit, MI 5 of 5
Regency at Grand BlancGrand Blanc, MI 5 of 5
Regency on the Lake - Fort GratiotFort Gratiot, MI 5 of 5
The Laurels of Mt. PleasantMt. Pleasant, MI 5 of 5
The Laurels Of Greentree RidgeAsheville, NC 5 of 5
Laurels Of Blanchester, TheBlanchester, OH 5 of 5
Laurels Of Massillon, TheMassillon, OH 5 of 5
Laurels Of New London TheNew London, OH 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.