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Fairlane Senior Care and Rehab Center

15750 Joy, Detroit, MI 48228 · For profit - Corporation · 180 certified beds · (313) 273-6850 Medicare & Medicaid certified

Call the home — (313) 273-6850 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Urgent care / clinic
16000 W Warren Ave · (313) 582-3600 · Call to confirm hours
Pharmacy
15690 Joy Rd · (313) 835-9999 · Call to confirm hours
Grocery
15690 Joy Rd · (313) 837-9777 · Call to confirm hours
Park
7753 Rutherford St · Typically dawn to dusk
Place of worship

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.5%10.8%15.4%better
Long-stay residents who lose too much weight5.3%5.4%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.2%1.5%2.0%better
Long-stay residents with depressive symptoms0.7%4.3%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.4%3.0%3.3%better
Long-stay residents whose ability to walk worsened1.7%12.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication5.8%19.4%18.9%better
Long-stay residents given the seasonal flu vaccine75.7%95.0%95.3%worse
Long-stay residents with pressure ulcers6.4%5.1%4.7%worse
Long-stay residents with worsening bladder/bowel control3.3%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table8.9%14.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine51.1%79.5%79.4%worse
Short-stay residents rehospitalized after admission30.9%24.0%22.6%worse
Short-stay residents with an outpatient ER visit13.0%11.7%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.981.841.67worse
Long-stay outpatient ER visits per 1,000 resident days1.721.641.80typical

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

36.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

36.6%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
71.1%U.S. median 56.6%
Met the expected recovery
0.22U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 71.1% 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 45 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 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 61% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF36.6%CMS range 25.6–47.551.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 8.6–17.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge71.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge57.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge55.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified90.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting70.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.0%CMS range 4.2–13.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.931.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.47
RN hours/ resident / day
0.84
LPN hours/ resident / day
2.25
Aide hours/ resident / day
3.56
Total nurse hours/ resident / day
0.24
RN hoursweekends
40.8%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 152.7 residents a day — about 85% occupied, or roughly 27 beds typically open. It usually has some room. 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.25 is below 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 3.19 hrs/resident/day on weekends vs 3.72 on weekdays — 14% thinner on weekends. RN hours go from 0.56 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

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

4
deficiencies at the latest standard inspection (2025-09-05)
5
at the previous standard inspection (2024-09-12)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · F2025-09-05 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 properly dispose of garbage, medical supplies, yard refuse debris, for one opened dumpster top, affecting all residents, staff and visitors, resulting in the potential for the harborage of pests and insects.Findings include:On 9/2/25 at 07:35am, two dumpster containers were observed near the building with separate top lids. The dumpster on the right-side was observed with its lid opened, exposing multiple boxes, loose paper, and tree branches. In between the dumpster and the compressor was a wheelbarrow filled with tree branches, pieces of cardboard, leaves, and loose papers. Behind the compressor was a fence with leaves, paper, Styrofoam cups, plastic water bottles, medical gloves, yellow face mask and broken tree branches. In front of the dumpster and compressor were yellow medical face masks, examination gloves, multiple cigarette butts, pieces of paper and pieces of cardboard, and small tree branches. There were also flies swarming around the dumpsters. No staff were observed near the dumpster area.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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-05 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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, interview and record review the facility failed to ensure a specialty call light was within reach of one resident (R59) out of ten residents reviewed for call light, resulting in unmet care needs. On 9/2/2025 at 10:39 a.m., R59 was observed lying in bed with a specialty call light (can be used by the resident only with the shoulders and the back of the head) pinned to the bed covers on the right side of the bed. During an interview, R59 reported trying to get staff attention for about half an hour since no staff had been in the room to have oral care provided and to be assisted with getting up out of bed. During the interview and observation, R59 confirmed the call light was unable to be used by hands, only with the shoulder and the back of the head. R59 stated, I have difficulties using a regular call light because my arms don't move to get it.On 9/2/2025 at 10:42 a.m. Licensed Practical Nurse (LPN) C (R59's assigned nurse) said during an interview that R59 can't use the call light by…

    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 before2025-09-05 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 interview and record review the facility failed to ensure a Pre-admission Screening and Annual Resident Review (PASARR-determines whether or not an individual who has a diagnosis of Mental Illness or Intellectual/Developmental Disability [ID/DD] meets the criteria for a nursing home and they're needs are met) Level I (3877) was completed for two residents (R6 and R160) out of five residents reviewed for PASSARs. Findings include:R6A review of R6's Electronic Health Record (EHR) did not reveal the current 3877 form. There was not a Mental Illness/Intellectual/Developmental Disability/Related condition exemption Criteria Certification (DCH-3878) form. (The DCH-3878 is a State of Michigan Department of Health and Human Services (MDHHS) form used to claim exemption for level ll screening). R6 was admitted to facility on [DATE] with most recent readmission on [DATE] with pertinent diagnoses of Dementia, and Suicidal Ideations. Review of a Minimum Data Set (MDS) assessment, with a reference date of [DATE]…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-03 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00153194. Based on interview, and record review the facility failed to maintain one resident's (R101) right to privacy and confidentiality when a staff member posted a video of the resident on social media without their or their Legal Guardian's consent. Findings include: The State Agency (SA) received a Facility Reported Incident (FRI) and a Complaint that a video had been temporarily posted on a social media site unbeknownst to the resident or their Legal Guardian. On 6/3/25 at approximately 10:30 AM the Nursing Home Administrator said R101's family informed them that on 5/18/25 the resident's image had been posted on a staff member's social media site for a short period of time before it was deleted. During an immediate investigation it was confirmed the video had been temporarily posted on a staff member's social media site and the SA was notified. The video was viewed and revealed the resident was seated in a wheelchair fully clothed in a common area by themselves yelling…

    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 · Past Non-Compliance
  • Potential for harm · F2024-09-12 · tag F0850 — failed to provide social-work services — widespread
    Hire a qualified full-time social worker in a facility with more than 120 beds.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to provide a qualified social worker to meet resident psychosocial, mental and behavioral health needs. This has the potential to affect all residents who reside in the nursing facility. Findings include: 09/11/24 01:12 PM, Social Work Tech (SWT) A was interview regarding her current position. Social Work Tech (A) said she was the Activities Assistant prior to her current position. SWT A reported they had been a Social Work Tech since April of 2024. 09/11/24 at 01:32 PM, the Acting Director of Nursing (ADON) was interviewed regarding the facility employing a qualifed Social Worker and explained at this time they (facility) do not have a social worker. The ADON said nor do they have a Corporate Social Worker at this time. 09/11/24 at 04:10 PM, an interview with Social Work Tech B revealed they have worked at the facility since February of 2024. Social Work Tech B said she does not have a bachelor's degree. Hence, Social Work Tech B does not meet the minimum qualifications. On 9/12/24 at 09:45 AM, an interview with the Nursing…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-09-12 · tag F0880 — failed to prevent and control infections — widespread
    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 interview and record review, the facility failed to ensure adequate temperature monitoring of the facility's hot water holding tanks, resulting in the potential for inadequate water temperatures to go undetected that could cause the growth and spread of waterborne pathogens. Findings include: On 9/11/24 beginning at 3:22 PM, an interview and record review were conducted with Maintenance Director C and the Nursing Home Administrator (NHA) regarding the monitoring of the facility's hot water holding tanks. Maintenance Director C said the facility had three hot water holding tanks that were monitored weekly. Two tanks were located in the [NAME] boiler room and one tank was located in the East boiler room. The hot water holding tank temperature logs for April 2024, May 2024, and June 2024 were reviewed and only documented the water temperature of the East boiler room tank. The Maintenance Director did not provide documentation of the temperature readings for the two tanks located in the [NAME] boiler room. The NHA said the temperatures of all three boilers should have been…

    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 before2024-09-12 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 interview and record review the facility failed to ensure aPreadmission Screening and Resident Review, (PASARR) II was completed for one R114 of three residents reviewed for PASARR's resulting in the potential for unmet mental health needs. Findings include: Record review of the electronic medical record (EMR) revealed R114 admitted in to the facility on 2/23/24 with pertinent diagnosis of bipolar disorder. A care plan dated 9/11/2024 noted R114 was on antidepressant medications. Review of the Medication Administration Record (MAR) noted R114 was administered duloxetine (antidepressant) for bipolar disorder. The resident had an initial, PASARR dated 11/6/2023 on file which stated R114 did not have mental illness. According to the quarterly Minimum Data Set, (MDS), dated [DATE], revealed R114's Brief Interview for Mental Status, (BIMS) of 11/15 (moderately impaired cognition.) 09/11/24 01:12 PM, the Social Work Tech (SWT) A was asked if R114 should have a PASSAR II and said they would check and see if…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-12 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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, interview, and record review, the facility failed to honor food allergies for one resident (R240) of 28 reviewed for dining. Findings include: On 9/10/24 at 10:51 AM, R240 was asked about the food at the facility. R240 reported, Yesterday they had shrimp on my plate and I'm allergic to that (shrimp). A review of R240 Electronic Medical Record (EMR) profile noted, Allergies: Iodine, Shell Fish, diagnostic x-ray materials. Further review of R240's EMR noted, R240 was admitted to the facility on [DATE] with diagnosis of Acute and Chronic Respiratory Failure. A review of R240's admission Minimum Data Set assessment dated [DATE], noted R240 with an intact cognition. Care plan reviewed and allergies are noted on the care plan Iodine, Shell Fish, diagnostic x-ray materials. A review of the facility's dinner menu titled, Spring Summer 2024 Dinner: Monday Shrimp & grits, Collard Greens, Cornbread, Peach Cobbler. A review of R240's meal ticket dated 9/9/24 noted, Meal Period: Week 2 Monday Dinner,…

    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 before2024-05-17 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to MI000143957 Based on observation, interview, and record review, the facility failed to ensure call lights were within reach for three (R101, R102 and R103) of three residents reviewed for accommodation of needs resulting in unmet care needs. Findings include: R101 On 5/17/2024 at 9:30 AM R101 was observed in bed with bedside table approximately two feet from head of bed. When asked can you reach for your water on your bedside table R101 replied I can't reach it and demonstrated limited arm movement. When asked can you use your call light R101 said he didn't know where it was. R101's call light was observed at the head of bed between the mattress and headboard. Record review of R101's Electronic Medical Record (EMR) revealed admitted to facility on 9/13/2023 with most recent readmission on [DATE] with pertinent diagnosis of Multiple Sclerosis. Review of the Minimum Data Set (MDS) dated [DATE] for R101 revealed a Brief interview for Mental Status (BIMS) of 15/15 intact cognition 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-06 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 interview and record review, the facility failed to perform and document neurological checks per physician's order for one resident (R507) of three resident reviewed for falls. Findings include: A review of R507's Electronic Medical Record (EMR) revealed R507 was admitted to the facility on [DATE]. R507 had the following medical diagnoses: Cerebral Infarction (Stroke), Seizures, Dementia, Difficulty Walking, and a History of Falling. A review of R507's Quarterly Minimum Data Set (MDS) dated [DATE] revealed R507 could not be assessed for a Brief Interview of Mental Status. According to the Quarterly MDS, R507 had impairment to their left upper extremity. A review of R507's ADL care plan dated 4/7/23 revealed the following interventions: Ambulation: non-ambulatory .Wheelchair w/footrest for locomotion .transfer: 1 person assist. A review of R507's incident report dated 2/2/24 revealed the following: R507 had an unwitnessed fall. R507 was observed by the Nurse C on the floor with a bedside table in hand.…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · D2024-02-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 141501. Based on interview and record review, the facility failed to perform and document administration of catheter care in the Electronic Medical Record (EMR) for one resident (R501) of three residents reviewed for catheter care. Findings include: A review of R501's EMR revealed R501 was admitted to the facility initially admitted to the facility on [DATE] and readmitted to the facility on [DATE]. R501 had medical diagnoses that included: Urinary Incontinence and Flaccid Neuropathic Bladder (dysfunction of the bladder in which the bladder is weakened). A review of R501's Quarterly Minimum Data Set (MDS) dated [DATE] revealed R501 had a Brief Interview of Mental Status (BIMS) score 15/15 (cognitively intact). According to the quarterly MDS, R501 had an indwelling catheter. A review of R501's Activities of Daily Living (ADL) care plan dated 9/14/23 revealed that R501 was non-ambulatory and required one person assistance with bed mobility. A review of R501's Indwelling 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00141501. Based on observation, interview, and record review, the facility failed to perform proper hand hygiene, catheter hygiene, and glove usage when providing catheter care for one resident (R501) of three residents reviewed for adequate catheter care. Findings include: On 2/6/24 at 1:34 PM Certified Nurse Assistant (CNA) B was observed performing catheter care for R501. CNA B entered put on gloves and began to position R501 to be changed. R501's urinal fell off the bedside table. CNA B picked up the urinal with gloved hands and placed the urinal back on the bedside table. CNA B continued to position R501 to be changed. CNA B took a cleansing wipe and cleansed the catheter portion entering the penial shaft several times with the same section of the cleansing wipe. After R501 was cleaned and changed, CNA B removed the gloves and walked out of the room. On 2/6/24 at 1:43 PM CNA B was queried about infection control practices while performing catheter care. CNA B said she did…

    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 before2023-08-10 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Deficient Practice Statement #2. This citation pertains to intakes MI00134550. Based on observation, interview, and record review, the facility failed to ensure medication was administered timely per physician's orders and failed to accurately document medication administration for one residents (R38) of six residents reviewed for medication administration, resulting in the potential for less than therapeutic effect of the prescribed medication when medications were not taken or administered properly. Findings include: In an observation on 8/9/23 at 10:54 a.m., Licensed Practical Nurse (LPN) A prepared medications for Resident #38 (R38). LPN A removed Oxycodone (pain) 5mg and Pregabalin (nerve pain) 25mg from the narcotic backup box and placed them in a cup. LPN A then documented the two medications as given on the MAR (Medication Administration Record). LPN A then placed nine medications in the medication cup. On 8/9/23 at 10:57 a.m., LPN A entered R38's room and administered medication. LPN A then exited 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2025-09-05 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 provide at least 80 square feet per Resident in multiple resident bedrooms and at least 100 square feet for single Resident bedrooms, affecting 58 Resident rooms. Findings include: Observations made of the resident rooms on 09/04/2025 at 11:30 AM and review of the Facility Bed Count Information sheet revealed the following: ROOM # SQ. FT # OF BEDS # of Residents 20 154 2 221 154 2 223 147 2 224 147 2 226 147 2 228 147 2 229 147 2 230 153 2 233 147 2 234 147 2 235 147 2 238 147 2 239 147 2 240 147 2 242 147 2 244 147 2 245 147 2 246 147 2 247 153 2 251 147 2 252 147 2 262 153 2 264 147 2 265 147 2 269 148 2 272 147 2 275 147 2 278 142 2 280 144 2 283 142 2 284 143 2 287 142 2 291 144 2 292 142 2 2102 142 2 2107 144 2 2112 141 2 2116 141 2 2117 141 2 231 153 2 136 147 2 141 147 2 143 147 2 149 153 2 150 147 2 161 153 2 167 148 2 168 148 2 1 70 147 2 171 147 2 173 147 2 176 147 2 177 147 2 1100 142 2 1104 142 2 1109 141 2 1115 141 2 174 158 2 0 On 09/05/2025 12:57 PM, he Nursing Home Administrator (NHA) was…

    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.

    Environmental Deficiencies · No revisit needed
  • No harm found · Bcited before2024-09-12 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 provide 80 square feet per resident, in multiple resident rooms in 57 of 109 resident rooms (#'s 20, 21, 23, 24, 26, 28, 29, 30, 31, 33, 34, 35, 36, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 49, 50, 51, 52, 61, 62, 64, 65, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 80, 83, 84, 87, 91, 92, 100, 102, 104, 107, 109, 112, 115, 116, and 117), resulting in the potential for inadequate living space. Findings include: Review of the Room Waiver sheet, dated 1/9/20, revealed the following Medicare/Medicaid rooms that did not provide adequate square footage for residents: ROOM # SQUARE FT. BEDS 20 154 2 21 154 2 23 147 2 24 147 2 26 147 2 28 147 2 29 147 2 30 153 2 31 153 2 33 147 2 34 147 2 35 147 2 36 147 2 38 147 2 39 147 2 40 147 2 41 147 2 42 147 2 43 147 2 44 147 2 45 147 2 46 147 2 47 153 2 49 153 2 50 147 2 51 147 2 52 147 2 61 153 2 62 153 2 64 147 2 65 147 2 67 148 2 68 148 2 69 148 2 70 147 2 71 147 2 72 147 2 73 147 2 74 158 2 75 147 2 76 147 2 77 147 2 78 142 2 80 144 2 83 142 2 84 143 2 87 142 2 91 144…

    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.

    Environmental 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NEXCARE HEALTH SYSTEMS — 20 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 →

RatingThis homeChain avg
Overall 4 of 53.8+0.2 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 4 of 53.8+0.2 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 19 homes this chain runs (chain average 3.8★, per CMS)

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

Owner / managerTypeRoleShareSince
NEXCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/01/2013
BROWN, LAUETTAIndividualW-2 MANAGING EMPLOYEEsince 08/02/2018
SANGSTER, TODDIndividualCORPORATE OFFICERsince 11/04/2013
NEXCARE HEALTH SYSTEMS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2005
PERRY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/01/2015

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.

$13.1M
Net patient revenuemost recent cost report
+2.2%
Operating marginrevenue minus expenses
$1.3M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 81%Medicare 5%Other / private 14%

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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

$309per resident / day
operating cost
$9,403per month
≈ monthly operating cost
$316per day
avg. revenue, all payers

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 MI

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.

Typical monthly cost in Michigan
$11,254/mo
Nursing home (semi-private)
$11,969/mo
Nursing home (private)
$5,818/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235445. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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