Southfield Village

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 112 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 54 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 52.7 residents a day — about 88% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.94 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.75 hrs/resident/day on weekends vs 4.01 on weekdays — 7% thinner on weekends. RN hours go from 1.10 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Fcited before2026-01-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to provide a clean and sanitary environment for food preparation and failed to ensure meals served to Resident 11 were within safe serving temperatures. This had the potential to affect 57 of 57 residents who consumed food prepared in the kitchen. Finding includes: 1. During a tour and observation of the kitchen on 1/7/2026 at 9:51 A.M. the following issues were noted: -3 fans in the food preparation area were dusty. -the walls, ceiling, and light fixtures were dusty. -the wall behind the stove and griddle had yellowish-brown matter on it. During an interview on 1/7/2025 at 10:05 A.M., the Dietary Manager indicated there should not be dust on the fans, walls, ceiling, and light fixtures, and the wall behind the griddle should have been clean. On 1/12/2026 at 10:04 A.M. the Dietary Manager indicated there was not a policy for cleaning the kitchen but provided the cleaning schedule that staff followed. 2. During an observation on 1/9/2026 at 9:30 A.M., Resident 11's breakfast tray had been placed on a table in the common area of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-13 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to keep medication and treatment carts secured on 3 of 3 halls. (100, 200 and 300 Halls)Findings include: 1. During an observation of the medication cart, on the 100 Hall, on 1/9/2026 from 8:52 A.M. until 8:57 A.M., the medication cart had been unlocked and unattended. During an interview on 1/9/2026 at 8:57 A.M., Registered Nurse 5 indicated the medication cart was not locked, but should have been locked. 2. During an observation of the medication cart, on the 300 Hall, on 1/9/2026 from 8:58 A.M. until 9:03 A.M., the medication cart was unlocked and unattended. During an interview on 1/9/2026 at 9:03 A.M., RN 6 indicated she had been responsible for the medication cart and the medication cart was not locked while she had been in a resident's room and was unable to visualize the cart from the room. 3. During an observation of the treatment cart, on the 300 Hall, on 1/9/2026 from 9:05 A.M. until 9:07 A.M., the cart had been unlocked and was unattended. The treatment cart contained prescribed topical creams and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-13 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation and record review, the facility failed to provide meals at a palatable temperature for the 100 Hall meal trays. This had the potential to affect 18 of 18 residents who received their meals in their rooms or on the 100 Hall common area. Finding includes: During an interview on 1/7/2025 at 11:18 A.M., Resident 11 indicated he ate all of his meals in his room and most of his meals were served to him cold. Resident 11 indicated he was able to ask for the meal to be reheated but then he had to wait to eat and it was every meal. During an interview on 1/7/2025 at 11:50 A.M., Resident 6 indicated she ate her meals in the common area of the 100 Hall. She indicated most of her meals had been served lukewarm or cold and she had stopped requesting her food to be reheated. During an observation of the 100 Hall lunch meal service on 1/12/2025. The meal cart arrived at 12:02 P.M. and at 12:15 P.M., Directory of Dietary (DOD) had taken the temperature of the grilled cheese sandwich on the last meal tray for the 100 Hall. The grilled cheeses' temperature was 107…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-13 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to follow infection prevention practices during wound care, Foley (indwelling urinary catheter) care and failed to keep a urinary drainage bag off the floor during for 1 of 3 residents observed for infection control. (Resident 6)Findings include: 1. During an observation on 1/9/2026 at 2:30 P.M., Resident 6's door to her room had a sign indicating the resident was in Enhanced Barrier Precautions (EBP) and staff should wear a gown, gloves and mask anytime staff was providing care related to the resident's indwelling catheter. CNA 2 was observed emptying the foley urinary drainage bag without wearing Personal Protective Equipment (PPE). During an interview on 1/9/2025 at 2:34 P.M., CNA 2 indicated she did not believe she needed to wear the PPE while emptying Resident 6's urinary drainage bag. During a follow-up interview on 1/9/2025 at 2:36 P.M., CNA 2 indicated PPE should have been worn while emptying Resident 6's urinary catheter bag. Resident 6's record review was completed on 1/11/2026 at 5:15 P.M. Diagnoses…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-13 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow physician orders and notify the physician of elevated blood pressures for 1 of 5 residents reviewed for unnecessary medications. (Resident 2)Finding includes: A record review was completed on 1/9/2026 at 12:19 P.M. Diagnoses included, but were not limited to, essential (primary) hypertension. A Physician's Order, dated 8/5/2025, indicated Resident 2 was to receive hydralazine 10 milligrams (mg) by mouth every 8 hours for essential hypertension. The medication was to be held if Resident 2's systolic blood pressure was less than120 millimeters of mercury (mmhg) the facility and was to call the physician if Resident 2's systolic blood pressure was greater than 150 mmhg, or if the resident's diastolic blood pressure was greater than 90 mmhg, or if the resident's diastolic blood pressure was less than 60 mmhg. On 1/1/2026 the medication administration record (MAR) indicated Resident 2's systolic blood pressure was 165/73 mmhg, which was greater than 160 mmhg systolic. The physician was not notified of the elevated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to assist a resident with eating during meal time for 1 of 2 residents reviewed for activities of daily living. (Resident 13)Finding includes:A record review for Resident 13 was completed on 1/9/2026 at 9:14 A.M. Diagnoses included, but were not limited to, cerebral infarction with hemiplegia/hemiparesis to left side, dementia, and dysphagia.A Quarterly Minimum Data Set (MDS) assessment, dated12/11/2025, indicated Resident 13 had severe cognitive impairment and required supervision and/or touch assist for eating needs.A current Care Plan problem, initiated on 9/23/2025, indicated Resident 13 was at risk for weight fluctuations and nutrition problems. Interventions indicated the resident was to eat in the assist dining room for supervision and cueing.During an observation on 1/7/2026 at 12:13 P.M., lunch had been served to Resident 13 at 12:01 P.M. At 12:13 P.M. the resident ate 1 bite of her chili soup. She then began taking spoonfuls of soup and dumping them onto her plate. Staff did not offer assistance or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to follow the plan of care for 2 of 16 residents reviewed for vascular needs (Resident 54) and pressure relief (Resident 18).Findings include: 1.During an observation on 1/7/2025 at 2:59 P.M., Resident 54 was not been wearing Tubigrip (elastic tubular bandage providing continuous support for swelling) on either lower extremity. Resident 54's left foot and ankle had plus 2 pitting edema (swelling of the skin that takes 2 seconds to return to normal after pressing the skin with the index finger) and non-pitting edema (swelling of the skin that rebounds instantly when pushed on with index finger) on the right foot and ankle. During an interview on 1/7/2025 at 3:00 P.M., Resident 54 indicated the facility had not provided leg wraps for the edema (swelling) for either one of his lower legs or feet. During observations on 1/08/2026 at 9:16 A.M. and 2:10 P.M., Resident 54 was not wearing tubigrips. Resident 54's record review was completed on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-13 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure staff providing wound care and directing wound and infection control measures in the facility was competent. (Employee 9) Finding includes:During an observation of Resident 6's wound care on 1/12/2026 at 11:06 A.M., the Wound Nurse/Infection Preventionist Nurse (WN/IPN) removed a dressing from Resident 6's right buttocks, removed the packing from the wound and took the protective dressing off of the resident's coccyx (a small triangular bone at the base of the spinal column). The WN/IPN inserted her index finger into the wound on the buttocks to assess the channeling of the wound, measured the wound with a cotton swab, cleaned the wound with a sterile saline solution, wiped a medicated pad around the wound's edges, applied medicated ointment around the wound, packed the wound with a medicated packing material and covered both the wound on the buttocks and the coccyx with clean bandages.Next, the WN/IPN repositioned the resident onto her back and provided urinary catheter care by cleaning the catheter…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-31 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to store and seal food in a sanitary manner related to sealing food appropriately in the walk-in cooler and failed to ensure serving utensils were clean in 1 of 1 kitchens. This had the potential to affect 53 of 53 residents who received their meals from the kitchen. Findings include: 1. During the initial kitchen tour with the Director of Food Services on 10/24/2024 at 9:43 A.M., the following was observed in the walk-in cooler: - a container of pickles was stored without a secure lid and was open to air. During an interview on 10/24/2024 at 9:45 A.M., the Director of Food Services indicated the lid of the pickles should have been secured. 2. During a follow-up kitchen tour with the Director of Food Services on 10/25/2024 at 9:45 A.M., the following was observed: - a metal scoop with dried food on it was stored in the clean utensils drawer. - a pair of metal tongs with dried food on it was stored in the clean utensils drawer. - the bottom of the clean utensils drawer had dried food and other debris. During an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-31 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to notify the physician of elevated blood glucose levels for 2 of 2 residents reviewed for blood glucose levels (Residents 7 and 3). Findings include: 1. On 10/28/2024 at 10:02 A.M., a record review was completed for Resident 7. Diagnoses included, but were not limited to: type 2 diabetes A Physician's order, dated 6/11/2024, indicated the physician was to be notified if Resident 7's blood glucose levels were below 70 or above 200. A review of Resident 7's blood glucose results for the months of August, September and October 2024 indicated the record lacked documentation the physician was notified of elevated blood glucose levels above 200 mg/dl for the following dates: - On 8/4/2024, Resident 7's blood glucose level was 263 mg/dL. - On 8/10/2024 the resident's blood glucose level was 276 mg/dL. - On 8/17/2024 the resident's blood glucose level was 319 mg/dl. - On 8/18/2024 the resident's blood glucose level was 222 mg/dL. - On 8/19/2024 the resident's blood glucose level was 236 mg/dL. - On 8/20/2024 the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GREENCROFT COMMUNITIES — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN