Rivergate Health Care Center
14041 Pennsylvania Rd, Riverview, MI 48193 · For profit - Partnership · 223 certified beds · (734) 284-7200 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,408 in federal fines (most recent 2025-04-17)
- about 19% of its spending goes to commonly-owned related companies
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.
| 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 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 5 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.3% | 10.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 8.6% | 5.4% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.1% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.0% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.7% | 3.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 9.1% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 25.2% | 19.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 92.1% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.5% | 5.1% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 17.4% | 20.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 26.6% | 14.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.8% | 1.1% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 69.5% | 79.5% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 22.5% | 24.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 6.8% | 11.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.83 | 1.84 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.80 | 1.64 | 1.80 | better |
§ 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.
46.0% 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 186 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 77.0% 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 87 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 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 33% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 46.0%CMS range 38.6–52.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.4%CMS range 7.7–14.9 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 77.0% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 74.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 73.6% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 87.4% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 97.9% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 9.1%CMS range 5.8–12.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.23 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 223 beds and averages 191.2 residents a day — about 86% occupied, or roughly 32 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.62 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.60 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 35% 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
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.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · Jcited before2025-04-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to Intake: MI00151131 Based on observation, interview, and record review, the facility failed to provide adequate supervision and monitoring to prevent an elopement for one resident (R600) who had severe cognitive impairment and was assessed and care planned as an elopement risk. R600 left a secured unit on the second floor and exited the front door during the time a staff member left the lobby unsecured. R600 exited the building while following an unknown visitor on 03/01/2025 at approximately 6:37 PM, unbeknownst to facility staff. Immediate Jeopardy: The Immediate Jeopardy (IJ) started on 03/01/2025 and the immediacy was removed 04/04/2025 per review of the facility's responding interventions as verified on 4/17/2025. The IJ was identified on 04/17/2025 during an abbreviated survey. The facility was notified of the IJ on 04/17/2025 at 3:20 PM and was asked for a removal plan. The IJ was removed on 04/04/2025, based on the facility's implementation of the removal plan as verified onsite on 04/17/2025. Findings Include: On 4/16/2025 at 11:30 AM, R600 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.
- Potential for harm · D2025-11-21 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately identify incidents of physical harm as abuse by a Resident Representative (RR), for one resident (R501) of three residents reviewed for abuse, resulting in the potential for continued physical harm.Findings include:It was reported to the State Agency that the facility failed to protect a resident from abuse. The complaint revealed the following: Anonymous complainant states on 9/26, last Friday, a. resident (R501) on Station 4 of the facility. was being fed by the (RR), (R501) wouldn't eat (their) food so the (RR) became frustrated and smacked (R501) and grabbed (R501's) jaw . Complainant states the DON and Administrator instructed the nurse to not put a note in the system because it would alert the state. Complainant states the next day, 9/27, the (RR) was observed grabbing (R501's) arm by a dietary aide. On 10/8/25 at 11:35 AM, Licensed Practical Nurse (LPN) A was queried regarding the incident on 9/26/25. LPN A reported she observed LPN C…
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.
- Potential for harm · D2025-11-21 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to thoroughly implement an abuse policy for incidents of physical harm of one resident (R501) by a Resident Representative (RR), for one of three residents reviewed for abuse, resulting in the potential for continued physical and/or psychosocial harm.Findings include:It was alleged that Resident Representative (RR) to resident abuse occurred. The complaint revealed the following: Anonymous complainant states on 9/26, last Friday, a. resident (R501) on Station 4 of the facility. was being fed by the (RR), (R501) wouldn't eat (their) food so the (RR) became frustrated and smacked (R501) and grabbed (R501's) jaw . Complainant states the next day, 9/27, the (RR) was observed grabbing (R501's) arm by a dietary aide. On 10/8/25 at 11:35 AM, Licensed Practical Nurse (LPN) A was queried regarding an incident on 9/26/25. LPN A reported she observed LPN C running down the hall. LPN C was screaming, (RR) hit (R501)! According to LPN A, LPN C was typically unhurried,…
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.
- Potential for harm · Dcited before2025-11-21 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 Based on interview and record review, the facility failed to report to the State Agency incidents of physical harm for one resident (R501) by a Resident Representative (RR), for one of three residents reviewed for abuse, resulting in unreported incidents of physical harm.Findings include:The State Agency received an anonymous complaint that a resident was abused at the facility and that it was not reported.The complaint revealed the following: Anonymous complainant states on 9/26, last Friday, a. resident (R501) on Station 4 of the facility. was being fed by the (RR), (R501) wouldn't eat (their) food so the (RR) became frustrated and smacked (R501) and grabbed (R501's) jaw . Complainant states the next day, 9/27, the (RR) was observed grabbing (R501's) arm by a dietary aide. On 10/8/25 at 11:35 AM, Licensed Practical Nurse (LPN) A was queried regarding the incident on 9/26/25. LPN A reported she observed LPN C running down the hall. LPN C was screaming, (RR) hit (R501)! According to LPN A, LPN C was typically…
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.
- Potential for harm · D2025-11-21 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to thoroughly conduct and document an investigation of incidents of physical harm of one resident (R501) by a Resident Representative (RR), for one of three residents reviewed for abuse, resulting in the potential for continued physical harm.Findings include:It was alleged that RR to resident abuse occurred. The complaint revealed the following: Anonymous complainant states on 9/26, last Friday, a. resident (R501) on Station 4 of the facility. was being fed by the (RR), (R501) wouldn't eat (their) food so the (RR) became frustrated and smacked (R501) and grabbed (R501's) jaw . Complainant states the next day, 9/27, the (RR) was observed grabbing (R501's) arm by a dietary aide. On 10/8/25 at 11:35 AM, Licensed Practical Nurse (LPN) A was queried regarding the incident on 9/26/25. LPN A reported she observed LPN C running down the hall. LPN C was screaming, (RR) hit (R501)! According to LPN A, LPN C was typically unhurried, but after this incident moved…
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.
- Potential for harm · D2025-05-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 ensure proper disposal of loose medications were conducted for three medication carts (3 West, 2 [NAME] and 2 East) out of four medication carts observed for medication storage. Findings include: On 5/1/25 at 9:01 AM, an observation of the medication cart on unit 3 [NAME] was conducted with Licensed Practical Nurse (LPN) A. Upon inspection of the medication cart on 3 [NAME] a total of two suppositories and one loose pill were scattered on the bottom of the first and second drawers of the medication cart. LPN A could not identify the loose pill. When LPN A was queried regarding the loose medications, LPN A said the suppositories should be in a labelled box and the loose pill should have been discarded. On 5/1/25 at approximately 9:15 AM an observation of the medication cart on unit 2 [NAME] was conducted with LPN C. Upon inspection of the medication cart, a total of 16 loose pills were scattered on the bottom of the second and third drawers of the medication cart. When LPN C was queried who was responsible 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.
- Potential for harm · D2024-12-06 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00147167. Based on interview and record review, the facility failed to confirm and document the timely notification of resident representative for one resident (R101), out of four residents reviewed for change of condition, resulting in missed opportunities to participate in medical decisions regarding care and treatment. Findings include: It was reported to the State Agency that the facility staff failed to notify the resident representative of the resident's change in condition in a timely manner. A review of R101's admission Record documented an admission date of 5/28/24 with diagnoses that included protein-calorie malnutrition, dysphagia, epilepsy, anxiety disorder, and depression. A Minimum Data Set assessment dated [DATE] documented moderate cognitive impairment. R101's clinical record listed the resident's spouse as the responsible party and emergency contact #1. A review of an Event Note dated 8/1/24 at 12:01 PM for R101 documented the following: Patient observed on 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.
- Potential for harm · Dcited before2024-10-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 facility staff followed the care plan for transfer assistance for one (R401) of three residents reviewed for falls, resulting in a fall. Findings include: On 10/15/24 at 11:05 AM R 401 was observed in bed with bruising on both arms and stated, I fell in the shower with Certified Nursing Assistant (CNA) A last week. I hurt my left arm. Review of the Electronic Health Record revealed R401 admitted to the facility on [DATE] with diagnoses that included left femur fracture, multiple sclerosis, muscle weakness, and hemiplegia affecting left side. Review of a Minimum Data Set (MDS) assessment for R401, with a reference date of 7/19/24, revealed a Brief Interview for Mental Status (BIMS) score of 13/15 which indicated intact cognition. On 10/15/24 at 1:15 PM Registered Nurse (RN) B was interviewed and said R401 had an X-ray ordered due to complaints of left arm pain after being lowered to the ground during a shower on 10/10/24. The X-ray…
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.
- Potential for harm · Fcited before2024-05-31 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting the facility's total census of 172 residents who receive meal services. Findings include: 1. On 5/30/24 between 10:12 AM, and 10:40 AM, the following non-food contact surfaces in the kitchen were observed soiled and with visible debris on their surfaces: On the ventilation filters above the fryer. On the grates of the flat top grill. On the sides of the oven On the oven's stainless steel backsplash. Upon observation the surveyor inquired with Dietary Manager, staff A, on if they thought these areas were being cleaned timely and sufficiently to which they replied, not like I thought. These noodles are from a soup made yesterday. I'll talk to the cook about this. On 5/30/24 at 11:25 AM, the surveyor requested a copy of the kitchen's cleaning policy to review. On 5/30/24 at 10:32 AM, the number ten can opener's cutting blade at the cook prep station 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.
- Potential for harm · Fcited before2024-05-31 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake 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 provide a safe, functional, and sanitary environment for the facilities census of 172 residents and its staff resulting in an increased potential for harm. Findings include: On 5/30/24 between 1:32 PM, and 2:11 PM, during an environmental tour of the facility with Environmental Services Manager, Staff C, the following observations were made: All dryers in the laundry room were observed with a variety of melted/baked on debris varying in color and texture on the interior drums of the units. Upon observation the surveyor inquired with Staff C on the current state of the interior of the dryers to which they stated, it's supposed to be caught when they are being sorted for anything like this. I'll talk to them about this. An accumulation of dust and debris was observed on the flooring in the first and second floor's clean linen storage closets. Upon observation the surveyor inquired with Staff C on the current state of the storage closets to which they stated, we'll get this vacuumed up, and make sure we are looking at these…
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.
- Potential for harm · E2024-05-31 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
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 maintain an effective pest control program to ensure that the facility is free of pests, resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 172 residents. Findings include: On 5/30/24 at 11:43 AM, live flies and ants were observed underneath the designated hand washing sink in the first floor's kitchenette. Upon observation the surveyor inquired with Dietary Manager, staff A, if they were aware of a pest issue in the facility to which they replied, no, that's not my department, I'd have to talk to maintenance about this. At this time the surveyor requested the facility's pest control policy to review to which staff A responded, the front desk has a book. On 5/30/24 at 1:23 PM, upon interview with Maintenance Director, staff B, on if they were aware of any pest concerns in the building they stated, no. I usually never see the technician because they arrive before my day starts. I believe it's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2024-05-31 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to assess a resident (R52) for self-administration of medications resulting in medications left at the resident's bedside. Findings Include: During an observation on 5/29/24 at 10:50 AM, upon entering R52's room, two medications were seen in a clear medicine cup on the resident's bedside table. During an interview on 5/29/24 at 10:51 AM, it was reported by R52 that the nurses sometimes leave the medications on the table if I am sleeping, and I take them when I wake up. Record review of R52's electronic medical record (EMR) revealed no assessment or physician's order to self- administer medications. Further review of R52's EMR revealed admission to facility on 12/6/22 with a primary diagnosis of chronic obstructive pulmonary disease (COPD). According to a Brief Interview of Mental Status (BIMS) dated 3/12/24, R52 had intact cognition with a score of 15/15. During an interview on 5/29/24 at 11:00 AM with Licensed Practical Nurse (LPN) D, it was reported that medications should not be left at the bedside. During an…
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.
- Potential for harm · D2024-05-31 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 that the Pre-admission Screening and Resident Review (PASSARR) Level I determination (DCH-3877 and/or DCH-3878) was reviewed, revised, and sent to the Local Community Mental Health Services Program (CMHSP) for a Level II OBRA (Omnibus Budget Reconciliation Act) evaluation for one resident (R150) of five residents reviewed for PASSARR, resulting in the potential for unmet mental health services. Findings include: On 5/29/2024 at 2:09 p.m., a review of R150's medical record documented the resident was initially admitted into the facility on 7/21/2023 and readmitted on [DATE] with diagnoses that included excoriation (skin picking) disorder, undifferentiated schizophrenia, adjustment disorder with mixed disturbance of emotions, and conduct, depression, and attention-deficit hyperactivity disorder. According to the annual MDS assessment dated [DATE], the resident was cognitively intact with a BIMS (brief interview for mental status) score…
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.
- Potential for harm · D2024-03-22 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00142899. Based on interview and record review the facility failed to prevent the use of inappropriate language during care to one resident (R916) out of three residents reviewed for abuse. Findings include: Record review of Incident Report dated 2/11/2023 (actual date 2/11/2024) documented, On 2/12/24 at approximately 2:56 pm C.N.A. (Certified Nursing Assistant) (E) notified the Executive Director that on the prior shift, while she was working with (CNA F), (CNA E) indicated that she witnessed (CNA F) on last rounds enter into room (XXX) to check on (R916) and see if she was clean and dry. (CNA E) indicated that she witnessed (R916) became combative during care and scratched (CNA F). (CNA F) stated I am tired of you fucking scratching me. I am not doing this shit; I am trying to go home. Further review of the same document noted, . Conclusion: Based on interviews and statements, the facility can conclude that (CNA F) used profane language in front of R916 . Record review…
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.
- Potential for harm · D2024-03-22 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation has two deficient practice statements. Deficient Practice Statement #1. This citation pertains to intake MI00142978. Based on interview and record review the facility failed to develop/implement a care plan for one resident (R917) out of three residents reviewed for care interventions for psychotropic medications. Findings Include: Record review of R917's electronic medical records revealed admission into the facility on 8/25/23 with a pertinent diagnosis of dementia. According to the Minimum Data Set (MDS) dated [DATE], R917 had impaired cognition and required assistance with Activities of Daily Living (ADLS). Record review of Physician orders documented, Seroquel Oral Tablet 25 MG (antipsychotic) Give 0.5 tablet by mouth at bedtime for mood disorder. Start date 8/16/23. Record review of R917's care plans revealed no documentation or implementation of interventions to assess or monitor resident's progress or side effects of taking a psychotropic medication. Further review of Medication…
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.
- Potential for harm · D2024-03-22 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 Based on interview and record review the facility failed to ensure complete and accurate documentation was maintained in an Electronic Health Record (EHR) for one resident (R916) of three residents reviewed for accurate medical records resulting in inaccurate and incomplete medical records with inadequate care delivery. Findings include: Record review of R916's Electronic Medical Record (EMR) revealed admission into the facility on 5/12/19 with most recent readmission on [DATE] with pertinent diagnosis of paraplegia. According to the Minimum Data Set (MDS) dated [DATE] R916 had severe impaired cognition and required substantial assistance with Activities of Daily Living (ADLS). Record review of the May 2024 Treatment Administration Record (TAR) with ADON A revealed documentation that Registered Nurse (RN) B performed wound care on 5/13/24 and 5/14/24. On 5/15/24 at 11:50 AM RN B was interviewed about R916's wound care and stated, I didn't perform wound care on 5/14/24 but documented that I did. RN B said that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-05-02 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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) effectively clean and maintain food service equipment, and (2) clean and maintain food service flooring surfaces effecting 185 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage. Findings include: On 04/25/23 at 09:40 A.M., an initial tour of the food service was conducted with Assistant Food Service Director A. The following items were noted: The True two-door reach-in refrigerator interior storage racks (1 of 6) were observed etched, scored, and corroded. The 2017 FDA Model Food Code section 4-501.11 states: (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. (B) EQUIPMENT components such as doors, seals, hinges, fasteners, and kick plates shall be kept intact, tight, and adjusted in accordance with manufacturer's specifications. (C) Cutting or piercing parts of can openers shall be kept sharp to minimize the creation of metal fragments that can contaminate FOOD when 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.
- Potential for harm · F2023-05-02 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespreadHave a plan that describes the process for conducting QAPI and QAA activities.
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 the Quality Assurance and Performance Improvement (QAPI) program prioritized or implemented actions to address restorative therapy services resulting in no development or performance improvement activities for Restorative Therapy (RT) programs for residents residing in the facility for the last year. Findings include: On 5/02/23 at 2:38 PM during an interview with the Nursing Home Administrator (NHA) she said the facility's QAPI program met every month and were able to self-identify issues the facility may have and solve any deficiencies through this process. A review of the QAPI agenda meeting notes from December 2022 through April 2023 revealed the 'Restorative Therapy' section had N/A, no residents documented. There were no additional notes in the 'Restorative Therapy' section to indicate or identify how these services would be delivered to residents. When asked about the facility's Restorative Therapy (RT) program the NHA said, The facility doesn't have a restorative program. We haven't had a restorative program…
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.
- Potential for harm · Fcited before2023-05-02 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake 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 185 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased interior air quality. Findings include: On 04/26/23 at 09:40 A.M., A common area environmental tour was conducted with Maintenance Director B. The following items were noted: Basement: Family Room: The Frigidaire microwave oven interior was observed soiled with accumulated and encrusted food residue. Occupational/Physical Therapy: (Therapy Apartment) Five 24-inch-wide by 24-inch-long acoustical ceiling tiles were observed stained from previous moisture exposure. Maintenance Director B indicated he would have staff replace the stained ceiling tiles as soon as possible. Beauty Shop: Seven 24-inch-wide by 24-inch-long acoustical ceiling tiles were observed stained from previous moisture exposure. Clinic: Three 24-inch-wide by 24-inch-long acoustical ceiling tiles were…
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.
- Potential for harm · Dcited before2023-05-02 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 Based on observation, interview and record review, facility staff failed to report to the administrator an allegation of resident mistreatment for one Resident (R830) of 37 residents reviewed for abuse resulting in inadequate reporting of resident mistreatment and a delay in follow up. Findings include: During an interview with R830 on 4/25/23 at 11:18 AM R830 stated, An aide was rude to me during my first week at the facility. I used my call light to ask for ice water. The aide came in and dropped off my ice water on my bedside table. When I asked what about something else (R830 was unable to recall what the 'something' else was during the interview) the aide said, 'talk to the hand', and gave me the hand while walking out the door. When asked how that made you feel, R830 reported, I was upset and angry and I don't want that aide again . I don't deserve to be treated that way. I called because I needed help, that's why I'm here. R830 was asked if they reported the incident to anyone. R830 stated, I reported 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.
- Potential for harm · D2023-05-02 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 provide a restorative program consisting of lower extremity range of motion and walking in one Resident (R4) of 37 reviewed for restorative care resulting in the potential for a decline in the ability to walk, lower extremity weakness and falls. Findings include: On 4/26/23 at 11:45 AM, R4 was observed dressed and sitting in a wheelchair in a hallway. When asked do you have any concerns with your care, R4 responded, I'm not getting therapy, or any exercises and I want to get ready to go home. When asked how he felt when he missed his exercises he stated, I get frustrated because I want to get strong and walk. On 4/26/23 at 2:45 PM, R4 was observed self-propelling in a wheelchair from the dining hall to room. In an interview with the Nursing Home Administrator (NHA) on 4/26/23 at approximately 2 PM when queried about the restorative program she stated, We currently do not have specialized restorative services at the moment because we have…
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.
“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.
- 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.
Fines & penalties
$8,408 in federal fines across 1 penalty.
- $8,408 — penalty dated 2025-04-17
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to LIFE CARE CENTERS OF AMERICA — 194 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.4 | +0.6 vs chain |
| Health inspection | 4 of 5 | 2.8 | +1.2 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 193 homes this chain runs (chain average 3.4★, per CMS)
Showing 40 of 193; lowest-rated first.
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 / manager | Type | Role | Since |
|---|---|---|---|
| LIFE CARE AFFILIATES II | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; GENERAL PARTNERSHIP INTEREST; ADP OF THE SNF | since 05/07/2004 |
| PRESTON, FORREST | Individual | DIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST; ADP OF THE SNF | since 02/08/1988 |
| DEVELOPERS INVESTMENT COMPANY INC | Organization | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | since 06/01/1993 |
| JECU, OANA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 01/27/2016 |
| LONG, ZOFIA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 07/01/1999 |
| PEEPER, MICHELLE | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/13/2025 |
| LAY, LISA | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 02/09/2018 |
| SWANKER, RICHARD | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2022 |
| CROSS, CINDY | Individual | CORPORATE OFFICER | since 04/21/1994 |
| HENRY, TERRY | Individual | CORPORATE OFFICER | since 08/16/1999 |
| THURMOND, JOAN | Individual | CORPORATE OFFICER | since 09/21/2000 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/13/2025 |
| RIVERVIEW MEDICAL INVESTORS LIMITED PARTNERSHIP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/01/1988 |
| FLETCHER, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| GUPTA, BALDEV | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/28/2025 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| ZIEGLER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
CMS files one row per role, so the 33 rows in the source record cover these 17 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.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 77% 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 $3.9M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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
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.
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 235297. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-01, 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.