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Seacrest Rehabilitation and Nursing Center

1215 N Telegraph Rd, Monroe, MI 48162 · For profit - Corporation · 131 certified beds · (734) 242-4848 Medicare & Medicaid certified

Call the home — (734) 242-4848 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1261 N Telegraph Rd · (734) 265-9123 · Call to confirm hours
Pharmacy
Walgreens0.8 mi
1285 N Monroe St · (734) 457-2336 · Call to confirm hours
Grocery
Aldi<0.1 mi
1270 N Telegraph Rd · (855) 955-2534 · Call to confirm hours
Park
660 Lavender St · Typically dawn to dusk
Place of worship
1199 Stewart Rd · (734) 241-1000

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.3%10.8%15.4%better
Long-stay residents who lose too much weight0.0%5.4%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.5%0.8%0.9%better
Long-stay residents with a urinary tract infection0.6%1.5%2.0%better
Long-stay residents with depressive symptoms7.5%4.3%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.7%3.0%3.3%better
Long-stay residents whose ability to walk worsened8.9%12.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication36.4%19.4%18.9%worse
Long-stay residents given the seasonal flu vaccine96.5%95.0%95.3%typical
Long-stay residents with pressure ulcers3.8%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control17.4%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table23.4%14.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine94.8%79.5%79.4%better
Short-stay residents rehospitalized after admission20.0%24.0%22.6%better
Short-stay residents with an outpatient ER visit17.4%11.7%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.191.841.67worse
Long-stay outpatient ER visits per 1,000 resident days3.201.641.80worse

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

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

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

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

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

41.4% 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 48 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.4%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
67.9%U.S. median 56.6%
Met the expected recovery
0.21U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 67.9% 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 28 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 0.21 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF41.4%CMS range 27.0–54.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 8.0–16.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge67.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge71.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge57.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting88.5%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.6%CMS range 5.7–15.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.321.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.24
RN hours/ resident / day
0.91
LPN hours/ resident / day
2.20
Aide hours/ resident / day
3.35
Total nurse hours/ resident / day
0.12
RN hoursweekends
26.0%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 131 beds and averages 99.4 residents a day — about 76% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.02 hrs/resident/day on weekends vs 3.49 on weekdays — 13% thinner on weekends. RN hours go from 0.30 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below 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

8
deficiencies at the latest standard inspection (2026-02-12)
3
at the previous standard inspection (2024-11-15)

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.

ABCDEFGHIJKL

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

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

  • Potential for harm · Ecited before2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to: 1. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, taco meat and beef tips; 2. Consistently test the dish machine to ensure proper sanitization; 3. Ensure pans were properly cleaned and allowed to air dry before stacking; 4. Effectively clean a mounted fan; and 5. Properly maintain resident refrigerator. These deficient practices had the potential to affect all residents who consumed food from the kitchen, resulting in the increased potential for food borne illness. Findings include:On 2/10/26 at 9:17 AM, a tour of the kitchen was conducted with Dietary Manager (DM) F. The following items were noted: A full-size pan containing taco meat, as identified by DM F, was cooked last night. DM F indicated that a cooling log was not available for the pan of taco meat. A full-size pan of beef tips, as identified by DM F, was cooked this morning. The internal temperature of the beef tips was obtained and determined to be 43.7 F (Fahrenheit). AM [NAME] H indicated the beef tips…

    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 · E2026-02-12 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the drain lines from the dish machine were maintained in a safe and sanitary operating condition, resulting in the dish machine not being protected against contamination from sewage or other sources of contamination Findings include:During the initial tour of the kitchen on 2/10/26 at 9:17 AM with Dietary Manager (DM) F, the end of the drain lines from the dish machine were observed below the flood rim of the floor drain. DM F indicated maintenance will be contacted. On 2/11/26 at 2:22 PM, the Nursing Home Administrator indicated the position of the drain line from the dish machine will be addressed and properly air gapped. The 2013 FDA Food Code was reviewed and revealed the following in Section 5-402.11 Backflow Prevention. (A) Except as specified in (B), (C), and (D) of this section, a direct connection may not exist between the sewage system and a drain originating from equipment in which food, portable equipment, or utensils are placed.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-02-12 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to effectively clean and maintain the physical plant effecting four resident rooms out of 21 resident rooms sampled for a clean environment. Findings include:On 2/11/2026 at 11:16 AM, an environmental tour was conducted with Environmental Services Manager (ESM) B. The following items were noted:-room [ROOM NUMBER], the flooring was soiled and appeared yellow in color with wheelchair tire marks and dark stains.-room [ROOM NUMBER], the flooring was soiled with wheelchair tire marks and dark stains.-room [ROOM NUMBER], the flooring was soiled, yellow in color with wheelchair tire marks and dark stains.-room [ROOM NUMBER], the flooring was soiled, appeared yellow in color with wheelchair tire marks and dark stains.When ESM B was asked about the resident room flooring ESM B said the flooring should be white in color, the above-mentioned floors needed to be stripped and waxed. ESM B said the resident rooms had heavy markings from the wheelchairs…

    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 · D2026-02-12 · 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 observation, interview, and record review, the facility failed to follow standards of practice for medication administration for one resident (R24) of two residents reviewed for medication administration.Findings include: On 2/10/2026 at approximately 9:45 AM, R24 was observed in their room. Observed on the bedside table were prescribed eye drop medication Vysulta Ophthalmic Solution, Combigan Ophthalmic Solution, and a nasal spray. R24 said they self-administer eye drops and nasal spray, but the nurse administers their other medications. On 2/10/2026 at approximately 11:38 AM, a second observation revealed the same medications at the resident's bedside. On 02/11/2026 at approximately 9:39 AM, a third observation revealed the same medications at the resident's bedside. A record review was completed on 2/11/2026 which revealed R24 admitted to the facility on [DATE] with diagnoses that included: atrial fibrillation, hypertension, chronic obstructive pulmonary disease, anemia, cognitive communication…

    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 · D2026-02-12 · 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 Based upon interview and record review, the facility failed to notify the physician regarding elevated blood sugars for one resident (R54) of one resident reviewed for diabetes management. Findings include: A review of the clinical record for R56 documented an original admission date of 8/21/23 and readmission date of 10/25/25. R56's diagnoses included diabetes mellitus-type 2 (DMII), congestive heart disease and chronic obstructive pulmonary disease. A Minimum Data Set assessment dated [DATE] documented intact cognition. Physician ordered blood sugar sliding scale for R56 documented the following:Insulin Lispro Injection Solution 100 unit/ml (Insulin Lispro)Inject as per sliding scale:if 0 - 150 = 0 units;151 - 200 = 0 units;201 - 250 = 4 units;251 - 300 = 8 units;301 - 350 = 14 units;351 - 400 = 20 units,Administer subcutaneously before meals and at bedtime for DMII. A review of recorded blood sugars for R56 revealed the following:12/1/25 at 6:00 AM: 484 mg/dl. No corresponding nursing or medical provider (MP)…

    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 · D2026-02-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to maintain accurate reconciliation records for controlled medications (narcotics) in two of three medications carts resulting in the potential for drug diversion to go undetected.Findings include: On 2/11/2026 at approximately 9:20 AM the 500 hall E-South cart was inspected with Licensed Practical Nurse (LPN) D. The 2/11/26 narcotic reconciliation log was not signed by the on-coming nurse, LPN D. LPN D stated, I forgot to sign. I did count with the night shift nurse. I know I should have signed it at the time of the count. A continued inspection of the cart revealed a discrepancy for R37's Morphine Sulfate Contin 30 milligram (MS Contin 30 mg) pills. There were 12 pills observed in the blister pack for R37's MS Contin 30 mg. The controlled substance reconciliation sheet documented 13 pills. LPN D stated, Oh, I gave that to the resident this morning. I just forgot to sign it out. LPN D confirmed that standard of practice is to sign out the medications when they are administered.Review of R37's Medication Administration Record…

    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 · D2026-02-12 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 store unopened insulins at the proper temperature in two of three medication carts reviewed for safe storage of medications and biologicals resulting in the potential for decreased efficacy of the insulin.Findings include:On 2/11/2026 at 8:51 AM during inspection of medication cart #1 on C-South Hall with Licensed Practical Nurse (LPN) C, an unopened bottle of Humalog insulin was observed in the medication cart at room temperature. The bottle was inside an unopened box that was inside a plastic bag. Both the box and plastic bag were labeled with instructions to Keep refrigerated. Neither the box nor plastic bag had a delivery or received on date. Upon interview LPN C said, That insulin should be refrigerated. There is no way to tell how long it has been at room temperature. We'll have to waste this bottle. On 2/11/2026 at 9:54 AM during inspection of medication cart #2 on E-South Hall with LPN D, an unopened bottle of Novolog insulin was observed in the medication cart at room temperature. The bottle was…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure staff completed appropriate hand hygiene during resident care for one resident (R60) of five residents reviewed for infection control, resulting in the potential for an increased risk of infection among residents. Findings include:On 2/10/2026 at approximately 11:20 AM, LPN A was observed conducting blood glucose tests on the 500-unit hallway. LPN A sneezed while in the hallway, did not perform hand hygiene, and continued down the hallway with a medication cart in front of them. On top of the medication cart were gloves, lancets, and a glucometer. Upon arriving at R60s room, LPN A donned gloves without performing hand hygiene. LPN A entered the room and performed a blood glucose test on R60. Upon exiting the room, LPN A removed the gloves but did not perform hand hygiene. LPN A then went to room [ROOM NUMBER]. LPN A did not perform hand hygiene, donned gloves, and proceeded into the room to conduct a blood glucose test. Upon…

    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 · Fcited before2024-11-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment effecting 86 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage. Findings include: On 11/13/24 at 09:50 A.M., An initial tour of the food service was conducted with Dietary Manager C. The sole hand sink (hot and cold) water valves were observed misaligned, allowing the handles to invade the sink basin. Dietary Manager C indicated she would contact maintenance for necessary repairs as soon as possible. The garbage disposal overhead spray faucet assembly hot water supply valve was observed leaking, adjacent to the handle packing gland. Dietary Manager C indicated she would contact maintenance for necessary repairs as soon as possible. The garbage disposal overhead spray valve assembly was observed with gray duct tape and beige electrical tape covering the handle and valve assembly connection. Dietary Manager C indicated she would contact…

    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 · Fcited before2024-11-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the physical plant environment effecting 86 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and cross-connections between the potable (drinking) and non-potable (non-drinking) water supplies. Findings include: On 11/14/24 at 12:20 P.M., A common area environmental tour was conducted with Director of Housekeeping and Laundry Services E and Director of Maintenance F. The following items were note: The facility main entrance concrete surface was observed uneven between the expansion joints. The uneven expansion joint surface measured approximately 8-12 feet-long, creating an approximate 0.5-1.0-inch-high lip between the concrete sections. Director of Maintenance F indicated he would request funding for necessary repairs as soon as possible. B-Hall (North) Shower Room: The atmospheric vacuum breaker was observed missing on the shower wand assembly. Director of…

    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
Show the remaining 5 citations
  • Potential for harm · D2024-11-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to include one resident (R8) out of four residents reviewed for limited ROM in the restorative program. Findings include: On 11/13/24 at 11:52 AM R8 was observed sitting in a wheelchair with her right upper extremity resting on a wheelchair arm platform and wearing a right-hand splint. R8 was unable to respond to questions about care. On 11/13/24 at 12:44 PM R8's legal guardian reported that R8 was not receiving therapy services or exercises. Record review of the Electronic Health Record (EHR) revealed R8 admitted to the facility on [DATE] with diagnoses that included hemiplegia (paralysis) and hemiparesis (weakness) following cerebral infarction (stroke) affecting right dominant side, dysphagia (difficulty swallowing) and aphasia (difficulty speaking) following cerebral infarction. Review of the Minimum Data Set (MDS) dated [DATE] for R8 revealed a Brief interview for Mental Status (BIMS) of not conducted resident is rarely/never understood.…

    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 · D2024-06-18 · 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 ensure R250 a resident with a known history of PICA (an eating disorder that involves eating or craving nonfood items) from access to an object that could be swallowed and choked on resulting in the swallowing of gauze requiring an emergency procedure. Findings include: On 6/14/24 at 1:15 PM, R250 was observed resting in a specially designed reclining wheelchair in the main dining and television area. Resident with eyes open, a wandering gaze, and with a relaxed facial expression. Resident was nonverbal. Upon record review, R250 had an initial admission date of 12/12/2023 and a recent admission date of 6/7/24. R50 had the following pertinent diagnoses: Cerebral Palsy (a group of conditions that affect movement and posture caused by brain damage before birth), Antiphospholipid Syndrome (a condition that causes the immune system to attack tissues and form blood clots), Other Specified Eating Disorder, Metabolic Encephalopathy (a brain disfunction also affecting the metabolism), Cerebral Infarction (a condition in which poor…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to obtain physician's orders for oxygen maintenance (R269), properly date and change oxygen tubing in 4 of 4 residents (R5, R40, R218, and R269) reviewed for oxygen therapy, resulting in the increased potential for lung infections, and adverse side effect from oxygen administration. Findings include: R218 On 12/11/2023 at 11:24 a.m., R218 was observed with a nasal cannula (a device used to deliver supplemental oxygen) inserted into the nostrils. R218's oxygen tubing was observed with the date of 9/24/2023. When queried, R218 was unable to recall when the last time the oxygen tubing was changed. On 12/11/2023 at approximately 11:30 a.m., Licensed Practical Nurse (LPN) E verified the oxygen tubing that R218 was dated 9/24/2023 and explained the oxygen tubing should have December date not September's. LPN E said the oxygen tubing should be changed once a week on Sunday's midnight shift. According to the electronic medical records, R218 was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to obtain orders for a suprapubic catheter (catheter inserted through the abdomen and into the bladder) and failed to ensure the catheter had a securement device (prevents pulling of catheter tubing), for one (R269) of one resident reviewed for catheter care, resulting in the potential for urinary tract infections and skin trauma. Findings include: In an observation and interview on 12/12/23 at 9:30 a.m., R269 was observed with a catheter drainage bag while seated in a wheelchair. Certified Nursing Assistant (CNA) A transferred R269 into bed to perform peri care. At this time, it was observed that R269 had a suprapubic catheter without a securement device. When queried if R269 should have a securement device in place, CNA A stated, Probably, I would think so. Review of an admission Record revealed, R269 originally admitted to the facility on [DATE] and readmitted o 12/7/23 with pertinent diagnoses which included Cirrhosis of the liver.…

    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 before2023-12-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to follow the standards of infection control for proper PPE (personal protective equipment) use, disposal of PPE, and hand hygiene, for three residents (R65 and R269) out of a 20 sampled residents reviewed for infection control, resulting in the potential for increased cross-contamination of diseases which place a vulnerable population at high risk for infections. Findings include: R65 In an observation on 12/11/23 at 2:12 p.m., Housekeeper C exited R65's room, wore gloves and carried a wet cloth. R65's room door had a droplet precaution sign. Housekeeper C reported a gown does not have to be worn in the room because I am double masked. Housekeeper C stated, What do you want me to do? Change my gloves every time. Houskeeper C then reentered R65's room with the same gloves she exited the room with. Review of an admission Record revealed, R65 admitted to the facility on [DATE] with pertinent diagnosis which included COVID-19. Review of a MDS…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVON HEALTHCARE — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 52.2+1.8 vs chain
Health inspection 4 of 52.0+2.0 vs chain
Staffing 3 of 53.0≈ chain avg
Quality measures 4 of 53.7+0.3 vs chain
The other 8 homes this chain runs (chain average 2.2★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
GOTTLIEB, MOSHEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST45%since 05/10/2022
FREUND, ELIYAHUIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 05/10/2022
COLMAN, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2018
LEVINE, AYALAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/24/2022
WORTHINGTON, KORIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/24/2020
MONROE PROPCOOrganizationADP OF THE SNFsince 05/10/2022

CMS files one row per role, so the 9 rows in the source record cover these 6 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.

$6.6M
Net patient revenuemost recent cost report
-31.0%
Operating marginrevenue minus expenses
$1.2M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 83%Medicare 11%Other / private 6%

About 83% 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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

$354per resident / day
operating cost
$10,771per month
≈ monthly operating cost
$270per day
avg. revenue, all payers

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

What families pay in MI

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235232. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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