The Villa at Traverse Point

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.

51.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.6% 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 63 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 96 beds and averages 80.5 residents a day — about 84% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 2.93 hrs/resident/day on weekends vs 3.98 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.86 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

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 unchanged from the previous inspection. 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.

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

• Potential for harm · Dcited before2026-04-07 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This deficient practice pertains to Intake 2808680.Based on interview and record review, the facility failed to obtain informed consent from the responsible party before prescribing a psychotropic drug to one Resident (#1) of three Residents reviewed for planning and implementing care.Findings include:Review of a complaint submitted to the State Agency (SA) on 3/19/26 read, in part: .[Resident #1] was admitted for intense physical therapy after sustaining a fall on the ice. During his stay [Resident #1] did not see the therapy room ONE time. he couldn't do anything because he was so drugged inappropriately.Resident #1 (R1)Review of R1's Electronic Medical Record (EMR) revealed initial admission to the facility on 1/30/26 with diagnoses including fracture of the fourth thoracic vertebra, encephalopathy (a disturbance of brain function causing confusion, memory loss and coma in severe cases), traumatic subarachnoid hemorrhage (a type of stroke characterized by bleeding between the brain and the membrane protecting it), and mild neurocognitive disorder.Review of a document titled,…

  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 · E2025-05-08 · tag F0808 — failed to follow doctor-ordered diets — pattern
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the correct therapeutic diet was prescribed for 4 Residents (#36, #43, #321, & #325) of 10 residents reviewed for nutritional concerns. This deficient practice resulted in the potential for unmet nutritional needs and the potential for health complications. Findings include: Resident #36 (R36) R36 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, hypertension, chronic kidney disease and history of a stroke. On 5/6/25 at 12:26 PM, the lunch tray for R36 was observed and included a tray card which read in part, Diet Order: Regular Texture, Consistent Carbohydrate, No Added Salt, Fluids thin. The tray included a packet of salt. Resident #43 (R43) R43 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus, atrial fibrillation, and chronic obstructive pulmonary disease. The physician orders included a diet order dated 7/19/24 of No Added Salt (NAS), regular texture, *Thin…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-08 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to obtain consent for an antipsychotic medication prior to initiation for one Resident #324 (R324) of five residents reviewed for antipsychotic medications. This deficient practice resulted in R324 not giving consent prior to initiation of medication. Findings include: Resident #324 (R324) Review of the Electronic Medical Record (EMR) revealed admission to the facility on 4/28/25 with active diagnoses that included bipolar disorder, type 2 diabetes mellitus, and unsteadiness on feet. R324 scored 15 of 15 on the Brief Interview for Mental Status (BIMS) assessment reflective of intact cognition. A review of physician orders included Haloperidol (antipsychotic) 10 mg . Give 1 tablet by mouth one time a day every Monday, Wednesday and Friday for bipolar diagnosis. Review of the Medication Administration Record (MAR) for April 2025 revealed R324 had received the antipsychotic medication on 4/30/25. Review of the MAR for May of 2025 revealed R324 received the antipsychotic medication on 5/2/25, 5/5/25, and 5/7/25. Review of the EMR…

  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 · F2024-06-11 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 food in a manner that was a palatable (preferable) temperature for 15 of 27 residents interviewed. This deficient practice resulted in frustration with meals and the potential for weight loss and diminished nutrition. Findings include: During an interview on 6/10/24 at 11:22 a.m., CR609 stated Often times the food is cold or cool CR609 stated I do ask them to warm up the food, but some food is rubbery when it gets warmed. During an interview on 6/10/24 at 11:30 a.m., CR610 was asked about the temperature and palatability of the food. CR610 stated the food is cold. During an interview on 6/9/24 at 3:13 p.m., CR614 was asked about the temperature and palatability of the food. CR614 stated the food is cold. During a confidential group interview on 6/10/24 at 2:00 p.m., 12 Resident who remained confidential per request (CR600, CR601, CR602, CR603, CR604, CR605, CR606, CR607, CR608, CR611, CR612, and CR613) of 27 residents agreed the food is not palatable due to cold temperatures of food. CR602 stated 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among any and all 76 residents. Findings include: On 6/9/24 between 1:10 PM and 2:00 PM, initial observations of the kitchen were made. During this period, two stainless steel pans of sliced ham steaks were observed sitting on a food preparation table. No staff were in the kitchen preparing food. Dietary Assistant (DA) C was in the dish washing room conducting dish washing and was interviewed at this time and asked the whereabouts of kitchen staff. DA C stated they were outside on break. The temperature of the ham steaks was measured with a metal stem digital probe thermometer and found to be between 54°F and 61°F. A pan of ham steaks observed in the walk in refrigerator was found to have a temperature of 48°F. During the same initial observations, 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-12-05 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop 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 Intake: MI00141230 Based on interview and record review, the facility failed to implement abuse policies to report and investigate allegations of abuse for one Resident (R2) of three residents reviewed for abuse. This deficient practice resulted in the delay of investigation and the potential for continued abuse for facility residents. Findings include: Review of R2's electronic medical record (EMR) revealed admission to the facility on [DATE] with diagnose including depression, weakness, and pain. R2's Annual Minimum Data Set (MDS) assessment revealed she scored a 10/15 on the Brief Interview for Mental Status (BIMS) score indicative of mild cognitive impairment. Review of R2's Activity of Daily Living (ADL) care plan dated 11/17/22 read, in part, .Toileting: Resident required total dependence for toileting, check and change, provide peri-care Date Initiated: 8/23/23. Transfers: Resident requires Total/Hoyer .date initiated 11/17/22 . Review of the complaint filed with the state agency on 11/30/27 read, in…

  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 · F2023-08-24 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  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 employ a dietary manger with the appropriate skills to carry out the food and nutrition services, as evidenced by the lack of having the proper credentials of a certified Dietary Manager (CDM) and being able to demonstrate adequate knowledge related to the operations of the kitchen. This deficient practice has the potential to create unsanitary conditions in the kitchen and result in menus which are inadequate for the dietary requirements of all 71 residents. Findings include: On 8/22/23 at approximately 10:30 AM, during the initial tour, Kitchen Manager (KM) A was interviewed related to certification as a dietary manager. KM A stated he was not a Certified Dietary Manager (CDM) but had recently taken the Serve Safe class. The following observations and interviews were made regarding determining KM As competency of the facility's kitchen manager: On 8/23/23 at approximately 11:41 AM Kitchen Manager (KM) A was observed as he entered the kitchen from the dining room, wearing gloves, then lifted the lid to 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-08-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to ensure staff person washed their hands after being potentially contaminated. 2. Failing to ensure the high temperature dish machine was being tested for proper sanitization of food contact surfaces. 3. Failing to properly cool potentially hazardous foods after cooking and before being served. 4. Failing to properly clean the exterior rind of melons prior to cutting and serving. 5. Failing to maintain kitchen/food service equipment in a sanitary manner. 6. Failing to ensure food brought in from outside the facility, for residents, was labeled and safe for consumption. 7. Failing to ensure the person in charge (PIC) was knowledgeable about food service sanitation issues in the kitchen. These deficient practices have the potential to result in food borne illness among any and all 71 residents of 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-08-24 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY B.) Based on observation, interview, and record review, the facility failed to ensure proper hand hygiene was performed during care provided for 3 of 4 residents reviewed for infection control practices. This deficient practice resulted in the potential for the development and spread of infection, and complications associated with infections. Findings include: This citation is related to intake #MI00138172. On 8/22/23 at approximately 10:30 AM, during entrance conference the infection control policies were requested from the Nursing Home Administrator (NHA). On 8/23/23 at 4:18 PM, a second request was made for infection control policies to the NHA. The policies requested were transmission-based precautions, infection surveillance, immunizations (influenza, pneumococcal, and Covid-19 for residents), antibiotic stewardship and over all infection control facility wide. Resident #17 (R17) On 8/24/23 at 8:06 AM, an observation was made of the NHA. The NHA was observed adjusting the catheter tubing of R17 off 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-08-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 MI00138612 Based on observation and interview, the facility failed to ensure a homelike environment, in 3 (R25, R16, and R45) of 18 residents reviewed for homelike environment, resulting in the potential for decreased quality of life. Findings include: R25 According to the Minimum Data Set (MDS) 6/29/2023, R25 scored 4/15 on her BIMS (Brief Interview Mental Status), was independent with her ADLs (activities-of-daily living), with diagnoses that included dementia, seizure disorder, and anxiety. During an observation on 8/22/2023 at 2:50 PM of R25's room, a sliding glass door that led out to an enclosed patio area. Outside of the sliding doors was a drainage grate covered with twigs, leaves and debris. Partially covering the grate was a sandbag. Laying waded on top of the sandbag was an old, wet, dirty towel. During an observation and interview on 8/23/2023 at 3:00 PM Maintenance C toured R25's room specifically looking at the outside of the sliding glass door and drainage grate.…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VILLA HEALTHCARE — 18 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 15 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.7M 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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