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Symphony Care Network nursing homes
7 nursing homes with 561 beds in Michigan (5), Illinois (2).
CMS affiliated entity 501 · data as of September 1, 2026
The group's record in brief
CMS links 7 certified nursing homes in 2 states to Symphony Care Network: 7 for profit, 0 nonprofit. 7 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 286 health citations; 28 citations were rated actual harm or immediate jeopardy, 4 of them immediate jeopardy. At their latest standard inspections the homes averaged 9.6 health deficiencies (national average 9.2).
4 homes in the group were fined in the last three years, $715,645 in all across 14 fines. Average nursing staff turnover across its homes was 55.1% (national 45.8%).
Staffing across the group
Daily payroll records from 7 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 14% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.46 | 3.75 |
| Registered nurses | 0.60 | 0.62 |
| Weekdays | 3.61 | 3.92 |
| Weekends | 3.09 | 3.33 |
| Share of nursing hours by contract staff | 0.1% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
7 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 1.7 overall, 1.7 health inspections, 2.4 staffing, 4 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 0 | |
| 4 of 5 | 1 | |
| 3 of 5 | 0 | |
| 2 of 5 | 2 | |
| 1 of 5 | 4 |
Across the group: 28 citations rated actual harm or immediate jeopardy, and an average of 3.56 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| The Sapphire at Northwoods | Belvidere | IL | 1 | 36 | $91,186 |
| The Sapphire at Maple Crest | Belvidere | IL | 1 | 44 | $399,325 |
| Caretel Inns of Tri-Cities | Bay City | MI | 1 | 46 | $161,469 |
| Caretel Inns of Brighton | Brighton | MI | 2 | 29 | |
| Caretel Inns of Linden | Linden | MI | 2 | 58 | |
| Coventry House Inn | St. Joseph | MI | 4 | 31 | |
| Applewood Nursing Center, Inc | Woodhaven | MI | 1 | 42 | $63,665 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.