The Villa at the Park

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.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% 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 114 beds and averages 101.9 residents a day — about 89% occupied, or roughly 12 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 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.23 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 2.94 hrs/resident/day on weekends vs 3.45 on weekdays — 15% thinner on weekends. RN hours go from 0.24 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

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.

43 citations, most serious first. The 15 most serious are shown; the remaining 28 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-11-07 · 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 MI00140574 and MI00140631. This citation has two deficient practice statements. Deficient practice statement #1. Based on interview and record review, the facility failed to provide adequate monitoring and supervision to prevent an elopement for one resident (R901) from a total sample of two who were reviewed for elopement, when resident R901, who had a severe cognitive impairment and was assessed, and care planned as an elopement risk. R901 also had a recent history of exit seeking behavior. R901 eloped from the facility during a smoke break on 10/15/2023 at approximately 11:00 AM, without the staff being aware of R901's whereabouts. The facility was notified by R901's guardian at approximately 12:30 PM that they were picking R901 up from a hospital associated building in a city ([NAME] Arbor) that was located 39 miles away from the facility. This resulted in an Immediate Jeopardy (IJ) to the safety and health to the residents in the facility and the likelihood for serious…

  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
• Actual harm · Gcited before2025-12-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 Incident 2688332 Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by staff, affecting one resident (R701) of two reviewed for abuse. Findings include An allegation of staff to resident abuse on 11/28/25 involving Certified Nursing Assistant (CNA) A and R701 was submitted to the state agency.On 12/10/25 at 11:49 AM, R701 was observed sitting on the side of their bed in their room. When asked about the purplish bruise under their left eye, R701 stated, don't want to talk and shook their head side to side. R701's medical record was reviewed and revealed the resident was admitted to the facility on [DATE] and had diagnoses of: Paranoid Schizophrenia; Encephalopathy; Anxiety Disorder; and Depressive Disorder. R701's Brief Interview for Mental status assessment dated [DATE] was a 11/15 indicating impaired cognition.On 12/10/25 at 12:50 PM, CNA A was interviewed via telephone. CNA A was asked to describe what…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-08-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 MI00146593. Based on observation, interview, and record review, the facility failed to prevent resident to resident and staff to resident abuse for two residents (R24 and R40) of three reviewed for abuse, resulting in a broken leg and verbal abuse. Findings include: R24 On 8/28/24 at 3:20 PM, during an interview with an anonymous resident they reported they didn't understand why R38 was allowed back to the facility after they assaulted another resident. The anonymous resident explained R24 was pulled out of their wheelchair to the ground a couple of days ago by R38, R38 then was on top of R24 which broke their leg. The anonymous resident stated R24 is a small person and was sent out to the hospital. On 8/28/24 at 8:46 AM, Registered Nurse (RN M) was asked the reason R24 was in the hospital. RN M explained R24 reported pain in their leg that weekend, an x-ray was ordered with the findings of an acute proximal left tibula/fibula fracture. RN M stated, Resident [R38] tripped and…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-08-29 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to obtain and assess the blood pressure (B/P) and administer blood pressure medication based on that assessment for one sampled resident (R104) of one reviewed for monitoring, resulting in a significant low blood pressure and hospitalization. Findings include: A review of R104's closed record revealed they were admitted to the facility on [DATE] with a diagnosis of Hidradenitis suppurativa (chronic skin condition featuring lumps in armpits and groin) and hypertension (high blood pressure). A review of R104's Minimum Data Set assessment revealed R104 had a death within the facility. A review of R104's orders revealed the following orders: -Carvedilol (a medication that lowers B/P) oral tablet 3.125 MG (milligrams) Give 1 tablet by mouth two times a day for hypertension. -Spironolactone (a medication for fluid retention which can also lower the B/P)) oral tablet 25 MG give 1 tablet by mouth one time a day for diuretics. Vital signs every shift. On [DATE]…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-07-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00135866. Based on observation, interview, and record review, the facility failed to perform adequate and timely assessment for two of two residents (R42 and R71), resulting in a delay in treatment and evaluation of a fractured arm (R42) and delay in diagnostic evaluation of a resident who complained of abdominal pain (R71). Findings include: R42 A review of multiple Intakes submitted to the State Agency revealed allegations surrounding R42 sustaining a broken arm at the facility. A review of R42's Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was admitted into the facility on 2/3/15 with medical diagnoses of Cardiovascular Disease, Dementia, Anxiety, Depression, Psychotic Disorder, and Malnutrition. Further review revealed that the resident was severely cognitively impaired and required limited to extensive assistance from staff for activities of daily living (ADLs). On 7/17/23 at 9:41 AM, R42 was observed sitting at a table in the dining room. R42…

  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 · D2025-09-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to complaint 1310450 Based on observation, interview, and record review, the facility failed to ensure two confidential residents were treated with dignity and respect from a total census of 106. Findings include:A review of the intake 1310450 revealed that several residents had concerns about the Activity Director (AD) and their interaction with the residents. One concern stated that the AD is rude, mean, disrespectful and uses profanity towards residents, anytime the residents ask for anything, the AD gets mad and cuts off the television as punishment. On 9/15/25 at 10:00 AM, an activity was observed occurring on the second floor. The activity staff was observed setting up resident for games and preparing music for an exercise activity. On 9/15/25 at 11:05 am, a confidential meeting of residents was held in the second-floor dining room. During the meeting, nine residents spoke of dissatisfaction with the AD saying . they don't know what they are doing . they talk to us mean . talk to us inappropriate .we don't have activities for our age. We need better…

  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 · D2025-09-17 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to properly assess one resident (R1) out of one reviewed for self-administration of medications. Findings include:On 9/15/2025 at 9:00 AM, R1 was observed in their room, sitting in a wheelchair and eating breakfast. R1 was observed to have two Albuterol Sulfate inhalers at their bedside, as well as eye drops. R1 was asked if they use the inhalers, and they stated yes, I use them as prescribed.A review of the medical record revealed R1 admitted into the facility on 9/5/2025 with the following diagnoses, Chronic Obstructive Pulmonary Disease and Obstructive Sleep Apnea. A review of the Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status score of 13/15 indicating an intact cognition. R1 also required staff assistance with bed mobility and transfers.On 9/17/2025 at 8:51 AM, a medication observation was completed with Licensed Practical Nurse (LPN) E. LPN E was asked about the inhalers at R1's bedside. LPN E grabbed the inhalers and asked R1 where they got them from. R1 stated they gave the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-17 · 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 observation, interview, and record review, the facility failed to formulate an accurate advance directive for one resident (R70) of four residents reviewed for advance directives. Findings include:A review of R70's medical record revealed they were initially admitted into the facility on 7/10/20 and readmitted on [DATE] with diagnoses of End Stage Renal Disease, Diabetes, and Muscle Weakness. Further review revealed the resident was cognitively intact and required extensive assistance for activities of daily living. Further review of R70's medical record's face sheet revealed the resident's code status was Do Not Resuscitate (DNR, an order which instructs medical professionals not to attempt cardiopulmonary resuscitation). Further review of R70's medical record revealed a document dated for 3/25/25 and titled, Code Status Elective Form which outlined the following, In the event I experience pulseless, cardiopulmonary arrest, (witnessed or unwitnessed), I request the following. The space for Do Not…

  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 · D2025-09-17 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review, the facility failed to provide follow-up to the PASARR (preadmission screening/annual resident review-Form 3877) for one sampled resident (R42) of four reviewed for PASARR concerns, resulting in the potential for unmet care needs. Findings include: A review of the clinical record revealed R42 was admitted into the facility on [DATE] with the following diagnoses Epilepsy, Depressive Disorder, Dementia and Focal Traumatic Brain Injury. A review of the clinical record showed that the resident was cognitively intact. A review of R42's PASARR Level I Screening form, indicated Yes was checked in section two for questions one through four and included, The person screened shall be determined to require a comprehensive Level II OBRA (Omnibus Budget Reconciliation Act) evaluation if any of the above items are 'Yes' unless a physician, nurse practitioner or physician's assistant, certifies on form DCH-3878 that the person meets at least one of the exemption criteria. The form…

  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 before2025-09-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to develop comprehensive care planned interventions to reflect the resident's current status for two residents, (R6 and R13) of two residents reviewed for care plans. Findings include:R6A review of R6's medical record revealed they were admitted into the facility on 8/21/24 with diagnoses which included Dementia, Anxiety, and Adult Failure to Thrive. Further review revealed the resident was cognitively impaired and required extensive assistance with activities of daily living. Further review of the medical record revealed a document titled, (Name of department of correction) Parole Order revealing R6 was under the supervision of the department of corrections as a parolee until 8/21/26. A review of the resident's care plan did not address the resident's current status as a parolee. R13A review of R13's medical record revealed they were admitted into the facility on 6/20/25 with diagnoses which included BI-Polar Disorder, Post-Traumatic Stress Disorder (PTSD), Schizoaffective Disorder, and Acute Cystitis with Hematuria. Further…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-17 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure behavioral services were provided for one sampled resident (R42) of eight residents reviewed for behavioral services.Findings include:A review of the clinical record revealed R42 was admitted into the facility on 11/1 9/24 with the following diagnoses Epilepsy, Depressive Disorder, Dementia and Focal Traumatic Brain Injury. A review of the clinical record showed that the resident was cognitively intact.A review of R42's clinical record revealed that on 11/20/24 a physician order for psych to evaluate and treat and on 6/29/25 another order was written for psychiatry consult to re-evaluate and treat bipolar/mood disorder and competency evaluation. Further review of R42 Clinical record revealed the following behavioral narrative notes:-11/25/24 -verbally aggressive towards staff.-12/7/24 - Resident confused refuses to stay in bed, puts self in wheelchair.-1/4/25 -Resident was seen throwing themself on the floor intentionally attempting to hurt/harm themself.-1/18/25 - Resident refused activities of daily living (ADL)…

  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 before2025-09-17 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to review the pharmacist's identified irregularities and document the action taken or not taken to address the irregularities for two residents (R2 and R6) out of three reviewed for Medication Regiment Reviews (MRRs). Findings include: R2 A review of the medical record revealed R2 admitted into the facility on 8/14/2020 with the following medical diagnoses, Paranoid Schizophrenia and Neuroleptic Induced Parkinsonism. A review of the Minimum Data Set assessment revealed a Brief Interview for Mental Status score of 5/15 indicating an impaired cognition. R2 also required staff assistance with bed mobility and transfers. Further review of the medical record revealed the following progress note from the pharmacist, Effective date: 4/16/2025 10:59:00.MRR completed.See report for comment. On 9/16/2025 at 11:35 AM, a request for the full MRR report was requested from the facility. On 9/17/2025 at 8:24 AM and 1:16 PM, a second and third request was made for the full MRR and not received by the end of survey. R6 A review of R6's…

  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 · Fcited before2024-11-06 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 relates to Intake #MI00147451. Based on observation, interview, and record review, the facility failed to provide adequate pest control with the potential to affect all 102 facility residents. Findings include: Observations of random rooms adjacent to room [ROOM NUMBER] revealed the following: (In pest glue traps): 115: Two adult cockroaches and several nymphs. (2:22 p.m.) 111: Three adult cockroaches and one nymph. (2:23 p.m.) On 11/06/24 at 2:00 p.m., Licensed Practical Nurse (LPN) B, was asked about the cockroaches in the room. LPN B acknowledged the concern and said they had told facility administration. On 11/06/24 at 2:10 p.m., Housekeeping Staff C was observed cleaning on the 100 hall East unit. Staff C was asked about the cockroaches on the unit and in room [ROOM NUMBER] and responded they had seen dead cockroaches when they cleaned but had not seen any live cockroaches. On 11/06/24 at 2:29 p.m., anoymous resident in room [ROOM NUMBER] was asked if they had any bugs in their room and…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-29 · 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 observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment effecting 104 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased illumination. Findings include: On 08/27/24 at 08:53 A.M., An initial tour of the food service was conducted with Dietary Manager H and Dietary Support G. The following items were noted: The Randell 2-door reach-in cooler door gaskets and upper door ledge were observed soiled with accumulated and encrusted food residue. 12 of 12 overhead plastic light lens covers were observed soiled with accumulated and encrusted dust, dirt, and food residue. Dietary Manager H indicated she would have staff thoroughly clean and sanitize the door gaskets and light lens covers as soon as possible. The 2017 FDA Model Food Code section 4-601.11 states: (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. (B) The FOOD-CONTACT SURFACES of cooking EQUIPMENT and pans shall be kept free of encrusted grease deposits and other…

  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 · F2024-08-29 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the outdoor waste and cardboard recycling receptacles effecting 104 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and pest attraction/harborage. Findings include: On 08/28/24 at 09:00 A.M., An environmental tour of the outdoor waste receptacle cement pad area was conducted with Regional Director of Dietary Services I. The following items were noted: The cardboard waste receptacle was observed missing 1 of 2 plastic lids. The metal mounting rod was also observed bent and convoluted. The drain plug was further observed missing from the cardboard waste receptacle port. The solid waste receptacle was observed with offset plastic lids. The metal mounting rod was also observed bent and convoluted. The rear metal brace bars were further observed bent, unattached, and convoluted. Regional Director of Dietary Services I indicated she would contact the waste removal contractual service for necessary repairs as soon as possible. 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

“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

$64,623 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $48,731 — penalty dated 2024-08-29
• $15,892 — penalty dated 2023-11-07
• Medicare payment denial — starting 2024-09-24 for 10 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to VILLA HEALTHCARE — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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

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