Regency at Lansing West

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.

56.5% 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 199 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 43.4% 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 99 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 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% 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 120 beds and averages 107.0 residents a day — about 89% occupied, or roughly 13 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 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 3.34 hrs/resident/day on weekends vs 3.91 on weekdays — 15% thinner on weekends. RN hours go from 1.26 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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 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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · Gcited before2025-02-20 · 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 MI00150279. Based on interview and record review, the facility failed to prevent a fall for one (Resident #150) of three reviewed for accidents, resulting in a fall with bilateral femur fractures when Resident #150 fell from her bed. Findings include: Resident #150 (R150) Review of the medical record reflected R150 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that included dementia, senile degeneration of brain, right femur pathological fracture, and left femur pathological fracture. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/20/24, reflected R150 scored 7 out of 15 (cognitively impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). R150 no longer resided in the facility. Review of R150's Care Plan revealed R150 was a two person assist with the use of a Hoyer for transfers and ambulated via wheelchair with staff assist. Review of a Nurses Note dated 7/22/2024 at 7:28 PM revealed Guest…

  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 · G2023-05-15 · 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 facility failed to: 1) accurately assess, monitor and prevent the development and worsening of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for two Residents (R29 and R94) of four reviewed for pressure ulcers, resulting in worsening of pressure wounds requiring re-hospitalization related to wound infection that required use of intravenous antibiotic treatment and multiple debridement's for R94 and development of two facility acquired unstageable deep tissue pressure ulcers, and the increased likelihood for delayed wound healing and/or worsening of wounds and overall deterioration in health status. Findings include: Resident #29(R29) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R29 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included alzheimers disease, diabetes, chronic…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-05 · 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 2740541.Based on interview and record review, the facility failed to prevent a fall for 1 (R1) of three reviewed.Findings include:Review of the complaint received by the State Agency revealed [R1] had a fall on 12/26/25. [R1] was in her bedroom, and the tech [Certified Nursing Assistant (CNA)] got her up from her bed and left her standing on her own and went around to the bathroom and [R1] fell on her arm and leg.Review of the medical record revealed R1 was admitted to the facility on [DATE] with diagnoses that included history of falling, fracture of humerus, and joint replacement surgery. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/20/25 revealed R1 scored 13 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). The Discharge MDS with an ARD of 1/30/26 revealed R1 had one fall without injury since admission/prior assessment. Review of the Functional Ability Deficit care plan initiated…

  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 · D2026-03-05 · 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 This citation pertains to Intake 2740541.Based on interview and record review, the facility failed to maintain accurate medical records for 1 (R1) of three reviewed.Findings include:Review of the complaint received by the State Agency revealed [R1] had a fall on 12/26/25. [R1] was in her bedroom, and the tech [Certified Nursing Assistant (CNA)] got her up from her bed and left her standing on her own and went around to the bathroom and [R1] fell on her arm and leg .[Name of Registered Nurse (RN) F] wrote in the medical report that [R1] got up on her own out of bed and fell on her own. The report was falsified and [R1] fell due to the tech not providing [R1] with support. Review of the medical record revealed R1 was admitted to the facility on [DATE] with diagnoses that included history of falling, fracture of humerus, and joint replacement surgery. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/20/25 revealed R1 scored 13 out of 15 (cognitively intact) on the Brief Interview…

  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 · D2025-01-03 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 MI00149066. Based on observation, interview, and record review, the facility failed to immediately report an allegation of abuse to the State Agency for one (Resident 200) of three reviewed, resulting in a sexual abuse allegation to go unreported to the State Agency. Findings include: Review of the medical record revealed Resident 200 (R200) was admitted to the facility on [DATE] with diagnoses that included: generalized anxiety disorder, major depressive disorder (recurrent, moderate), and dementia. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/1/24 revealed R200 scored 8 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the complaint filed with the State Agency revealed Complainant states that on 12/18/24, she was informed by R200 that a CNA (certified nursing assistant) named (CNA A) sexually assaulted R200. Complainant states that CNA A gave R200 a bed bath on 11/28/24.…

  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 · D2024-07-26 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 that the Notice of Medicare Non-Coverage (NOMNC) and a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNFABN) were provided and completed for three Resident Residents (#43, #53, and #91) out of three reviewed for Beneficiary Notification. Findings Included: Resident #43 (R43) Review of the medical record revealed R43 was admitted to the facility 12/01/2022 with diagnoses that included cerebral atherosclerosis (arteries in brain become hard, thick, and narrow due to build up of plaque), pain in left wrist, anxiety, dementia, delusional disorders, emphysema, polyneuropathy, atrial fibrillation, communication deficits, chronic obstructive pulmonary disease (COPD), depression, stroke, and hypertension. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/15/2024, revealed R43 had a Brief Interview of Mental Status (BIMS) of 8 (moderately impaired cognition) out of 15. Review of R43's medical record revealed she had been discharged from the facility on 05/19/2024,…

  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 before2024-07-26 · 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 ensure the necessary services were provided for Activities of Daily Living (ADL) for three out of four residents (Resident #9, 71, and 83) resulting in the potential for care needs not being met. Findings include: Resident #9 (R9) Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses which included chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), hemiplegia and hemiparesis following cerebral infarction (one sided weakness caused by a stroke), glaucoma (condition that causes damage to the optic nerve, and dry eye syndrome of bilateral lacrimal glands (gland that produces tears). The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 6/11/24 revealed R9 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental status. Review of R9's Care Plan reflected R9 required the assistance of one staff member…

  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 · D2024-07-26 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 laboratory blood tests were provided and completed timely and as ordered for one out of one residents (Resident #11). Findings Included: Per the facility face sheet R11 had an initial admission date of 10/17/2019, and a readmission date of 7/3/2021. Record review of R11's Physician's orders dated 1/6/2024, revealed R11 was to have a CBC (complete blood count) CMP (comprehensive metabolic profile), and Liver tests done annually. A BMP basic metabolic panel), lipids, TSH (thyroid stimulating hormone) test perform every six months, and an HgbA1c (measures average blood sugar levels over the past three months) performed every three months. Review of R11's pharmacy medication review recommendations (MRR) dated 1/9/2024, and signed by Director of Nursing (DON) B on 1/11/2024, revealed R11 was ordered to have the CBC, CMP, Lipid, Liver, BMP, and HgbA1c performed, but the Pharmacist noted, at the time of the MRR, the labs were not available. Review of an MRR dated 7/3/2024, and signed by DON B on 7/3/2024, revealed 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-26 · 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 Based on observation, interview, and record review the facility failed to ensure one out of five residents (Resident #9) had water available at the bedside, resulting in the potential for dehydration. Resident #9 (R9) Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses which included chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), hemiplegia and hemiparesis following cerebral infarction (one sided weakness caused by a stroke), glaucoma (condition that causes damage to the optic nerve, and dry eye syndrome of bilateral lacrimal glands (gland that produces tears). The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 6/11/24 revealed R9 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental status. Review of R9's Care Plan reflected R9 required the assistance of one staff member for personal hygiene and was dependent for toileting with the use of a bed pan 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-10-31 · 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 Based on observation, interview and record review the facility failed to ensure care plan interventions were maintained for one resident (#4) of 3 residents reviewed for falls, resulting in resident 4 sustaining a fall with a left elbow abrasion. Findings Include: According to the clinical record including the Minimum Data Set (MDS) dated [DATE] and 09/08/23 Resident #4 (R4), was admitted to the facility with diagnoses that included cerebral infarction with left sided hemiplegia and hemiparesis. R4 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS) on the 06/08 and the 09/08/23 MDS, both MDS assessments also reflected R4 was coded to require extensive assist with two persons for transfers. Review of the incident report dated 07/10/23 reflected R4 slid out of the sling from the sit to stand lift during a transfer performed by one staff member from bed to the bathroom and landed on his left side sustaining a left elbow abrasion. Further review of the incident and accident…

  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 before2023-10-11 · 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 This citation pertains to MI00139852 Based on interview and record review the facility failed to honor one resident's (#7) Advance Directives (a written statement of a resident's wishes regrading medical treatment) for DNR (Do not Resuscitate) of three residents reviewed resulting in the resident's medical preferences not to be followed at the end of life and the potential of other residents not to have their medical preferences followed at the end of life. Findings Included: Resident #7 Review of the medical record revealed R7 was admitted to the facility on [DATE] with diagnoses that included Parkinson's disease, dysphagia (swallowing difficulties), neuromuscular dysfunction of the bladder, REM (rapid eye movement) sleep behavior disorder, dementia, hypertension, anxiety, type 2 diabetes, chronic kidney disease, constipation, urinary retention, benign prostatic hyperplasia (enlarged prostate) gastro-esophageal reflux, restless leg syndrome, hyperlipidemia (high fat content in blood), and diabetic neuropathy…

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

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · F2023-05-15 · 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 sanitize food service equipment effecting 108 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, decreased interior food service equipment illumination, and cross-connections between the potable (drinking) and non-potable (non-drinking) water supplies. Findings include: On 05/09/23 at 09:15 A.M., An initial tour of the food service was conducted with Certified Dietary Manager (CDM) C. The following items were noted: The Victory 2-door reach-in cooler interior light bulb was observed non-functional. The 2017 FDA Model Food Code section 6-303.11 states: The light intensity shall be: (A) At least 108 lux (10 foot candles) at a distance of 75 cm (30 inches) above the floor, in walk-in refrigeration units and dry FOOD storage areas and in other areas and rooms during periods of cleaning; (B) At least 215 lux (20 foot candles): (1) At a surface where FOOD is provided for CONSUMER self-service such as buffets and salad bars or where fresh produce…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 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 16 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $3.2M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in MI