Hickory Ridge of Temperance
951 Hickory Creek Boulevard, Temperance, MI 48182 · Monroe County · (734) 206-8200
88 certified beds, about 82 residents a day · For profit - Corporation · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235644 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 21, 2026, inspectors cited 1 health deficiency (the Michigan average is 9.9, the national average 9.2).
None of its 6 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.95 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
28.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
April 21, 2026Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 4/19/2026 beginning at 8:39 AM a tour of the kitchen was conducted with [NAME] B serving as kitchen supervisor. On 4/19/2026 at 9:06 AM observed spots of build up on multiple shelves of the metal storage racks in the walk in cooler. An interview with [NAME] B at this time found the dietary manager usually has someone clean the racks but they are unsure how often. On 4/19/2026 at 9:09 AM observed black accumulation along the outer edge of the air duct in the kitchen dry storage area. On 4/19/2026 at 9:15 AM observed the meat slicer covered with a plastic bag. [...]
March 5, 2025Standard inspection · 2 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review the facility failed to properly dispose of refuse and maintain cleanliness of garbage and refuse areas resulting in the potential harborage of pests. This deficient practice has the potential to affect all 79 residents in the facility.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a complete order for the application and removal of a topical pain patch for one resident (R57) of 29 residents observed during Medication Administration (med pass), resulting in the potential of causing the resident to be overly medicated and skin breakdown.
January 25, 2024Standard inspection, Complaint inspection · 3 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan for anticoagulant therapy for one resident (R330) of 25 reviewed for comprehensive care plans, resulting in the potential for lack of assessment of skin and mucus membranes.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThis citation pertains to intake MI00136764. Based on interview and record review the facility failed to provide interventions to prevent the development of a heel pressure ulcer for one resident (R277) out of five residents reviewed for pressure ulcers resulting in R277 developing a deep tissue pressure ulcer injury to the left heel.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow the standards of infection control for (1) proper hand hygiene, (2) glove use, and (3) proper storage of a nebulizer mask (used for breathing tratments), for one resident (R15) out of 24 residents reviewed for infection control, resulting in the potential for placing a vulnerable population at high risk for cross-contamination and infection.
Fire safety inspections
19 fire safety citations on file: 3 on April 21, 2026, 2 on March 5, 2025, 14 on January 25, 2024.
Every fire safety citation19 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Address subsistence needs for staff and patients.
- F List the names and contact information of those in the facility.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure proper usage of power strips and extension cords.
- D Have properly installed electrical wiring and gas equipment.
- D Have power receptacles that are properly grounded.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.95 | 3.99 | 3.86 |
| Registered nurses | 0.64 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.53 | 3.50 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 1.18 | ||
| Nursing staff turnover (share who left in a year) | 28.4% | 44.1% | 45.8% |
| Registered nurse turnover | 16.7% | 39.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.11 on weekdays and 3.53 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.95 | 0.64 | 4.11 | 3.53 | 0.2% | 0 of 90 | 82 |
| Oct to Dec 2025 | 3.88 | 0.64 | 4.04 | 3.46 | 0.1% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.95 | 0.66 | 4.18 | 3.37 | 0.2% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.79 | 0.63 | 4.00 | 3.28 | 0.0% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.3 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.6 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.9 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: ASPEN RIDGE, LLC. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Khan, Anis | Managing control - governing body | Individual | 02/23/2009 | |
| Qazi, Mohammad | Managing control - governing body | Individual | 02/23/2009 | |
| Ciena Healthcare Management Inc | Operational/managerial control | Organization | 02/23/2009 | |
| Khan, Anis | Operational/managerial control | Individual | 02/23/2009 | |
| Qazi, Mohammad | Operational/managerial control | Individual | 02/23/2009 | |
| Schlagheck, Matthew | Operational/managerial control | Individual | 07/13/2022 | |
| Smith, Garrett | Operational/managerial control | Individual | 01/01/2025 | |
| Ciena Healthcare Management Inc | Adp of the SNF | Organization | 03/19/2025 | |
| Khan, Anis | Adp of the SNF | Individual | 02/23/2009 | |
| Qazi, Mohammad | Adp of the SNF | Individual | 02/23/2009 | |
| Schlagheck, Matthew | Adp of the SNF | Individual | 07/13/2022 | |
| Smith, Garrett | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 21, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 5, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 25, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 25, 2024: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Merit House LLC Toledo, 2.8 mi · 2 of 5 stars · 43 citations
- Majestic Care of Point Place Toledo, 4.5 mi · 1 of 5 stars · 46 citations
- Ayden Healthcare of Toledo Toledo, 4.7 mi · 3 of 5 stars · 61 citations
- Divine Rehabilitation and Nursing at Sylvania Sylvania, 5.4 mi · 2 of 5 stars · 93 citations
- Park Terrace Rehabilitation Center Toledo, 5.6 mi · 1 of 5 stars · 105 citations
- Otterbein Sunset House Toledo, 6.2 mi · 3 of 5 stars · 24 citations
- Franciscan Care Ctr Sylvania Toledo, 7 mi · 2 of 5 stars · 97 citations
- Divine Rehabilitation and Nursing at Toledo Toledo, 7.1 mi · not rated · 107 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Hickory Ridge of Temperance's Medicare star rating?
- CMS rates Hickory Ridge of Temperance 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hickory Ridge of Temperance get at its last inspection?
- 1 health deficiency at the standard inspection on April 21, 2026. The Michigan average is 9.9.
- Has Hickory Ridge of Temperance been fined?
- CMS lists no fines in the last three years.
- Does Hickory Ridge of Temperance accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Hickory Ridge of Temperance?
- CMS lists 12 owners and managers, and links the home to Ciena Healthcare/Laurel Health Care. Legal business name: ASPEN RIDGE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.