No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Mission Point Nursing & Physical Rehab Center of D

2102 Orleans St., Detroit, MI 48207 · For profit - Individual · 59 certified beds · (313) 462-4362 Medicare & Medicaid certified

Call the home — (313) 462-4362 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Aug 2025
Insights

This home has serious findings on its record. Read them closely before you consider it.

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
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Aug 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — 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) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1941 Orleans St · (313) 259-4692 · Call to confirm hours
Pharmacy
670 Chene St · (313) 259-0090 · Call to confirm hours
Grocery
2448 Market St · (313) 259-3845 · Call to confirm hours
Park
1592 Antietam Ave · 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 4 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 3 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 rating3★
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 increased13.4%10.8%15.4%better
Long-stay residents who lose too much weight6.1%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder2.5%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms0.0%4.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.3%3.0%3.3%typical
Long-stay residents whose ability to walk worsened11.3%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 vaccine62.5%95.0%95.3%worse
Long-stay residents with pressure ulcers4.0%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control23.3%20.0%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table5.9%14.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine83.3%79.5%79.4%typical
Short-stay residents rehospitalized after admission9.6%24.0%22.6%better
Short-stay residents with an outpatient ER visit11.6%11.7%12.0%typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

39.2% 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 125 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

39.2%U.S. median 51.5%
Got home and stayed home
12.6%U.S. median 10.7%
Went back to hospital
54.5%U.S. median 56.6%
Met the expected recovery
0.37U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 54.5% 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 22 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 0.37 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 50% 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.

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 SNF39.2%CMS range 30.8–50.351.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.6%CMS range 9.2–17.210.7%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 discharge54.5%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 discharge54.5%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 discharge50.0%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 identified100.0%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 worsened3.0%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 4.2–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.021.02Oct 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

0.18
RN hours/ resident / day
1.46
LPN hours/ resident / day
2.02
Aide hours/ resident / day
3.66
Total nurse hours/ resident / day
0.18
RN hoursweekends
44.8%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 59 beds and averages 55.0 residents a day — about 93% occupied, or roughly 4 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.18 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 3.33 hrs/resident/day on weekends vs 3.80 on weekdays — 12% thinner on weekends. RN hours go from 0.19 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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

5
deficiencies at the latest standard inspection (2026-01-23)
6
at the previous standard inspection (2024-12-12)

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.

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 · Ecited before2026-01-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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: 1. Properly store food items in the kitchen; 2. Remove undated, unlabeled food from the kitchen walk-in cooler and resident refrigerators; and 3. Adequately clean kitchen surfaces. These deficient practices had the potential to affect all residents who consumed food from the kitchen and resident refrigerators, resulting in an increased potential for foodborne illness.Findings include:On 1/21/2026 beginning at 9:41 AM, the initial tour of the kitchen was conducted with Kitchen Manager (KM) A. During the tour, the following items were observed:-in the walk-in cooler two containers of chicken soup undated KM A said the soup was for staff and should not be in the cooler.-one box of opened turkey lunch meat undated. KM A said the box should be labelled and dated.-one box of opened raw hamburgers dated 12/1/26. KM A said the date is wrong and was not sure when they were opened or if they are still good.-one tray of uncovered, unlabeled, undated fish. KM A said the fish should be covered, labelled and dated. -in 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · 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 preadmission screening and resident review (PASARR) was obtained for one resident (R9) of one resident reviewed for PASARR, resulting in R9 not being screened for mental health services and the potential for care needs being unmet.Findings include:On 1/23/26 at 10:50 A.M. review of the Electronic Health Record (EHR) for R9 indicated the resident was admitted to the facility on [DATE], with diagnoses that included: restlessness and agitation, irritability and anger, profound intellectual disabilities, other developmental disorders of scholastic skills. According to the quarterly Minimum Data Set (MDS) assessment dated [DATE], R9 had severe cognitive impairment (BIMs=1) and required supervision for most activities of daily living.On 1/23/26 at 11:00 A.M., Social Worker (SW) C was interviewed about R9's Level 11, a comprehensive evaluation by the appropriate state-designated authority which cannot be completed by the facility. This evaluation…

    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 · Dcited before2026-01-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 apply a wheelchair cushion for one resident (R4) with a stage three Sacro Coccyx (base of spine) pressure injury (Pressure Injury: Full-thickness skin loss Full-thickness loss of skin, in which adipose (fat) is visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present) out of three residents reviewed for pressure ulcers.Findings include:On 1/21/2026 at 12:54 PM, R4 was interviewed about care in the facility and stated, I don't have a wheelchair cushion and my bottom hurts. I would like one. R4 was observed sitting in a wheelchair without a wheelchair cushion.On 1/22/2026 at 11:41 AM, R4 was observed sitting in a wheelchair without cushion in the first-floor dining room.On 1/22/2026 at 2:43 PM, R4 was observed with Certified Nursing Assistant (CNA) D and Licensed Practical Nurse (LPN) E sitting in a wheelchair without a wheelchair cushion. When LPN E was asked about R4's wheelchair LPN E stated, R4 does…

    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 · D2026-01-23 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 nursing staff verified tube placement prior to administering medication through a PEG tube for one resident (R6) of two residents reviewed for tube placement. This deficient practice had the potential to result in improper medication administration and resident harm.Findings include:On 1/22/2026 at 1:49 PM, observed Licensed Practical Nurse (LPN) B administer medication through a R6 PEG tube without checking tube placement prior to administration.On 1/23/2026 at 11:01 AM LPN B was interviewed and confirmed they did not check placement before administering the medication. LPN B said they checked placement when they administered morning medication and that is why they did not check when they administered afternoon medications. LPN B said they should check PEG tube placement prior to every use.On 1/23/2026 at 12:06 PM, the Director of Nursing (DON) was interviewed. The DON said staff are expected to verify PEG tube placement every time…

    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 · D2026-01-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 nursing staff provided respiratory care in accordance with acceptable standards of clinical practice during deep suctioning for one resident (R6) of one resident reviewed for respiratory care. This deficient practice placed the resident at risk for decreased oxygenation and respiratory compromise.Findings include:On 1/22/2026 at 1:39 PM, observed License Practical Nurse (LPN) B provide deep suctioning to R6. LPN B did not provide hyperoxygenation prior to initiating deep suctioning.On 1/23/2026 at 11:41 AM, LPN B was interviewed and said they did not know they should have hyper oxygenated the resident before deep suctioning. The nurse said they can see the need for hyper oxygenating because oxygen saturation could drop during the deep suctioning process.On 1/23/2026 at 12:24 PM, interviewed the Director of Nursing (DON) and they said nursing staff go through a competency check-off and they expect nursing staff to hyper oxygenate…

    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 · D2025-08-20 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 # 2588852Based on interview and record review, the facility failed to ensure a resident was free of misappropriation of funds for one (R402) of three residents reviewed for misappropriation of funds.A review of the facility's incident report was received by the State Agency via online submission on 8/1/25 revealed the following: Incident Summary Unauthorized charges have been made on (R402) debit card. Card was cancelled and Detroit Police Department was notified.Investigation Summary Analysis: (R402) admitted to (this facility) on 5/10/2024.On 8-01-2025 (Nursing Home Administrator), was notified by the (Business Office Manager) that she received an alert by phone regarding (R402's) (bank) account. The alert showed that someone was attempting to withdrawal $800.00 from the account. (Business Office Manager) immediately responded to the alert, notifying the fraud department at the bank. The card was cancelled immediately. The resident (R402) was interviewed regarding (their)…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-12-12 · 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 ensure a sanitary physical environment in the Dietary Department, resulting in a potential for contamination of food from soiled ceiling tiles and corroded, rusted vents. This deficient practice had the potential to affect 50 residents that received meals and/or food from the kitchen. Findings include: On 12/11/2024 at 12:00 P.M. during a follow up observation in the kitchen four of five ceiling vents were observed soiled with grease, rust and corroded discolored areas. The tiles around the perimeter of the vent exiting the doorway to the tray line had visible black, greasy, lint spots. During the observation Dietary Manager C was queried concerning who was responsible for cleaning of the vents in the kitchen. The manager indicated the department had a porter who had recently cleaned the vents, but the areas observed on the vents were rust and the vents needed to be replaced. The manager indicated the outer portions of the vents had been recently cleaned but the inner lining and adjacent ceiling tiles required…

    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 · E2024-12-12 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 revise care plans in a timely manner for three residents (R10, R260, and R7) out of 14 residents reviewed for care planning. Findings include: R10 On 12/10/24 at 9:59 AM R10's guardian was interviewed and stated that R10 has had recent falls and was concerned. Record review of R10's electronic health records (EHR) revealed admission into the facility on 3/8/23 with pertinent diagnoses of epilepsy, and traumatic brain injury. According to the Minimum Data Set, dated [DATE], R18 had severely impaired cognition and was dependent for Activities of Daily Living (ADLS). Record review of R10's fall report dated 10/6/24 revealed that Resident observed on floor next to bed laying on his back no c/o (complaints) pain nor distress noted, resident verbally responsive. Record review of R10's active care plans revealed the following: Focus: I had an actual fall on 10/6/24 revision on 12/11/24. Goal I will exhibit less behaviors resulting in me placing myself on 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
  • Potential for harm · D2024-12-12 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 an Advance Directive was completed for one resident (R210) of fourteen residents reviewed resulting in the potential for inaccurate life sustaining measures or withholding medical treatment. Findings include: On 12/10/24, at approximately 2:00 PM, record review of the Electronic Medical Record (EMR), revealed R210 was initially admitted into the facility on [DATE] with diagnoses that included Acute Respiratory Failure, and Muscle Weakness. In addition, R210 was being treated for Carbapenem-resistant Enterobacteriaceae, (CRE). CRE is a bacterium which is resistant to certain antibiotics. There was no signed Advance Directive. According to admission Minimum Data Set (MDS) assessment dated [DATE], R210 had moderately impaired cognition. R210 required extensive one-person assistance with activities of daily living (ADLs). On 12/12/24 at 9:10 AM, Social Worker G was interviewed regarding R210's Advance Directive and said while looking and calling…

    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 before2024-12-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide hair care for one resident (R1) of 14 sampled residents reviewed for activities of daily living (ADL), resulting in poor grooming. Findings include: On 12/10/24 at 1:25 P.M. R1 was observed sitting in the hallway outside of her room. R1's hair was observed loose around the front portion of the resident's face and the back braids had scattered patches of unbraided rows. The resident's scalp was dry in appearance and unkempt. R1 was observed on 12/11/24 at 12:00 P. M during lunch in the main dining room and on 12/12/24 at 8:14 A.M. exiting the elevator going to activities. R1's hair was not groomed, and the resident's hair remained in the same condition as it was observed on 12/10/24. Review of the admission Record for R1 indicated the resident was admitted to the facility on [DATE], with diagnoses that included: Down Syndrome, Diabetes Mellitus, dry eye syndrome, seizure disorder and other symptoms and signs involving cognitive…

    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
Show the remaining 11 citations
  • Potential for harm · D2024-12-12 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 consistently provide one resident (R5) out of three residents reviewed for limited range of motion (ROM) a restorative therapy. Findings include: On 12/10/24 at 11:44 AM, R5 was interviewed and stated, I'm not getting any rehab or exercises. I'd like to because my shoulder is starting to hurt more. Record review of Electronic Health Record (EHR) revealed R5 admitted to the facility on [DATE] with diagnoses that included cerebral infarction (stroke) and paraplegia (paralysis that affects the lower half of the body). Review of the Minimum Data Set (MDS) dated [DATE] for R93 revealed a Brief interview for Mental Status (BIMS) 15/15 intact cognition and functional limitation in range of motion impairment to both upper extremities. Record review of the physical therapy discharge summary note dated 10/14/24 with Physical Therapist (PT) A revealed discharge recommendations: patient referred to FMP (functional maintenance program). Functional maintenance…

    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 before2024-12-12 · 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 Based on observation, interview, and record review the facility failed to implement preventative measures for one resident (R210) of one resident reviewed for transmission-based precautions. was free from the potential spread of infectious pathogens. Findings include: Record review of the Electronic Medical Record, (EMR) clinical record documented R210 was initially admitted into the facility on [DATE] with diagnoses that included Acute Respiratory Failure, and Muscle Weakness. In addition, R210 was being treated for Carbapenem-resistant Enterobacteriaceae, (CRE). CRE is a bacterium which is resistant to certain antibiotics. According to the admission Minimum Data Set (MDS) assessment dated [DATE], R210 had moderately impaired cognition 11/15 (BIMS), Brief Interview for Mental Status. R210 required extensive one-person assistance with activities of daily living (ADLs). On 12/11/24 at 12:50 PM, Certified Nursing Assistant, (CNA) H was observed to take R210's lunch tray into the room. CNA H did not use any…

    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 · D2024-07-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 MI00145588. Based on interview and record review, the facility failed to thoroughly conduct and document an investigation of a resident to resident altercation for two residents (R103 and R104) out of four residents reviewed for abuse, resulting in missed opportunities to implement corrective measures and interventions. Findings include: The facility self-reported incident documented that on 5/25/24 at 2:00 AM, Resident #103 (R103) pulled up Resident #104's (R104) pants and pushed him in the back. This incident was observed by Certified Nurse Aide (CNA) A. A review of the facility's complete investigation indicated that Social Worker (SW) B completed a wellness visit for both residents and there were no psychosocial changes noted to either resident related to the incident. Residents reported feeling safe in the building. A review of the admission Record for R103 documented an admission date of 5/14/24 with diagnoses that included Crohn's Disease, acquired partial absence of both 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 MI00145046. Based on observation, interview, and record review the facility failed to provide routine floor stock pain gel medication for one (R402) of three residents reviewed for medication administration resulting in R402 not receiving a prescribed pain. Findings include: It was reported to the State Agency that a resident's medication was not given according to physician's orders. On 6/18/24 at 9:35 am R402 was observed sitting in her room with bare foot. Both feet appeared swollen. R402 was asked about her feet and stated, My feet hurt and are swollen. The doctor here ordered lidocaine to help with the pain, but I am not getting it. On 6/18/24 at 1:15 pm Licensed Practical Nurse (LPN) A was interviewed and said R402's pain gel 'Lidocaine 2.5%' was not available for administration. LPN A said that R402 had not received the pain gel to date, but her pain was controlled by another medication. LPN A said the 'Lidocaine 2.5%' pain gel was a floor stock item and had not 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake number MI00144395. Based on observation, interview and record review, the facility failed to provide timely incontinence care for one resident (R101) of three residents reviewed for Activities of Daily Living (ADL), resulting in the potential for skin breakdown and infection. Findings include: In an observation and interview on 5/17/24 at 8:24 a.m., R101 sat in a wheelchair and wore a gown. A urine smell was noted in R101's room. R101 reported just getting up and stated, I need someone to wash me up and put on a dry diaper. Review of an admission Record revealed, R101 originally admitted to the facility on [DATE] and readmitted on [DATE] with pertinent diagnosis which included Chronic Obstructive Pulmonary Disease (COPD). Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed R101 had no cognitive impairment with a Brief interview for Mental Status (BIMS) score of 15 out of 15. Review of a care plan revealed R101 had focus I experience bladder incontinence .…

    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 before2024-05-17 · 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 Based on observation, interview, and record review the facility failed to follow the standards of infection control (gloves use and hand hygiene), for one residents (R101) out of three residents reviewed for Activities of Daily Living (ADL), resulting in the potential for increased cross-contamination of diseases which place a vulnerable population at high risk for infections. Findings include: In an observation on 5/17/24 at 8:24 a.m., a pile of soiled linen sat on R101's floor in a corner that was visible from the hallway. Review of an admission Record revealed, R101 originally admitted to the facility on [DATE] and readmitted on [DATE] with pertinent diagnosis which included Chronic Obstructive Pulmonary Disease (COPD) and Type 2 Diabetes. Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed R101 had no cognitive impairment with a Brief interview for Mental Status (BIMS) score of 15 out of 15. In an interview on 5/17/24 at 8:28 a.m., Certified Nursing Assistant (CNA) A was asked about 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 MI00143185. Based on interview and record review the facility failed to provide a safe environment or supervise one (R801) of three residents reviewed for supervision/accidents when R801 eloped through the front door of the facility unbeknownst to staff to take a bus to his physician's office. Findings include: The State Agency (SA) received a Facility Reported Incident (FRI) on 2/19/24 at 4:59 AM that reported R801 had walked out the front door of the facility on 2/19/24 at 1:25 AM with his personal belongings as viewed via camera. An investigation report on 2/27/24 indicated that on 2/19/24 at 9:00 AM, R801's personal physician's office called the facility to notify them R801 was at their office seeking medication. R801 had no injuries, was not in any distress, and denied having any pain. R801 stated he left the facility, walked to the nearby shelter, ate, changed clothes, went to the bus transit center, and took two different buses to get to the physician's office. R801…

    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 before2024-03-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 MI00142402 and MI00142509. Based on interview and record review, the facility failed to administer wound care treatments per physician order for one (R504) of four residents reviewed for pressure ulcers. Findings include: A review of R504's EMR (Electronic Medical Record) revealed R504 was admitted to the facility 12/20/23 and discharged [DATE]. R504 had the following medical diagnoses: Cerebral Infarction due to Embolism of a Cerebral Artery, Paraplegia, and difficulty walking. A review of R504's MDS (Minimum Data Set) dated 12/29/23, revealed R504 had a BIMS (Brief Interview of Mental Status) score of 15 out of 15 (cognitively intact). According to the MDS, R504 had one stage III (3) pressure ulcer and three stage IV (4) pressure ulcers all present on admission. The MDS was documented that R504 required maximal assistance with bed mobility and was dependent with transfers. A review of R504's pressure ulcer care plan dated 12/20/23 revealed, Administer wound and skin treatments as…

    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 · D2024-03-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 perform a wound treatment prior to documenting completion for one (R506) of four residents reviewed for pressure ulcers. Findings include: On 3/5/24 at 9:53 AM, R506 was queried about having pressure ulcers and wound treatments. R506 said he had a wound on his left hip. R506 said he received wound treatments but that the facility staff did not change the dressing for the wound every day. At that time, R506 revealed the dressing on his left hip that was dated for 3/3/24. On 3/5/24 at 2:15 PM, R506 was interviewed regarding the dressing change that was to be completed. R506 said that no one had changed his dressing since we had spoken last. On 3/5/24 at 2:21 PM, LPN A was queried about 506's scheduled dressing changes. LPN A said she did not get a chance to change 506's dressing. During this time, LPN A was looking at R506's TAR (Treatment Administration Record) in the EMR (Electronic Medical Record). LPN was queried if she had checked it…

    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 · E2023-10-25 · tag F0919 — failed to provide a working call system — pattern
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 the 2nd floor 'wireless' call light system was effectively utilized by staff or had consistently functioning pagers and centralized monitor screen on the 2nd floor resulting in delayed call light response times and the potential for resident care need to be unmet. Findings include: On [DATE] at 12:41 PM, a 2nd floor resident (R54) said the staff doesn't answer the call light in a timely manner. R54 said, They don't wear the pagers that tells them I pushed the call light. When I asked them why it takes so long to answer my light, they said the call light system wasn't working properly. At this time R54's call light was activated. At 12:47 PM CNA C walked down the hall, passed R54's room and did not enter. CNA C was then asked how staff became aware a call light was on. CNA C said, We have pagers, but I don't have one right now. I go up to the nurse's station to look at the monitor screen to see who has a call light on, but sometimes…

    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 · D2023-10-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 MI00139645. Based on observation, interview, and record review the facility failed to monitor weights in a timely manner for two (R13 and R155) of four residents reviewed for nutrition resulting in the potential for significant weight loss to go undetected and delayed interventions to prevent further weight loss. Findings include: R13: On 10/23/23 at 2:50 PM R13 was observed lying in bed in a private room. A full water cup was on the bedside table and within reach of the resident. R13 was in isolation due to testing positive for Covid-19. R13 was unable to be meaningfully interviewed due to severely impaired cognition. On 10/24/23 at approximately 8:30 AM and at 12:40 PM R13 was observed in his room being fed by Certified Nurse Assistant (CNA) H. R13 consumed over 75% of both his breakfast and lunch meal. An Electronic Health Record (EHR) review revealed R13 admitted to the facility on [DATE] with diagnoses that included malnutrition, dysphasia (difficulty swallowing/chewing),…

    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

“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 MISSION POINT HEALTHCARE SERVICES — 14 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 52.8+1.2 vs chain
Health inspection 4 of 52.3+1.7 vs chain
Staffing 3 of 53.9-0.9 vs chain
Quality measures 4 of 54.1≈ chain avg
The other 13 homes this chain runs (chain average 2.8★, 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
MPMS DETROIT ACQUISITION, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/12/2018
PHB DETROIT, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTERESTNO PERCENTAGE PROVIDEDsince 10/12/2018
SENIOR LIVING FUND IV USA, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/12/2018
THE SLAVIK COMPANYOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/12/2018
WSL DETROIT, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/12/2018
VRANKA, NICHOLASIndividual5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 09/01/2018
ENTERPRISE REALTY, LLCOrganization5% OR GREATER MORTGAGE INTERESTsince 10/12/2018
HEADWATER HOLDINGS II LLCOrganization5% OR GREATER MORTGAGE INTERESTsince 10/12/2018
SKATZKA, PAMELAIndividualW-2 MANAGING EMPLOYEEsince 10/12/2018
MALI, HARIIndividualCORPORATE OFFICERsince 09/01/2018
MISSION POINT MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/12/2018

CMS files one row per role, so the 12 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

$7.9M
Net patient revenuemost recent cost report
-5.1%
Operating marginrevenue minus expenses
$1.0M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 53%Medicare 14%Other / private 34%

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$430per resident / day
operating cost
$13,086per month
≈ monthly operating cost
$410per 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 235595. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-23, 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.

What to do next