Regency at St. Clair Shores

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

60.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 344 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.8% 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 145 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 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 146 beds and averages 136.1 residents a day — about 93% occupied, or roughly 10 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 3.36 hrs/resident/day on weekends vs 3.76 on weekdays — 10% thinner on weekends. RN hours go from 0.62 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 19% 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.

29 citations, most serious first. The 12 most serious are shown; the remaining 17 are one tap away and print in full.

• Actual harm · Gcited before2024-01-03 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This intake pertains to Intake MI00138670. Based on interview and record review, the facility failed to timely implement interventions or properly treat an existing pressure injury for one resident (R700) out of three reviewed for wounds, resulting in the hospitalization for debridement of the wound. Findings Include: A review of an Intake called into the State Agency noted the following, .Complainant states that facility neglected to properly treat the bedsore .complainant states the bedsore got progressively worse and the size of a grapefruit. Complainant states on [date] the resident was sent to the hospital for debridement . A review of the medical record revealed that R700 admitted into the facility on 5/12/2023 with the following diagnoses, Multiple Sclerosis and Dysphagia. A review of the Minimum Data Set assessment revealed a Brief Interview for Mental Status score of 12/15 indicating a slightly impaired cognition. R700 also required extensive two-person assist with bed mobility and transfers. Further…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00140941 Based on interview and record review, the facility failed to provide two-person assistance during care for one resident (R712) out of one reviewed for falls, resulting in a fall from bed and death. Findings Include: A review of an incident and accident report dated [DATE] revealed the following, Nursing Description: CENA (Certified Nursing Assistant) was in Resident's room to provide care. While CENA was at the sink [they] heard a loud thump. CENA went back to Resident's bed and saw that [R712] was lying on the floor. CENA informed Writer that Resident was on the floor. Writer observed Resident lying on the floor on [their] right side on the left side of [their] bed with [their] head slightly under the bed frame. Writer asked Resident did [they] roll out of bed on [their] own, Resident stated yes with a head shake. Prior to fall, Resident was last seen at approximately at 2:00 am lying in [their] bed sleeping with call light within reach. Resident Description: Writer…

  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 · Past Non-Compliance
• Potential for harm · Fcited before2025-08-06 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 respond to call lights in a timely manner for 11 residents (R47, R110, and a confidential group of nine residents) out of 11 residents reviewed for call lights. Findings include: R110 On 8/4/25 at 10:03 AM, R110 revealed “This place is short of help on nights, everyone knows we are short, it doesn't get better, it gets worse, not recently getting showers”. R110 further revealed once they were in bed, no one checked on them all night. R110 further explained when they put on their light, staff would take a long time to come, then turn it off and go out without addressing their needs. R110 reported finally in the morning the staff got them up. On 8/4/25 at 2:15 PM, another resident approached and indicated they were looking for a surveyor. This resident then related that on the weekend, R110, was calling out very early in the morning around 5:45 AM. This went on for quite some time when that resident finally got up to see what the problem…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to treat one resident (R24) of one resident reviewed with dignity and respect. Findings include: On 8/05/2025 at 9:30 AM, the surveyor was standing at the Station 1 Unit C nurse's station when R24 stopped and engaged in conversation and asked for two cups of ice from the surveyor. R24 was advised to ask an unidentified staff member, later identified as Licensed Practical Nurse A (LPN A) for assistance as she sat at the nurse's station looking at her phone. On 8/05/2025 at 9:32 AM, R24 was observed wheeling toward LPN A, and politely asked her for two cups of ice. LPN A appeared visibly annoyed by R24's request by barely providing eye contact with the resident and sounded curt and dismissive as she indicated that someone else would be around for them to obtain the request. R24 rolled away from LPN A as they waited for another staff member to appear and assist them.On 8/05/2025 at 9:34 AM, the surveyor approached LPN A and asked her why she…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to develop or revise care plans for two residents (R11, and R13) of three residents reviewed for care plans. Findings include:R11On 8/4/25 at 10:47 AM, R11 was observed to have a PEG (Percutaneous Endoscopic Gastrostomy [feeding tube]), visible under their t-shirt. R11 indicated it was currently not being used. A review of the Electronic Medical Record (EMR) revealed R11 was admitted to the facility on [DATE] with the following relevant diagnoses: Myasthenia Gravis (autoimmune disorder causing weakness in voluntary muscles, affecting communication between nerves and muscles), Moderate Protein Calorie Malnutrition, Renal Dialysis, Dysphagia (difficulty swallowing), and Gastrostomy Insertion (PEG tube). Further record review revealed a Brief Interview for Mental Status (BIMS) score of 15/15 indicating intact cognition. R11 required supervision/touching assistance for Activities of Daily Living (ADLs). R11 was independent with mobility using a…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-06 · 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 observation, interview, and record review, the facility failed to provide psychotropic medications in a timely manner for one resident (R80) of one reviewed for pharmacy services. Findings include: On 8/04/2025 at 2:10 PM, R80 was observed in their room and asked about their time spent in the facility. R80 explained they are prescribed a lot of medications, and their guardian had expressed concerns about them not obtaining a shot when they were supposed to.A review of R80's medical record revealed they were admitted into the facility on 4/11/25 with diagnoses that included Schizoaffective Disorder, Anxiety Disorder, and Other Recurrent Depressive Disorders. Further review revealed the resident was cognitively intact and required supervision for activities of daily living (ADL's).Further review of R80's medical record revealed the following: Abilify Maintena (extended-release psychotropic injection is used to treat Schizophrenia and Bi-Polar Disorder) Intramuscular Prefilled Syringe 400 MG (milligrams) Inject 400 mg intramuscularly one time a day starting on the 19th and…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-29 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to Intakes MI00153087 and MI00153316. Based on observation, interview, and record review the facility failed to prevent incidents of misappropriation of narcotic pain medication for four residents (R901, R902, R903, R904) of four residents reviewed for misappropriation of property. Findings include: A review of a complaint submitted to the State Agency (SA) revealed the following, .The first few nights [R901] was a resident [at] this facility [they] complained about not receiving medication. When I had the phone conference with the social workers. I believe someone in the room indicated that [R901] was given meds at 9pm and again 5am. But doses was [were] missing in between those times .May 14th [R901] called indicating, [they hadn't] received pain medicine since 5 PM the previous day, which was May 13th . The nurse indicated that they have to put in a request for more medication . R901 On 5/29/25 at 9:17 AM, R901 was interviewed via phone and explained that following back surgery, they were admitted into the facility with severe pain, which was not resolved…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-15 · 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

  This citation is pertaining to Intake MI00151818. Based on interview and record review, the facility failed to schedule and coordinate follow up appointments as recommended for one resident (R700) of one resident reviewed for coordination of care. Findings include: A record review on 4/15/25 revealed R700 was admitted into the facility on 3/12/25 with diagnoses that included Malignant Otitis Externa (unspecified ear), Acute Osteomyelitis, Cholesteatoma of External Ear, Chronic Obstrctive Pulmonary Disease and Heart Failure. Per the clinical discharge summary from the hospital, it was recommended R700 followup with physician for Otolaryngology (ear specialist) Surgery within 3-7 days and Urology (for urinary retention) within one week. Further review with nursing staff about the process of following up with appointments revealed the scheduler/central supply person (Staff A) is responsbile for making the appointments. Further record review revealed on 4/1/25, R700 was discharged to hospital per family request due to bleeding from nose and ears. On 4/15/25 at 12:15 PM, an interview…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00146820. Based on observation, interview and record review, the facility failed to ensure resident safety for one (R800) of one resident resulting in a fall with bruising. Findings include: R800 was admitted [DATE] with medical diagnoses of hypertension, cerebral vascular accident (stroke) with left hemiparesis, cerebral edema, falls, seizure disorder, hyperlipidemia, left auricular hematoma, obesity, osteoarthritis, and coronary artery disease. R800's Basic Interview for Mental Status is a 12/15 indicating moderate cognitive impairment. On 9/11/24 at 10:23 AM, a phone call to the (Patient Representative) PR, revealed R800 sustained bruising of head, ribs, and elbow without any permanent injuries. The PR further revealed R800 was also found to have pneumonia and a urinary tract infection. The PR revealed R800 had fluid removed from lungs and was on antibiotics for the urinary tract infection. The PR further revealed R800 was now residing in an alternative facility. A 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2024-06-27 · 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 observation, interview, and record review, the facility failed to ensure a comprehensive care plan for an abdominal drainage tube was initiated within 48 hours of admission for one (R340) of one residents reviewed for care plans. Findings include: On 6/25/2024 at 9:20 AM, observed R340 sitting bedside in a wheelchair in a private room. R340 was noted with an ostomy bag showing from the bottom of the resident's shirt. R340 also had a drainage tube from the mid lower abdomen connected to a drain (a collection device that provides continuous suction to remove excess fluid). The collection device was hanging on R340's walker. On 6/25/2024 a record review revealed there was not a physician order or comprehensive care plan that included care of the drainage tube. On 6/26/2024 at 12:11 PM, R340 revealed the ostomy bag was changed last night but the drainage bag was not emptied. On 6/27/1014 at 11:35 AM, R340 related their drain had not been emptied until they emptied it at 4 PM last evening. On 6/27/2024 at 12:00 PM an interview with the DON revealed the expectation that the drain…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-27 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 a resident was involved in they're plan of care and care conference meetings for one (R20) out of one residents reviewed for care planning meetings. Finding include: On 06/25/24 at 10:14 AM, R20 stated, they have a guardian they have never met, and they don't know how long they've been in the facility or what their plan of care is. R20 was asked if they had ever attended their care conferences. R20 explained they don't know anything about care conferences and they have never attended. On 06/26/24 at 1:15 PM, during the resident council meeting R20 indicated again they are not sure who their guardian is and they don't know what happened to their apartment and belongings before coming to the facility. R20 also indicated they don't have access to their money or able to purchase things they may need. On 06/27/24 at 7:57 AM, R20 was observed in bed. R20 was observed indicated they had a new piece of paper on their overbed table 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide timely incontinence care for dependent residents resulting in moisture associated skin damage (MASD) for one (R110) out of one resident reviewed for incontinence care. Findings include: R110 On 06/25/24 at 1:13 PM, R110 was observed lying in bed on their back. An interview was conducted with R110 at that time. R110 explains they previously had a left leg amputation and cannot walk. R110 states the staff will only occasionally get them up into a chair but even when they do get them out of bed they leave them sitting up for a long period of time. R110 explains they developed a fungal rash on their buttocks from being left wet. R110 explained that wound care sees them once per week and ordered a powder and a cream for the rash but explained the staff cannot find the powder or the cream so they have not been using it. R110 explained they had to buy their own cream and keep it in their drawer. R110 explained the midnight shift does not check on them until 5:30 in the morning. On 06/26/24 at 08:36 AM and at…

  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

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

Fines & penalties

$22,874 in federal fines across 1 penalty.

• $22,874 — penalty dated 2024-01-03

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 CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 5 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.

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.

This home reported $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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