West Oaks Senior Care & Rehab Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

50.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.1% 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 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 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 44% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 102 beds and averages 99.1 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 3.40 hrs/resident/day on weekends vs 3.83 on weekdays — 11% thinner on weekends. RN hours go from 0.46 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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

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

Inspection deficiencies

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

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

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 · Dcited before2025-12-16 · 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

  This citation pertains to intake 2680585 Based on interview and record review, the facility failed to provide adequate supervision for one vulnerable resident (R101) of five residents reviewed for supervision, resulting in a resident being left alone during an outside appointment and the potential for injury. Findings include: On 12/15/25 at 9am, record review of order dated 10/14/25 revealed R101 was to have an appointment on 11/19/25 at 12:30 pm with a pickup time at 11:30 am.On 12/15/25 at 2:30pm, R101 and Family Member G were interviewed regarding the incident at the facility. Family Member G explained that R101 has a traumatic brain injury and was taken to a medical appointment far away and left unsupervised for hours. Family Member G stated that the family would have accompanied R101 had they known about the appointment. On 12/16/25 at 9 am, record review revealed an admission date of 4/24/25 with diagnosis that included the following: acute respiratory failure, sepsis, staphylococcus aureus, acute embolism, thrombosis of unspecified femoral vein, anemia, Congestive Heart…

  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 · D2025-06-25 · tag F0711 — isolated
  Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
  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 Physician/Physician Extender progress notes were entered into the clinical record in a timely manner for one resident (R35) of 19 resident's reviewed for Physician/Physician Extender progress notes. Findings include: On 6/24/25 at 8:42 AM, R35's Electronic Health Record (EHR) was reviewed for Physician/Physician Extender notes and revealed there were no Physician/Physician Extender notes found in the EHR since 12/2024. On 6/24/25 at 12:57 PM, Physician/Physician Extender practitioner notes were requested. Record review of the EHR revealed R35 was admitted to the facility on [DATE] with a diagnosis that included cerebral infarction (stroke) and attending physician listed as Medical Doctor (MD) F. On 6/24/25 at 3:25 PM, Nurse Practitioner (NP) E was interviewed and stated, I work with (MD F) and provided the care to (R35), but I did not provide notes in the medical chart. It was my mistake. The notes should be put in when the visit occurs. 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-25 · 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 maintain infection control practices for two of five residents (R47 and R22) reviewed for respiratory care by not ensuring respiratory equipment was stored in a sanitary manner. This failure had the potential to expose residents to harmful microorganisms and increase the risk of infection. Findings include: On 6/23/25 at 2:00 PM, during an observation of R47's room, a nebulizer mask was noted on the bedside table uncovered and exposed to air. The mask was not stored in a protective covering. On 6/23/25 at 2:05 PM, Licensed Practical Nurse (LPN) A entered the room. When queried, about the storage of the nebulizer mask, LPN A said it should be in a plastic bag. Record review noted that R47 was admitted on [DATE] with a pertinent diagnosis of respiratory failure with hypoxia and dependence on supplemental oxygen. Record review revealed R47's Minimum Data Set assessment (MDS) dated [DATE] indicated a Brief Interview for Mental Status (BIMS)…

  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 before2025-04-08 · 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 intakes MI00151575 and MI00151833. Based on interview and record review the facility failed to ensure proper positioning during care for one resident (R902) out of three residents reviewed for falls, resulting in R902 falling from bed and obtaining a large hematoma (blood filled bruise) with extensive bruising of the face. Findings include: The State Agency received an allegation that R902 had fell out of bed during care resulting in injuries. Review of R902's electronic medical records (EMR) revealed admission into the facility on 2/17/23 with a pertinent diagnosis of hemiplegia (paralysis) and hemiparesis (paralysis) following a cerebral infarction (stroke) affecting left non-dominant side. Review of R902's Minimum Data Set (MDS) dated [DATE], it was documented resident required partial/minimal assist with bed mobility. Review of R902's Brief Interview for Mental Status (BIMS) dated 2/20/25, R902 scored 12 out of 15 (moderate cognitive impairment). Review of ADL Care Plan dated…

  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 · Past Non-Compliance
• Potential for harm · Dcited before2024-12-05 · 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 MI00147802. Based on interview and record review, the facility failed to prevent an elopement for one resident (R301) out of four residents reviewed for elopement, resulting in R301 exiting from the facility without staff knowledge and the potential for injury for the resident. Findings include: On 12/05/2024 at 10:00 a.m., an investigation was conducted regarding a facility reported incident dated 10/20/2024. The facility's investigation report revealed in part: .on 10/20/2024 At about 8:00 p.m., R301's assigned nurse (Licensed Practical Nurse (LPN) A went to provide the resident with his evening medication and medication could not be administered because she could not locate the resident. R301's room was checked and all surrounding common areas. Nursing staff immediately called security and code Green alert for missing person protocol was initiated. A total head count of all residents was conducted and only R301 was not accounted for . The resident traveled approximately twelve…

  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 · D2024-05-07 · 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 intake MI00143663. Based on observation, interview, and record review, the facility failed to properly assess bilateral heel wounds for one resident (R404) of three residents reviewed for pressure ulcer prevention/intervention, resulting in the potential for the worsening of wounds. Findings include: On 5/7/24 at 11:58 AM R404 was observed lying in bed with loosely wrapped bandages on both feet. R404's heels were not completely covered revealing black dried scabs on both heels. R404's feet were observed to be dry, cracked, and dead skin was seen flaking off their feet onto the mattress. R404's feet were positioned directly on the mattress, there were no pressure relieving devices observed. On 5/7/24 at 12:01 PM Certified Nursing Assistant (CNA) A was asked if the bandages could be observed. CNA A lifted R404's heels. R404's bandages began to unravel onto the mattress and there was no date found on the bandaging. On 5/7/24 at 1:11 PM Wound Care Nurse (WCN) B was interviewed regarding…

  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 · Ecited before2023-12-05 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to #MI00140569. Based on interview and record review, the facility failed to ensure two residents (R107 amd R108) out of four residents reviewed for infection control, received proper COVID-19 testing following a COVID-19 outbreak in the facility, resulting in the potential for spread of COVID-19 throughout the building. Findings include: It was reported to the State Agency that staff were not following proper infection control/prevention guidelines. On 12/5/23 beginning at 11:03 AM, Infection Preventionist (IP) G was queried about COVID-19 testing conducted in the facility following a recent COVID outbreak. IP G said the recent COVID-19 outbreak began on 10/6/23 when Resident #105 (R105) tested positive. IP G said they tested residents complaining of COVID symptoms and residents who were exposed to COVID-19. IP G indicated they did COVID testing on the first day, third day, and fifth day. The IP G said he was off on 10/6/23 and did not return to work until the following week. On 12/5/23 beginning at 11:37 AM, the Director of Nursing (DON) acknowledged that…

  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 · D2023-12-05 · 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

  This citation pertains to MI00140144. Based on interview and record review, the facility failed to submit documentation of a completed investigation of an alleged incident of resident-to-resident abuse in a timely manner to the State Agency for two residents (R101 and R102), out of three residents reviewed for abuse, resulting in the potential delay for opportunities to implement corrective measures and interventions. Findings include: A facility self-reported incident (FRI) was received by the State Agency (SA) on 8/20/23 at 3:59 PM. The FRI documented that on 8/20/23 at approximately 1:30 PM, a nurse heard shouting coming from the [NAME] Hall. The shouting was coming from Room XX. Upon further investigation, Resident #101 (R101) was hollering at Resident #102 (R102) to get out of his house. R102 was observed standing over R101. R102 was escorted out of the room by the nurse to calm him down. Both residents were interviewed. R101 alleged that R102 hit him in the chest, however the nurse observed R102 holding R101's arm. Both residents were involved in an alleged, unwitnessed…

  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 · D2023-09-18 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00139131, Based on interview and record review the facility failed to inform the resident's representative of a change in condition for three (R601, R602, and R605) of five residents reviewed for change in condition, resulting in the resident's representative not being informed of the resident's physical and psychosocial well-being. Findings include: R601 Review of R601's medical record revealed admitted to the facility on [DATE] with pertinent diagnoses of hemiplegia and hemiparesis (weakness) affecting the right dominant side, hemiplegia and hemiparesis affecting non dominant side and diabetes mellitus. Responsible party power of attorney care conference person and emergency contact #1 listed as Family Member B. On 9/18/23 at 9:10 AM, during an interview Family Member B stated that R601 had multiple falls in the facility and that R601's care was not adequate. Family Member B reported that upon visiting R601 on 8/16/23 R601 complained of right leg pain and observed a bruise 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-07-27 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to consistently ensure the services of a Registered Nurse (RN) for eight consecutive hours per day, seven days per week, resulting in the potential for unmet care needs for all residents who reside in the facility. Findings include: Review of master schedules provided for Registered Nurse (RN) coverage for the past 60 days revealed, the facility did not have eight consecutive hours of RN coverage on the following days: Saturday: 6/10/23 Saturday: 6/24/23 Sunday: 6/25/23 Saturday: 7/1/23 Sunday: 7/2/23 Monday: 7/4/23 Sunday: 7/9/23 In an interview on 7/27/23 at 12:51 p.m., the Director of Nursing (DON) reported they did not have an RN everyday. The DON was unsure of why the facility did not have eight hour consecutive RN coverage. Regional Clinical Director (RCD) RN A reported the former Assistant Director of Nursing (ADON) was employed as the RN five days a week from 5/22/23 - 7/7/23. In an interview on 7/27/23 at 2:21 p.m., RCD A and MDS Nurse B acknowledged that there was not 8 hour RN coverage on 6/10, 6/24, 6/25, 7/1, 7/2,…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to 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 →

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

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.

About 87% 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 $866K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

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