Regency at Westland
2209 North Newburgh Rd, Westland, MI 48185 · For profit - Corporation · 120 certified beds · (734) 522-1444 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $10,062 in federal fines (most recent 2023-09-13)
- about 18% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 19.2% | 10.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.2% | 5.4% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.9% | 0.8% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.9% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.6% | 3.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 19.2% | 12.0% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 19.0% | 19.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 90.9% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.3% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 31.9% | 20.0% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.8% | 14.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.5% | 1.1% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 53.8% | 79.5% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 36.8% | 24.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 11.9% | 11.7% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.50 | 1.84 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.25 | 1.64 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
56.3% 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 213 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.4% 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 139 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 0.54 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 56.3%CMS range 48.4–62.5 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.7%CMS range 8.9–15.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 60.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 51.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 54.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 82.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 90.7% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 93.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.9%CMS range 6.3–12.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.85 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 114.1 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. 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 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 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 2.99 hrs/resident/day on weekends vs 3.60 on weekdays — 17% thinner on weekends. RN hours go from 0.89 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 32% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.
- Immediate jeopardy · Jcited before2023-09-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake: MI00139056. Based on interview and record review, the facility failed to ensure the safety and prevent elopement for one sampled resident (R106) who had impaired decision making and with a known elopement risk. Resulting in an Immediate Jeopardy on Friday 06/23/23 at approximately 10:30 PM when, R106 exited the facility from an alarmed door. The staff at the facility did not respond to the door alarm, which resulted in R106 unable to be be located. R106 returned to the facility by knocking on one of the facility's doors on 6/24/23 at approximately 12:24 AM. This deficient practice had the likelihood of causing serious harm, injury, and/or death. Findings include: A review of R106's medical record revealed, 6/23/2023 14:18 (2:18 PM) Social Services Note Late Entry: Note Text: Admission-Resident is a [AGE] year old single male. He presents with severe cognition impairment. He has a Dx (diagnosis) of Dementia. BIMS (Brief Interview for Mental Status) 0/0 (severely cognitively…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-29 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 complete an annual PASARR (Pre-admission Screening and Annual Resident Review/3877) assessments for one resident (R12) of two reviewed for PASARR assessments. Findings include: On 1/27/26 at 7:05 AM, R12 was observed resting in bed awake. R12 was observed to be wearing hearing aids and repeatedly asked to have the hearing aid batteries changed several times during the visit. A review of R12's medical record reveal R12 was admitted on [DATE] and readmitted on [DATE] after a brief hospitalization with diagnoses including Bipolar Disorder, Depressive Disorder, and Vascular Dementia. A review of the Minimum Data Set (MDS) assessment revealed R12's Brief Interview for Mental Status (BIMS) score was 13/15, indicating intact cognition, and needing extensive assistance with bed mobility and transfers.Further review of the medical record revealed the last annual PASARR assessment was completed in October of 2024. A request was made for the most…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-29 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to timely implement care plan interventions following falls for one resident (R107) out of three reviewed for plans of care. Findings include:On 1/27/2026 at 6:30 AM, R107 was observed lying in bed with their feet hanging off the side. R107's bed was not observed in a low position, with a blanket and sling pad underneath them. Registered Nurse (RN) H reported R107 had just returned from the hospital following a fall where they hit their head and was on a blood thinner.A review of the medical record revealed R107 was admitted into the facility on 1/13/2026 with the following medical diagnoses, Muscle Wasting and Atrophy. A review of the most recent Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 5/15 indicating an impaired cognition. R107 also required staff assistance with bed mobility and transfers. Further review of Incident and Accidents (IA) reports noted the following: Date:1/24/2026.Nursing Description: Resident observed on [their] right side on the floor…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-29 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake 2638964Based on observation, interview, and record review, the facility failed to follow physician orders for two residents' (R122, R134) out of three reviewed for physician's orders. Findings include:On 1/27/29 a review of the After (hospitalization) Visit Summary (AVS) for R134 revealed; You will need to be seen in the office for suture staple removal in 4 weeks, Vascular Surgeon, October 16, 2025, 2:50 PM. A review of the medical record revealed R134 was admitted to the facility on [DATE] with the following pertinent diagnoses: Osteomyelitis of Ankle and Foot, Below Knee Amputation of Left Foot (LBKA), and Protein Calorie Malnutrition. R134 had a Brief Interview for Mental Status score of 6/15 indicating severe cognitive impairment. Further review of the medical record revealed on 9/29/25 (1 day after admission into the facility) Physiatry Physician Assistant-Certified (PPA) S, entered an order for the staples to be removed from left below knee stump per protocol. On 1/28/26…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intakes 2719898 and 2724780. Based on interview and record review, the facility failed to ensure consistent monitoring of residents exiting from the facility for two (R17, R82) of two residents reviewed for supervision and leave of absences. Findings include: R82 A review of the facility reported incident revealed R82 had exited the facility to obtain snacks on 1/17/26 at 4:23 PM. A review of the leave of absence sign out book revealed the resident did not sign out or advise staff they were leaving the building. Review of the medical record revealed, R82 was admitted to the facility on [DATE] with the following relevant diagnoses: Alcohol Dependence, Opioid Dependence, and Frequent Falls. On 1/14/26 R82 had an initial Brief Interview for Mental Status (BIMS) of 11/15 indicating moderate cognitive impairment. Review of the admission record revealed an elopement assessment was completed in conjunction with the nursing admission assessment on 1/13/26 with a score of 6 indicating a low…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-29 · tag F0691 — failed to provide colostomy / ostomy care — isolatedProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to intake 2648023Based on observation, interview, and record review, the facility failed to complete colostomy (an opening on the abdomen connecting the large intestine to the outside of the body) care for one resident (R148) out of two reviewed for colostomy care. Findings include:On 1/28/2026 at 9:21 AM, R148 was observed lying in bed. R148 was noted to have a colostomy located in their left lower abdomen. R148 reported they had a colostomy and sometimes the staff forgets to empty it. R148 reported if they tell staff, then they will empty it or change it. The resident stated one time their colostomy bag was so full, staff had to take two trips to empty it and were surprised their colostomy bag did not burst.A review of the medical record revealed R148 admitted into the facility on 1/24/2026 with the following medical diagnoses, Colostomy Status and Diverticulitis of Large Intestines. A review of the Minimum Data Set assessment revealed a Brief Interview for Mental status score of 11/15 indicating an impaired cognition. R148 also required staff assistance…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-29 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medication were properly stored for one (R27) of one reviewed for medications storage. Findings include: On 1/27/2026 at 6:34 AM, R27 was observed in bed with the over bed table next to them. Observed on the over bed table was a small plastic cup with five unidentified pills and a cup of water. R27 was asked if the medication in the cup was their morning medication. R27 indicated it was but they are not taking them anymore because it made them sick. A review of R27's medical record noted, R27 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of Vascular Dementia without Behavioral Disturbance and Alzheimer Dementia. A review of R27's Minimum Data Set (MDS) quarterly assessment dated [DATE], revealed R27 with an impaired cognition and required assistance for activities of daily living. R27's medical record did not reveal a self-administration of medication assessment. A review of R27's care plan noted,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00151509. Based on interview and record review, the facility failed to provide timely treatment to a pressure ulcer for one resident (R801) out of two reviewed for pressure ulcers. Findings include: A review of complaint called into the State Agency noted the following, Facility did not appropriately treat bed sore that ended up being stage 4 (full thickness skin loss) after surgical debridement at [hospital name] . A review of the medical record revealed that R801 admitted into the facility on [DATE] with the following medical diagnoses, Muscle Weakness and Moderate Protein-Calorie Malnutrition. A review of the most recent Minimum Data Set (MDS) assessment reveals a Brief Interview for Mental Status (BIMS) score of 12/15 indicating an impaired cognition. R801 also required staff assistance with transfers and bed mobility. Further review of the admission progress note revealed the following, 12/13/2024 at 9:13 PM .Skin assessment performed with small open area to inner sacrum.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-10-31 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to Intake MI00146972. Based on observation, interview, and record review, the facility failed to ensure spoiled food items were discarded, open food items dated when opened, and cooking utensils were clean when stored, potentially affecting all 115 residents at risk for food borne illnesses. Findings include: On 10/29/24 at 9:41 AM, a review of the kitchen with the dietary manager revealed: -dust build up on top of the ovens; -a prepared salad in the chef's refrigerator was dated 10/18/24 with the salad items wilted and appeared moldy; -a package of sliced american cheese was open and not dated; -three scoops/strainers with dried food debris or white and opaque dried liquid stains; -in the walk-in freezer chocolate chip cookie dough were open to air, chicken chunks were open to the air and the bags were not dated; -in the freezer turkey patties were open to the air; -in the walk-in refrigerator a package of sliced cheese had a black mold like growth on multiple slices; -a box of whole green peppers had at least five peppers with a green mold or wilted areas.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-31 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to properly assess for self-administration for eye drops for one resident (R273) out of one reviewed for self-administration of medications. Findings include: On 10/29/2024 at 12:43 PM, R273 was observed in bed. R273 stated they had just put their eyedrops in. Four bottles of eyedrops were observed on the bedside table in a bag. R273 stated they always do their own eye drops and they do not trust anyone else to do them on time for them. A review of the medical record revealed R273 admitted into the facility on [DATE] with the following medical diagnoses, Macular Degeneration and Irritable Bowel Syndrome. A review of the Minimum Data Assessment set revealed a Brief Interview for Mental Status score of 15/15 indicating an intact cognition and required assistance for bed mobility and transfer. Further review of the medical record did not reveal an order, care plan, or assessment documenting R273 was able to self administer their own eyedrops.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-31 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY R11 On 10/29/24 at 9:35 AM, R11 was observed lying in bed watching television in their room On 10/29/24 at 12:51 PM, R11 was observed lying in bed with a sad facial expression and holding their head. R11 stated , my head hurts. On 10/30/24 at 1:00 PM, R11 was observed lying in bed. A half eaten lunch tray was visible on tray table. R11 stated there were no concerns today and was watching television. A review of R11's medical record revealed they were admitted into the facility on 7/24/2014. R11 has diagnose of Dementia, Psychotic disturbance, Mood disturbance, Psychotic disorder with delusions and Schizoaffective disorder. A review of the most recent Minimum Data Set assessment dated [DATE] was completed with a Brief Interview for Mental Status (BIMS) score of 3 indicating severely impaired cognition. Further review of R11's medical record did not reveal an Annual PASARR Level I screening had been completed by the facility. On 10/31/24 at 1:45 PM, Social Worker A was interviewed about R11's updated PASARR…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · Dcited before2024-10-31 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation has two Deficient Practice Statements. Deficient Practice Statement #1 Based on interview and record review the facility failed to follow a physician's order for a urology consult for one resident (R74), of one reviewed for physician orders. Findings include: On 10/29/24 at 9:42 AM, R74 was interviewed in their room about the care they are receiving in the facility. R74 explained they have been having pain during urination which causes burning sensations. R74 explained they have been feeling like this for weeks and nothing has been done. A review of R74's medical record revealed they were admitted into the facility on 4/26/24 with diagnoses that included Traumatic Subdural Hemorrhage, Diabetes, Hypertension, and Muscle Weakness. Further review of R74's medical record revealed they had a moderately impaired cognition, and required partial to moderate assistance for transfers and mobility. Further review of R74's medical record revealed a physician's order dated for 8/7/24 for the following, Urology…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-31 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure restorative care and splint application was documented and services provided for three residents (R38, R47, and R76) of four reviewed for restorative services. Findings include: R38 On 10/29/24 at 11:09 AM, R38 was observed to be seated in a wheelchair next to their bed. R38 appeared to have the fingers of their right hand in a fixed position. A hand or wrist splint was not in place or visible in the room. On 10/30/24 at 1:04 PM, the therapy course for R38 was reviewed with Physical Therapy Assistant B. It was reported that R38 had not been on service since March of 2023 and was on the physical therapy caseload only at that time. A therapy screen conducted 10/12/24 indicated no change in status. On 10/30/24 at 2:36 PM, the restorative history of the identified resident was reviewed with Restorative Licensed Practical Nurse (LPN) C who reported R38 was discharged and not on the current caseload and reported restorative and assigned…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-05 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00142904. Based on interview and record review, the facility failed to ensure physician visits, obtain blood tests, weights, and wound care treatments were provided in a timely manor, for one resident (R902) of three resident's whose care was reviewed, resulting in a delay in treatment, hospitalization and a change in condition. Findings include: A review of a complaint Intake for R902 revealed, On 12/26/23 the resident was transported to the hospital where it was determined that the resident was septic from an infection in their open wound. The resident had a low blood pressure, was very dehydrated, had high potassium and their mouth was pasty and dry. The kidneys have shut down and the resident is now on dialysis. A review of the record for R902 revealed R902 was admitted into the facility on [DATE]. Diagnoses included Acute Kidney Failure, Renal (kidney) Calculus (sediments) Obstruction and Stroke. A review of the medical provider notes indicated R902 had not been seen by 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.
- Potential for harm · D2023-09-13 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 facilitate resident choice related to requests for alternative menu items for two resident (R41 and R48) and two confidential group residents of six residents reviewed for self-determination, resulting in feelings of frustration and dissatisfaction during meals. Findings include: On 9/11/23 at 2:20 PM, resident council meeting notes were reviewed for the months of April-August 2023 and revealed the following, Guest/Resident Council 8/28/23, Dietary: [kitchen staff] doesn't answer the telephone. On 9/12/23 at 10:05 AM, a confidential group meeting was conducted with four confidential group residents and they were asked about their level of satisfaction with the food/dietary services at the facility. Two confidential group members (R41 and R48) indicated that when requesting menu items off of the alternative menu, they were supposed to call the kitchen to make their request, when they attempted to call the kitchen, the kitchen did not answer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-13 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake: MI00135927. Based on observation, interview and record review, the facility failed to notify the resident's responsible party of a fall in a timely manner for one of one sampled resident (R23) reviewed for decision making resulting in, the potential for the missed opportunity for family to participate in healthcare decision making. Findings include: On 9/11/23 at 11:30 AM, R23 was observed lying in bed. Attempts to interview the resident were to no avail as they were pleasantly confused. A review of R23's medical record revealed that they were admitted into the facility on [DATE] with diagnoses that included, Alzheimer's Disease, Hypertension, and Heart Failure. A review of the Quarterly Minimum Data Set assessment dated [DATE] revealed that the resident had a Brief Interview for Mental Status score of 6/15 indicating a severely impaired cognition, and required extensive assistance for transfers, bed mobility, and dressing. Further review of R23's medical record revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-13 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure/provide effective communicate to one resident (R30) of three reviewed for language/communication, resulting in the potential for unmet care needs or a decline in communication ability. Findings include: A review of R30's Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was initially admitted into the facility on [DATE] and most recently re-admitted on [DATE] with medical diagnoses of Major Depressive Disorder, Macular Degeneration, and Muscle Weakness. Further review of R30's record revealed that the resident is moderately cognitively impaired and requires extensive assistance from staff for activities of daily living, bed mobility, and transfers. R30's record indicated that the resident had a language barrier with Arabic listed as their primary language. On 9/11/23 at 12:21 PM, Confidential Witness C was interviewed and expressed concern that R30's thumb was swollen. Witness C stated that R30 would be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-13 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intakes MI00132279, MI00132352, MI00132401, and MI00132482. Based on observation, interview, and record review, the facility failed to transcribe and carry out an order from an outside podiatrist (foot doctor) for one resident (R15) of three residents reviewed for quality of care concerns, resulting in unmet foot skin care needs and the potential for worsening chronic foot skin conditions. Findings include: On 9/12/23 at 1:31 PM, R15 was observed sitting on the edge of their bed in a hospital-type gown. The bottom of R15's right heel and mid-foot were observed to be very thick with a significant amount of built-up scaly skin. R15 indicated that the facility doesn't help take care of their feet like they are supposed to. R15 was noted to have an odor, with a stronger odor coming from their feet area. R15 was asked when they had last received a shower to which they replied, It's been a while. R15's record at this time was noted to indicate that they had received a shower/bath today,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$10,062 in federal fines across 1 penalty.
- $10,062 — penalty dated 2023-09-13
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 2.8 | +1.2 vs chain |
| Health inspection | 4 of 5 | 2.5 | +1.5 vs chain |
| Staffing | 4 of 5 | 3.2 | +0.8 vs chain |
| Quality measures | 4 of 5 | 4.0 | ≈ chain avg |
The other 80 homes this chain runs (chain average 2.8★, per CMS)
Showing 40 of 80; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| QAZI, MOHAMMAD | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2001 |
| KHAN, ANIS | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2001 |
| CIENA HEALTHCARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/24/2025 |
| AMLOG, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| MUNTZ, JACQUELINE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/12/2013 |
CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MI
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235655. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, 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.