Harbor Terrace Senior Living

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.

Staffing

How full it usually is: this home is certified for 58 beds and averages 32.9 residents a day — about 57% occupied, or roughly 25 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 5.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.43 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.06 is at or above 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 5.14 hrs/resident/day on weekends vs 5.77 on weekdays — 11% thinner on weekends. RN hours go from 1.49 to 1.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

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

Inspection deficiencies

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

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

• Potential for harm · F2026-03-11 · 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 29 out of 31 residents that receive food and beverages from the kitchen, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include: During an initial kitchen tour on 3/09/26 at 9:10 AM, Certified Nurse's Aide (CNA) T revealed that the Dietary Manager was at a conference and the cook/Person in Charge was on a break. During the initial tour of the kitchen the following violations were observed: The flooring located throughout the kitchen was observed to have a build-up of debris, dust, dirt, and greasy food residue. Heavy build-up was observed under the cooking equipment, shelving, and along floor/wall junctures. According to the 2022 FDA Food Code section 6-501.12 Cleaning, Frequency and Restrictions. (A) PHYSICAL FACILITIES shall be cleaned as often as necessary to keep them clean. The oil in the fryer was observed to be black with a lot of crispy food debris floating over the surface of the oil.…

  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 · E2026-03-11 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 2732021. Based on interview and record review, the facility failed to follow discharge policies and procedures and provide a bed hold policy for one (R35), failed to notify the family in writing for one (R37) of four residents reviewed for transfers and discharges, and failed to notify the Ombudsman of all the other discharges in the facility for several months. Findings include:Resident (R37) Review of Face Sheet revealed Resident #37 admitted to the facility on [DATE] with pertinent diagnoses which included cerebral infarction, vascular dementia, major depressive disorder, anxiety disorder and encounter for palliative care. R37 originally entered the facility for a 5 day respite stay. A respite stay is a short-term, temporary arrangement where a person with care needs receives specialized care for a few days to several weeks. It provides relief for primary care givers. During the stay the family chose to extend R37's stay, facility agreed and resident's family paid out 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · 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

  Based on observation and interview, the facility failed to maintain and repair the premises, resulting in an increased potential for contamination and a possible decrease in satisfaction of living for residents. Findings Include: On 03/10/2026 at 9:11AM observed the wall area at the dining room handsink had a crack running horizontally along the wall. The crack was about four feet long and five feet off the floor. On 03/10/2025 at 9:15AM, observed in a conference room across from the kitchen, the outside wall had a four footlong crack on the wall area close to the ceiling. During this observation, Facilities Management Support (FMS) Q, said the cracks are due to settling of the building, it is currently being monitored by an engineering team for further movement or increase in cracks. On 03/10/2026 at 9:30AM, observed in the spa room on Angler Avenue hall, cracks at several locations in the room; a crack from ceiling to floor at the wall juncture that the spa tub is on (crack was one quarter to one half inch wide), horizontal running cracks on both sides above the entrance door to…

  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 · D2026-03-11 · 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 Based on observation, interview, and record review, the facility failed to follow policies and procedures and pursue guardianship activation timely for one (R38) of one resident reviewed for guardianship who was severely cognitively impaired. Findings include:Review of a Guideline for Advanced Directive policy last reviewed 12/10/25 revealed: 1. Advanced Directives will be reviewed with resident and/or resident representative by the admission Representative or designee at the time of admission. A member of the IDT (interdisciplinary team) will review and/or updated quarterly and PRN (as needed) thereafter. Review of a Face Sheet for R38 revealed she was admitted to the facility on [DATE] with pertinent diagnoses of hemiplegia/hemiparesis (one-sided weakness), aphasia (communication disorder) following cerebral infarction (stroke), and dysphagia (swallowing disorder). R38 is listed as her own responsible party. Review of the Minimum Data Set (MDS) dated [DATE] for R38 revealed she was severely cognitively…

  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 · D2026-03-11 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 2732021.Based on interview and record review, the facility failed to ensure an appropriate Transfer and Discharge practice based on resident rights and medical needs for 1 Resident (R37) of 4 Residents reviewed for transfer and discharges, resulting in R37 being transferred/discharged solely due to financial status change rather than physical, mental, and psychosocial change. Findings include:Resident (R37) Review of Face Sheet revealed Resident #37 admitted to the facility on [DATE] with pertinent diagnoses which included cerebral infarction, vascular dementia, major depressive disorder, anxiety disorder and encounter for palliative care. Review of an email dated 12/11/25 at 5:16 PM, from Admissions Coordinator (AC) H revealed, (Name of R37) will be joining us from home tomorrow 12/12 in room [ROOM NUMBER] for an initial 5-day respite. Family will be paying privately for an additional 30 days. We will be partnering with family and their elder law attorney to confirm long term…

  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 · D2026-03-11 · 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

  Based on observation, interview, and record review, the facility failed to provide appropriate wound care for one (R40) of one resident reviewed for wound care.Findings include:Review of a Face Sheet revealed R40 had pertinent diagnoses of necrotizing fasciitis (flesh eating disease), bacteremia (bacteria in blood), and morbid obesity. In an interview on 3/9/26 at 10:20 AM, R40 reported she had concerns about her wound care at the facility over the weekend. Review of the Orders for R40 revealed an order dated 3/3/26 - open ended date for Vashe (sodium chlor-hypochlorous acid) irrigation solution; 0.033%; Amount to Administer: Soak kerlix gauze; irrigation. Frequency: Twice A Day. Specialized Instructions: Necrotizing fasciitis debrided wound.-An order dated 3/3/26-3/9/26, to Cleanse and irrigate right gluteal wound with NS (normal saline). Apply layer of zinc barrier cream around wound. Pack vashe (wound solution) soaked kerlix gauze. Cover with ABD (type of wound pad) and secure with underwear. Avoid tape if possible. Frequency: Twice A Day.-An order dated 3/10/26-3/11/26 for…

  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 · D2026-03-11 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to have a system for hospice communication and services provided for one (R27) of one resident reviewed for hospice services. Findings include:Resident #27 (R27)Review of the Electronic Medical Records (EMR) for R27 revealed she had pertinent diagnoses of Alzheimer's disease, dementia, and depression. Review of the Care plan revealed R27 was on Hospice. Review of a Physician Progress note dated 2/19/26 for R27 revealed she was receiving hospice services. Review of the EMR revealed no Hospice Services documentation for R27. In an interview on 3/11/26 at 2:19 PM, the Director of Nursing was questioned about R27 receiving Hospice services and the lack of communication and service provisions from Hospice in the EMR. The DON reported that Hospice does communicate verbally and acknowledged there is no hospice communication information in the EMR for R27.

  Administration Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 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 24 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

9 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.

What families pay in MI