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Maple Manor Rehab Center

3999 Venoy Road, Wayne, MI 48184 · For profit - Individual · 59 certified beds · (734) 727-0440 Medicare & Medicaid certified

Call the home — (734) 727-0440 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (67%) runs well above the national median (45%)

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4020 Venoy Rd · (734) 729-6710 · Call to confirm hours
Pharmacy
4020 Venoy Rd · (734) 729-2882 · Call to confirm hours
Grocery
Ab Market0.6 mi
4568 Howe Rd · (734) 729-0750 · Call to confirm hours
Park
Forest Ave · Typically dawn to dusk
Place of worship

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 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 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 held steady at 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.2%10.8%15.4%better
Long-stay residents who lose too much weight0.0%5.4%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder9.5%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms0.0%4.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.8%3.0%3.3%better
Long-stay residents on antianxiety or hypnotic medication11.7%19.4%18.9%better
Long-stay residents given the seasonal flu vaccine60.0%95.0%95.3%worse
Long-stay residents with pressure ulcers7.6%5.1%4.7%worse
Long-stay residents with worsening bladder/bowel control0.9%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table25.0%14.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication4.0%1.1%1.4%worse
Short-stay residents given the seasonal flu vaccine63.2%79.5%79.4%worse
Short-stay residents rehospitalized after admission41.5%24.0%22.6%worse
Short-stay residents with an outpatient ER visit24.6%11.7%12.0%worse

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

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

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

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

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

57.8% 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 95 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.8%U.S. median 51.5%
Got home and stayed home
13.4%U.S. median 10.7%
Went back to hospital
57.6%U.S. median 56.6%
Met the expected recovery
0.57U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.32hours / resident / day
Occupational therapy

Met the expected recovery: 57.6% 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 33 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 0.57 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

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

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.8%CMS range 50.4–66.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.4%CMS range 9.6–18.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge57.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge66.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge66.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified94.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 3.9–13.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.77
RN hours/ resident / day
1.54
LPN hours/ resident / day
3.03
Aide hours/ resident / day
5.34
Total nurse hours/ resident / day
0.79
RN hoursweekends
66.7%
Total nursing turnover
55.6%
RN turnover

How full it usually is: this home is certified for 59 beds and averages 32.6 residents a day — about 55% occupied, or roughly 26 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.34 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.03 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.14 hrs/resident/day on weekends vs 5.43 on weekdays — 5% thinner on weekends. RN hours go from 0.77 to 0.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above 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

6
deficiencies at the latest standard inspection (2025-07-17)
6
at the previous standard inspection (2024-09-27)

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.

ABCDEFGHIJKL

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

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

  • Potential for harm · Dcited before2025-07-17 · 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 update the care plan for one (R4) of one resident reviewed for care plans to include R4's pressure ulcer or prescribed interventions. On 7/16/2025 at 9:03 AM, R4 was observed sitting up in bed awake and alert with some confusion. There was no pressure relieving mattress in place or other pressure relieving measures observed. R4 consented to receiving incontinence care from CNA (certified nursing assistant) C. During care, a dime-sized shallow crater-like opened area was observed on the resident's coccyx area. There was dried white cream observed to be covering the surrounding area. CNA C reported the resident developed the pressure ulcer a couple weeks ago and a cream was being applied to the area. Registered Nurse (RN) D entered the resident's room and confirmed the resident's pressure ulcer developed in the facility. RN D reviewed R4's Electronic Health Record (EHR) but could not provide any documentation to support R4 had a care plan…

    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 before2025-07-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure adequate delivery of activity of daily living (ADL) care for two residents (R9 and R23) out of three residents reviewed for hygiene resulting in unkempt facial hair and overgrown fingernails.R9 On 7/15/2025 at 11:50 a.m., R9 was observed in the therapy room with long facial hair and long dirty untrimmed fingernails. R9 was not available for interview. On 7/16/2025 at 10:24 a.m., R9 was observed with long facial hair and long dirty untrimmed fingernails. During the interview the resident confirmed not being asked to get shaved not even on scheduled shower days and been wanting to be shaved and to have nail care provided. The resident said before coming to the facility his beard and mustache were trimmed neat. R9 stated, I was waiting for someone to cut my facial hairs.” According to the electronic medical record, R9 was admitted to the facility on [DATE] with diagnoses of hypertension, idiopathic peripheral autonomic neuropathy (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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-17 · 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 Based on observation, interview, and record review the facility failed to implement pressure ulcer care for one (R4) of one resident reviewed for pressure ulcers resulting in R4 developing a stage two pressure ulcer (open sore, partial thickness loss of skin, presents as shallow crater) on the coccyx when prescribed pressure ulcer skin treatments that included a Low-Air-Loss (LAL) mattress were not implemented.On 7/16/2025 at 9:03 AM, R4 was observed sitting up in bed awake and alert with some confusion. There was no pressure relieving mattress in place or other pressure relieving measures observed. R4 consented to receiving incontinence care from CNA (certified nursing assistant) C. During care, a dime-sized shallow crater-like opened area was observed on the resident's coccyx area. There was dried white cream observed to be covering the surrounding area. CNA C reported the resident developed the pressure ulcer a couple weeks ago and a cream was being applied to the area. Registered Nurse (RN) D entered 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-17 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to accurately record the use of an antibiotics for 1 of 1 resident (R1) on the facility's antibiotic surveillance log resulting in R1's use of antibiotics from 3/26/25 - 5/23/25 not recorded on the facility log and an incorrect facility infection rate for the months April, May, and June of 2025. On 7/17/25 at 10:01 AM the facility's Infection Prevention Control Program was reviewed with Registered Nurse and Infection Preventionist (RN) G. Antibiotic Stewardship was reviewed for R1.According to R1's Electronic Health Record (EHR), R1 admitted to the facility with diagnoses that included Urinary Retention and required a supra-pubic catheter (flexible tube surgically inserted through the lower abdomen into the bladder to drain urine). On 3/18/25 R1 was diagnosed with a UTI (urinary tract infection). A Urologist prescribed the following antibiotic: Macrobid 100 mg (milligrams) twice a day for 7 days and then Macrobid 50 mg once a day for 90 days. A review of R1's Medication Administration Record (MAR) from 3/18/25 through 6/25/25…

    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 · D2025-07-17 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 provide the influenza and pneumococcal immunizations/vaccines for one (R4) of five residents resulting in R4 not receiving these immunizations/vaccines that were consented to in January 2025. On 7/17/2025 at 11:00 AM the facility's Infection Prevention Control Program was reviewed with Registered Nurse and Infection Preventionist (RN) G. Immunizations/vaccines were reviewed for R4.According to R4's Electronic Health Record the resident admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease. On 1/7/2025 the resident and the resident's Legal Guardian (LG) signed consents for the resident to receive the pneumococcal and influenza vaccines. There was no documentation to support the resident received those vaccines.RN G was queried and said, The resident was screened and determined to be eligible for both the pneumococcal and influenza vaccine but did not receive either one of those vaccines. It was missed. They should 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-17 · tag F0887 — isolated
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 provide the Covid-19 vaccine for one (R4) of five residents resulting in R4 not receiving the Covid-19 vaccine that was consented to in January 2025. On 7/17/2025 at approximately 11:00 AM the facility's Infection Prevention Control Program was reviewed with Registered Nurse and Infection Preventionist (RN) G. Immunizations/vaccines were reviewed for R4.According to R4's Electronic Health Record, the resident admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease. On 1/7/2025 the resident and the resident's Legal Guardian (LG) signed a consent for the resident to receive the Covid-19 vaccine. There was no documentation to support the resident had received the Covid-19 vaccine.RN G was queried and said, The resident was screened and determined to be eligible for Covid-19 vaccine. It was missed. They should have received the Covid vaccine. I have no excuse. RN G confirmed it was the facility's policy to screen, educate, 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-05 · tag F0624 — isolated
    Prepare residents for a safe transfer or discharge from the nursing home.
    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 MI00149794. Based on interview and record review, the facility failed to ensure adequate discharge planning was in place for one resident (R400) of three residents reviewed for discharge planning, resulting in R400/representative not educated on the administration of an injectable anticoagulant (a highest-risk medications used thin blood and prevent blood clots), the potential for medical complications (bleeding) and hospitalization. Findings include: Review of the intake complaint, Hospital Social Worker A revealed the following: Complaint states (they are) a social worker at (Hospital) where resident (R400) is currently at. (Hospital Social Worker A) states resident (R400) was discharged from facility on 1/25/25 with a bottle of heparin (anti-coagulant, believed to prevent blood clots) and syringes without any explanation as to how to use the medication. (Hospital Social Worker A) states this medication is usually administered by a nurse. (Hospital Social Worker A) states…

    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 · Fcited before2024-09-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to remove expired, undated, unlabeled food from the kitchen walk-in cooler, freezer, pantry and resident refrigerators. This deficient practice had the potential to affect all the residents who consumed food from the kitchen and resident refridgerators, resulting in the increased potential for food borne illness. Findings include: On 9/25/24 beginning at 8:45 AM, the initial tour of the kitchen was conducted with Dietary Manager (DM) A. During the tour, the following items were observed in the walk-in cooler: - a box of opened moldy bell peppers undated - two bags of mixed salad rotten undated. - a tub of white onions undated - a box of single serving sour cream undated no expiration date The following item was observed in the kitchen freezer: -a frozen 20-ounce bottle of red pop. DM A said staff items do not belong in this fridge/freezer. The following was observed in the pantry: - an opened 26-ounce bottle of honey with expiration date of 8/24/24. DM A agreed all items should be labeled, dated and expired…

    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 · F2024-09-27 · 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

    Based on interview and record review, the facility failed to establish a comprehensive Infection Control Program that conducted proper facility-wide surveillance and consistently reviewed microbiology summary reports. Findings include: On 9/27/24 beginning at 11:35 AM, the facility's infection control program was reviewed with Infection Preventionist (IP) F and the Interim Director of Nursing (I-DON) and the following was noted: 1. When queried about a list of diseases that may occur that are to be reported to state and local health departments, IP F stated, I don't have a list. 2. When queried about a staff call-in log that documents staff's reasons for calling in, IP F stated, I don't look at the nurse call-in log. IP F added that sometimes the nurse will inform her if the employee calls in sick with symptoms, but this information is not documented or tracked. The I-DON said staff call-ins should be tracked so we know if there is an infection brewing or starting. This information can be used to monitor the residents that the staff have taken care of. 3. The microbiology summary…

    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 · D2024-09-27 · tag F0554 — isolated
    Allow 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 for self-medication administration prior to leaving medications at bedside for one resident (R12) out of two residents reviewed during medication administration. Findings Included: Resident #12(R12) Review of the medical record demonstrated R12 was admitted to the facility 06/25/2023 with diagnoses that included congestive heart failure, hypertension, cardiomyopathy (disease of the heart muscle that makes it hard for the heart to pump blood), atrial fibrillation, venous insufficiency, chronic obstructive pulmonary disease (COPD), and Gout (build up of uric acid in bone joints). The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/16/2024, demonstrated a Brief Interview for Mental Status (BIMS) of 15 (cognitively intact) out of 15. During medication administration on 09/26/2024 at 07:30 a.m. Registered Nurse (RN) I was observed preparing medication to be given to R12. RN I explained that R12 had medication at beside that she administered on her own. RN I explained…

    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
Show the remaining 10 citations
  • Potential for harm · D2024-09-27 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 1. Properly secure protected health information for one resident (R29) out of one resident reviewed for privacy of medical information, resulting in the potential for unauthorized disclosure, access and modification 2. Provide a privacy curtain for one resident (R8) out of one resident reviewed for privacy resulting in resident dissatisfaction and a lack of privacy. Findings include: R29 On 9/25/24 at 3:46 PM a hallway facility computer screen was observed unlocked. The electronic health record (EHR) for Resident R29 was visible. Personal, identifiable information for R29 was observed accessible to multiple staff and visitors in the common area of the hallway. Certified Nursing Assistant (CNA) D was designated as logged into the unlocked computer. Upon returning to the computer screen CNA D was interviewed and said she walked away from the screen to answer a call and did not log out or close the screen. CNA D stated I should have logged…

    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 before2024-09-27 · 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 Activities of Daily Living (ADL's), including bathing/showering/shaving for one dependent resident (R1) out of two residents reviewed of ADL completion. Findings Included: Resident #1 (R1) Review of the medial record demonstrated R1 was admitted to the facility 06/27/2018 with diagnoses that included athetoid cerebral palsy (a movement disorder that causes involuntary muscle movements), hypertension, peripheral vascular disease (PVD) hyperlipidemia (high fat levels in the blood), abnormalities of gait and mobility, muscle weakness, and major depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/08/2024, demonstrated a Brief Interview for Mental Status (BIMS) of 15 (cognitively intact) out of 15. During observation and interview on 09/25/2024 at 01:31 p.m. R1 was observed lying in bed with facial hair stubble that appeared had not been shaved in several days. R1 explained that he would like to be shaved but the staff have not assisted him awhile. R1 explained…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-27 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to coordinate hospice services for one resident (R9) out of one resident reviewed for coordination of hospice services resulting in the potential for care not being provided to resident receiving hospice services and the potential for residents not to be fully informed of hospice services provided. Findings Included: Resident #9 (R9) Review of the medical record demonstrated R9 was admitted to the facility 07/09/2024 with diagnoses that included benign neoplasm (tumor that does not invade neighboring tissue or metastasize) of left kidney, type 2 diabetes, abnormal weight loss, pain, repeated falls, hyperlipidemia (high fat content in blood), hyponatremia (low sodium levels in blood), hypertension, chronic obstructive pulmonary disease (COPD), osteoarthritis (chronic disease that causes breakdown in cartilage), gout (high uric acid levels), hemiplegia (condition that cause partial or complete paralysis) affecting right side. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-10-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to: 1. Consistently document the dishmachine was operating properly; 2. Ensure expired food was not stored with active food stock; 3. Store food service equipment off the floor; 4. Effectively clean multiple surfaces in the kitchen (toasters, oven doors, oscillating fan); 5. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, kielbasa and pork loin; and 6. Ensure the walls and cove base of the walk-in freezer and door gasket of the walk-in freezer were in good condition and cleanable. These deficient practices had the potential to affect all the residents who consumed food from the kitchen, resulting in the potential for food-borne illness. Findings include: On 10/2/23 beginning at 10:05 AM, during a tour of the kitchen with Dietary Manager (DM) B the following was observed: DM B presented a document titled, Sanitizer Solution Log as the document used to record the sanitizing solution for the dish machine. A review of the September 2023 Sanitizer Solution Log documented 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 · F2023-10-04 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have 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 effectively develop and implement, and maintain a Quality Assurance and Performance Improvement (QAPI) program that was fully sustained during transitions in leadership and regularly reviewed and analyzed data, resulting in the potential for missed opportunities to identify and prevent deviations of care delivered to facility residents. Findings include: On 10/4/23 at beginning 2:06 PM, the facility's QAPI program was reviewed with the Nursing Home Administrator (NHA). During the past year, QAPI meetings were held on 10/5/22, 1/4/23, 4/5/23 and 7/5/23. In QAPI meetings we review high acuity concerns like abuse, medication errors, and falls. The NHA provided documentation that the facility received a 3-year accreditation from CARF (Commission on Accreditation of Rehabilitation Facilities) International on 8/31/23. The NHA said that Therapy Director (TD) C was primarily responsible for writing the CARF report. On 10/4/23 at approximately 2:37 PM, TD C said a goal achieved during the process of achieving CARF accreditation…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-10-04 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    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 equipment used in food service operation was maintained in good working order, resulting in the two-compartment sink not being protected against contamination from sewage or other sources of contamination and the accumulation of ice build-up in the walk-in freezer, potentially affecting all residents consuming food from the kitchen. Findings include: On 10/2/23 beginning at 10:05 AM, during a tour of the kitchen with Dietary Manager (DM) B, the following was observed: The drain line from the two-compartment prep sink was observed to not have the required minimum one-inch air gap (an unobstructed vertical space between the end of the sink drain line and the flood rim of the floor drain). Ice build-up, of at least an inch, was observed on the mechanicals (pipe carrying the outgoing freon, nut that separates the capillary tubes, and thermal expansion valve tube) of the walk-in freezer and mounds of ice had accumulated under the unit that houses the mechanicals of the freezer and on a box of frozen chicken…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · 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 implement a comprehensive care plan for aspiration precautions for one resident (R17) out of three residents reviewed for nutrition care plans, resulting in no established goals and interventions related to aspiration precautions. Findings include: On 10/2/23 at 12:21 PM, Resident #17 (R17) was observed in his bed receiving 1:1 feeding assistance by a Certified Nurse Aide (CNA). On 10/3/23 at 9:43 AM, two bottles of sparkling water were observed on R17's bedside table. On 10/3/23 at 9:49 AM, Registered Nurse (RN) L said R17's family said to give him pop of thin consistency. Review of the Face Sheet for Resident #17 (R17) documented an initial admission date of 8/5/23 and readmission date of 8/18/23. R17's diagnoses included unspecified bacterial infection, atherosclerotic heart disease, stage 3 chronic kidney disease, and age-related cognitive decline. A Minimum Data Set assessment dated [DATE] documented severe cognitive impairment,…

    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 before2023-10-04 · 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 revise a comprehensive care plan related to the actual development of a pressure ulcer for one resident (R17) of two residents reviewed for pressure ulcer care plans, resulting in missed opportunities to identify and implement interventions. Findings include: On 10/3/23 at 9:49 AM, the current wound dressing on Resident R17's (R17) left heel was observed with Registered Nurse (RN) L. Review of the Face Sheet for Resident #17 (R17) documented an initial admission date of 8/5/23 and readmission date of 8/18/23. R17's diagnoses included unspecified bacterial infection, atherosclerotic heart disease, stage 3 chronic kidney disease, and age-related cognitive decline. A Minimum Data Set assessment dated [DATE] documented severe cognitive impairment, extensive two-person assistance for bed mobility, R17 was at risk for pressure ulcer development, but had no Stage 2 or higher pressure ulcers. Current physician orders specified to apply thick zinc…

    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 · D2023-10-04 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure insulin was administered properly and according to physician's orders for one resident (R22) of one resident reviewed for insulin administration, resulting in the potential for hyperglycemia (elevated blood sugar level). Findings include: On 10/2/23 at 12:38 PM, Resident #22 (R22) was observed in the hallway outside of his room. R22 said he had completed eating his lunch but the nurse forgot to give him his insulin prior to eating. At 12:42 PM, R22 was observed speaking with the nurse and asked, I should get some insulin? The nurse replied, Yes. I took your sugar. I'll go get your insulin. On 10/2/23 at 12:45 PM, Licensed Practical Nurse (LPN) K said R22's blood sugar was 249 and he was supposed to receive two units of insulin. LPN K said R22 told her to come after he was finished eating. On 10/2/23 at 12:47 PM, R22 denied he requested that his insulin be administered after his meal. A review of the R22's Face Sheet documented 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 document weekly weights for one resident (R18) out of three residents sampled for nutrition, resulting in the potential for unmet care needs. Findings include: On 10/3/23 at 12:56 PM during an interview regarding R18's weekly weight monitoring, Nurse I was able to verify that R18's weights had not been taken since 7/31/23. Nurse I said R18's weights should have been put in weekly and that he would weigh her today. On 10/3/23 at 2:14 PM during an interview, RD (Registered Dietitian) J, said the residents' weights are collected monthly if the nursing staff misses the weekly weights. RD J said all residents have a standing order for weekly weights. RD J verified that R18's weekly weights stopped on 7/31/23 and R18 had not been weighed since. On 10/4/23 at 12:04 PM during an interview regarding expectations for documenting weekly weights as ordered, the DON said if the order for the resident is to have weekly weights taken, the nursing staff should weigh…

    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.

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
EVANGELISTA, MARCUSIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR10%since 05/01/2004
EVANGELISTA, STELLAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR90%since 05/15/2004

CMS files one row per role, so the 6 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$4.9M
Net patient revenuemost recent cost report
-8.9%
Operating marginrevenue minus expenses
$240K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 13%Other / private 87%

This home reported $240K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

$308per resident / day
operating cost
$9,360per month
≈ monthly operating cost
$283per day
avg. revenue, all payers

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

What families pay in MI

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235613. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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