34225 Grand River Ave, Farmington, MI 48335 · Oakland County · (248) 477-7373
117 certified beds, about 76 residents a day · For profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235293 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 28, 2026, inspectors cited 16 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 86 health citations since September 2023, 6 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 5 fines totaling $279,675 in the last three years; the largest was $115,902, and the latest is dated January 28, 2026.
Nurses and nurse aides worked 4.92 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.
45.6% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Medilodge, an affiliated group of 53 nursing homes.
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.
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 86 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adequately monitor and assess residents for weight loss and implement interventions for two (R2 and R80) of three residents reviewed for nutrition, resulting in severe weight loss for R2 who lost 10.15 percent of their body weight within 60 days and R80 who lost 8.53 percent within 19 days.
Inspectors wroteThis citation pertains to intake #s: 2608297, 2629174, 2639760, 2658977. Based on observation, interview and record review, the facility failed to maintain a clean, comfortable, safe, and homelike environment, affecting all 83 residents throughout the facility, including R8, R9, R30, R41, R43, R48, R56, R58, R59, R60, R64, R73, R78, R89, and five of 12 residents that attended the confidential resident council meeting.
Inspectors wroteThis citation pertains to Intake(s): #2629174, #2639760, #2658977, #2702355, and #2608297. Based on observation, interview, and record review, the facility failed to ensure there was sufficient nursing staff to meet the needs of the residents, resulting in a three hour delay in incontinence care for R16, R9, R43, R67, R71 and eight residents who wished to remain anonymous who attended the resident council interview and had the potential to affect all 83 residents who resided in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain best practices in accordance with professional standards of food service safety. The deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen.
Inspectors wroteBased on interview and record review, the facility failed to identify areas of deficiency and maintain an effective quality assurance and performance improvement program (QAPI) for a clean/comfortable/homelike environment and the facility's infection control program. This practice has the potential to affect all residents that reside in the facility.
Inspectors wroteThis citation pertains to intake 2628775. Based on observation, interview, and record review, the facility failed to identify and implement effective plans of action to correct identified quality deficiencies related to system failures including implementation of their abuse policy. This had the potential to affect all residents (including R88) who resided in the facility.
Inspectors wroteThis citation pertains to intake #'s 2629174 and 2699963. Based on observation, interview, and record review, the facility failed to ensure an ongoing, comprehensive infection control program that: demonstrated ongoing facility surveillance for infections, identified infections and their origins, consistently utilized laboratory and diagnostic data, documented signs and symptoms of infections for monitoring for appropriate antibiotic usage, calculated facility infection rates, performed ongoing environmental surveillance, provided ongoing staff education, and adhered to accepted infection control principles such as hand hygiene and the use of proper transmission based precautions, resulting in the potential for the spread of infection, unidentified clusters or outbreaks of infection and inappropriate antibiotic usage. [...]
Inspectors wroteThis citation pertains to Intake(s): #2628775 and #2607040. Based on interview and record review, the facility failed to complete thorough investigations of allegations of staff to resident physical and sexual abuse and allegations of poisoning by R18 and a staff member and failed to implement interventions to protect the residents during the investigations for two (R86 and R88) of two resident reviewed for abuse.
Inspectors wroteBased on observation, interview and record review, the facility failed to lock medication/treatment cart and failed to store medications safely and securely on the second floor.
Inspectors wroteThis citation pertains to Intake #2628775. Based on interview and record review, the facility failed to report allegations of staff to resident physical and sexual abuse and resident to resident abuse (poisoning) to the State Agency within the required time frame that included accurate information regarding the allegations, report to law enforcement, and submit a five-day investigation to the State Agency for two (R86 and R88) of two residents reviewed for abuse, resulting in a delay in investigation into allegations of R86 being poisoned by R18 and raped by a staff member, and R88 being held down by her wrists by staff.
Inspectors wroteBased on interview and record review, the facility failed to submit for completion of an OBRA (Omnibus Budget Reconciliation Act) Level II Evaluation consideration for two (R58 and R59) of two residents reviewed for PASARRs (Preadmission Screen and Resident Review).
Inspectors wroteThis citation pertains to intake #'s 2629174 and 2639760. Based on observation, interview, and record review, the facility failed to ensure ongoing assessment and accurate treatment orders for wound care for one resident (R22) of one resident reviewed for wound care, resulting in verbalized complaints with quality of care and the potential for wound complications.
Inspectors wroteThis citation pertains to Intake(s): #2610189 and #2658977 Based on observation, interview, and record review, the facility failed to administer tube feeding according to physician's orders for one (R79) of five residents reviewed for tube feeding.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a medical provider was notified and an assessment/evaluation was completed for two residents that sustained severe weight loss (R2 and R80) of three residents reviewed for nutrition, resulting in the potential for further unplanned weight loss to occur.
Inspectors wroteThis citation pertains to intake 2610189. Based on observation, interview and record review, the facility failed to maintain a medication error rate of less than five percent. Three medication errors were observed (R72, R9) from a total of 32 opportunities resulting in an error rate of nine percent.
Inspectors wroteBased on interview and record review, the facility failed to ensure Physician ordered laboratory diagnostics (labs) were completed in a timely manner for three residents (R2, R33 and R80) of three residents reviewed for diagnostics.
Inspectors wroteThis citation pertains to Complaint #2658300. Based on interview and record review the facility failed to ensure adequate monitoring, thorough assessment including notification to a medical provider, and accurate and thorough documentation for a resident having a change in condition for one (R501) of one resident reviewed for changes in condition, resulting in a resident experiencing respiratory distress for 30 to 45 minutes before receiving emergency care and being transferred to the hospital.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician oversight for wound care for two residents (R#'s 906 and 903) of three residents reviewed for physician services, resulting in incomplete, comprehensive care.
Inspectors wroteThis citation pertains to intake #2595964 and #2579668. Based on interview and record review, the facility failed to ensure wound treatments were provided for two residents (R905 and R906) of three residents reviewed for pressure uclers.
Inspectors wroteThis citation pertains to intake #2579668Based on interview and record review, the facility failed to ensure enteral feeding orders were accurately transcribed upon admission and administered correctly for one resident (R905) of two residents reviewed for enteral feeding.
Inspectors wroteThis citation pertains to intake #2580612Based on observation, interview, and record review the facility failed to assess and provide tracheostomy care per physician's orders for one resident (R906), of one resident reviewed for respiratory care, resulting in the potential for tracheostomy complications.
Inspectors wroteThis citation pertains to intake #MI00153092 and MI00153719 Based on interview and record review, the facility failed to protect the resident ' s right to be free from sexual abuse by a resident for one resident (R901) of four residents reviewed for abuse/neglect/mistreatment resulting in R901 shaking/trembling while their breast was being fondled without consent by R902.
Inspectors wroteThis citation pertains to intake #MI00153595 Based on observation, interview and record review, the facility failed to ensure an allegation of poisoning was reported to the Abuse Coordinator and State Agency in a timely manner for one resident (R903) of four residents review for abuse/neglect/exploitation.
Inspectors wroteThis citation pertains to intake #'s MI00153092 and Intake #MI00153425. Based on interview and record review, the facility failed to ensure an appropriate admission per facility policy including physician orders and care directives for one Resident (R905) of one resident reviewed for admission.
Inspectors wroteThis citation pertains to Intake MI00151473 Based on interview and record review, the facility failed to provide needed care and services to administer Total Parental Nutrition (TPN, a special formula given through a vein and provides nutrition) for one resident (R502) of one resident reviewed for TPN, resulting in weakness, fatigue, and a transfer to the hospital for dehydration and electrolyte replacement.
Inspectors wroteThis citation pertains to Intake MI00151473 Based on interview and record review, the facility failed to ensure proper pumps and intravenous tubing was provided by Pharmacy to administer Total Parental Nutrition (TPN) (providing nutrition through a vein) per Physician orders for one resident (R502) of one reviewed for TPN resulting in R502 having concerns of weakness and fatigue resulting in hospitalization for dehydration and electrolyte replacement.
Inspectors wroteDeficient Practice Statement #1 This citation pertains to Intake # MI00149906. Based on interview and record review, the facility failed to timely assess and intervene for a resident who had a new tracheostomy (an artificial opening in the windpipe to assist with breathing), and who alerted staff that they were in distress by using non-verbal gestures, resulting in the death for one (R313) of three residents reviewed for a change in condition.
Inspectors wroteThis citation pertains to Intake Number(s): MI00149629, MI00149425, and MI00149174. Based on observation, interview, and record review, the facility failed to ensure there was an adequate supply of linens for three (R300, R301, and R305) of three residents reviewed for linens and the potential to affect all residents on the second floor.
Inspectors wroteThis citation pertains to Intake # MI00149369 Based on interview and record review, the facility failed to ensure that residents medication orders were entered correctly upon admission for one (R302) of two sampled residents reviewed for antibiotics, resulting in R302 initially missing 10 days of their antibiotic, being sent to the hospital to correct an issue with their PICC (peripherally inserted central catheter) line and needed an extended stay at the facility to ensure they received all antibiotics prescribed.
Inspectors wroteThis citation pertains to intake: MI00148587. Based on observation, interview and record reviews the facility failed to treat the resident with respect/dignity and ensure to honor their rights per the facility policy, for one (R306) of one resident reviewed for dignity and respect.
Inspectors wroteThis citation pertains to Intake Number(s): MI00149262. Based on observation, interview, and record review, the facility failed to report an allegation of abuse to the State Agency within the required time frame for one (R303) of three residents reviewed for abuse.
Inspectors wroteThis citation pertains to Intake Number(s): MI00149262, MI00148192, and MI00148747 Based on observation, interview, and record review, the facility failed to conduct a thorough investigation into allegations of staff to resident abuse, initiate interventions to prevent further abuse from occurring during the investigation period, and report the results of the investigation to the State Survey Agency (SSA) for three (R303, R310, and R305) of
Inspectors wroteThis citation pertains to Intake Number(s): MI00149262 and MI00148747. Based on observation, interview, and record review, the facility failed to develop and implement care plans for activities of daily living and suicidal ideations/behaviors for two (R303 and R305) of 14 residents reviewed for care plans.
Inspectors wroteThis citation pertains to Intake Number(s): MI00149629 and MI00149369. Based on observation, interview, and record review, the facility failed to follow nursing professional standards of practice related to wound treatment and entering medication orders for two (R301 and R302) of two residents reviewed.
Inspectors wroteThis citation pertains to Intake #MI00148240 Based on observation, interview and record review the facility failed to prevent, timely identify a pressure wound and ensure interventions were in place for one (R309) of three residents reviewed for pressure ulcers resulting in R309 sustaining a facility acquired stage III pressure ulcer to their right ear.
Inspectors wroteBased on interview and record reviews the facility failed to timely review and report abnormal lab results to the Physician and/or Nurse Practitioner (NP) for one (R314) of three residents reviewed for death.
Inspectors wroteR10 On [DATE] the medical record for R10 was reviewed and revealed the following: R10 was initially admitted to the facility on [DATE] and had diagnoses including Chronic respiratory failure with hypoxia and Dependence on respirator ventilator status. Further review of R10's medical record revealed Physician's orders that indicated the following: Vent settings: PCV (pressure controlled ventilation) Targeted Vt (volume targeted), PIP 30 (Peak inspiratory pressure) (Vt 450ml), RR (respiratory rate) 14, PEEP 5 (Positive end-expiratory pressure) A second Physician's order dated [DATE] revealed the following: [Name of pulmonologist] to consult and participate in care. R41 On [DATE] the medical record for R41 was reviewed and revealed the following: [...]
Inspectors wroteAn interview with Nurse Practitioner (NP) T was completed on 10/24/24. During the interview they were queried if they were overseeing the care for ventilator dependent residents and they reported that they were only overseeing residents who were assigned to the medical director. They were queried about the ventilator settings and coordination of care with the pulmonologist for ventilator dependent residents. NP T reported that they did not handle that and they were only coordinating the care with the attending physician who was also the Medical Director. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure consistent standards of practice for Infection Control were implemented by all staff and ensure the implementation of an effective infection control surveillance program, this had the ability to affect all 66 of 66 residents that reside in the facility at the time of the survey.
Inspectors wroteBased on interview and record review, the facility failed to ensure the correct resident/ legal representative signed Advanced Directives/DNR (do not resuscitate) form for one resident (R50) of one residents reviewed for advanced directives.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure feeding assistance/supervision and regular bathing were provided for three residents (R17, R20, and R174) of four residents reviewed for activities of daily living (ADL's).
Inspectors wroteBased on observation, interview and record review, the facility failed to timely assess/follow-up change in condition, obtain an order and transfer resident(s) (R275) to a hospital in a timely manner, for one of four residents sampled for hospitalization, resulting in prolonged suffering and illness with continued decline in health of the resident(s) resulting in death of one (R275) resident and hospitalization of the other (R64) resident.
Inspectors wroteBased on observation, interview and record review facility failed to implement range of motion/splinting interventions for two (R4 and R43) of two residents with contractures reviewed for positioning/range of motion resulting in the potential for extreme pain, discomfort, and worsening of contractures.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure sufficient staffing for one resident (R274) of one reviewed for staffing needs, resulting in the potential for unmet care needs of residents who reside in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure non-pharmacological interventions were attempted prior to PRN (as needed) psychotropic mediation administration for one resident (R68) of five residents reviewed for unnecessary psychotropic medications.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure proper sanitation and disposal of medication tablets for one of two medication carts reviewed.
Inspectors wroteBased on interview and record review the facility failed to ensure a Physician ordered laboratory (lab) diagnostic was completed for one resident (R50) of one residents reviewed for diagnostics.
Inspectors wroteBased off observations, interviews, and record review the facility failed to provide accurate medical record documentation for services provided for one(R49) resident of four residents reviewed for medical records.
Inspectors wroteBased on interview and record reviews the facility failed to implement an effective antibiotic stewardship program for three R's 46, 3, 223 of three sampled residents reviewed. This deficient practice had the ability to affect multiple residents that resided in the facility who was prescribed an antibiotic.
Inspectors wroteBased on observation and interview, the facility failed to effectively maintain a backup for the facility's resident call system during a partial power outage (for approximately 12 hours) affecting all residents (R26, R33 and R44) on the one west hall resulting in the potential for a delayed emergency response and/or negative resident outcome.
Inspectors wroteThis citation pertains to intake #MI00146596 Based on observation, interview, and record review, the facility failed to ensure indwelling urinary catheter care, proper positioning of urinary catheter drainage bags, and the use of catheter anchors for three residents, (R#'s 501, 502, and 504) of three residents reviewed for indwelling urinary catheters resulting in the the potential for the development of infection and genitourinary injury.
Inspectors wroteThis citation pertains to intake #MI00146596. Based on observation, interview, and record review, the facility failed to address tube feeding pump errors in a timely manner for two residents (R#'s 503 and 507) of three residents reviewed for tube feeding, resulting in the delay of delivery of tube feeding nutrition and the development of a clogged feeding tube.
Inspectors wroteThis citation pertains to intake #MI00146293 Based on observation, interview, and record review, the facility failed to ensure tracheostomy and ventilator care was performed and respiratory medications were administered per physician's orders for three residents (R#'s 502, 503 and 504) of four residents reviewed for respiratory care and services, resulting in the potential for respiratory complications.
Inspectors wroteThis citation pertains to intake #MI00146596 Based on observation, interview, and record review, the facility failed to ensure appropriate treatment and services for pressure ulcers for one resident (R504) of three residents reviewed for pressure ulcers, resulting in the potential for worsening of pressure ulcers.
Inspectors wroteThis citation pertains to intake #MI00146596 Based on observation, interview, and record review, the facility failed to ensure safe wheelchair transport for two residents (R#'s 505 and 506) of two residents reviewed for accidents, resulting in the potential for injury.
Inspectors wroteThis citation pertains to Intake Number(s): MI00145374 Based on observation, interview, and record review, the facility failed to maintain the building at a safe and comfortable temperature on the second floor for 15 (R701, R703, R704, R705, R706, R707, R709, R710, R711, R712, R713, R714, R715, R716, and R717) of 17 residents reviewed for a safe, clean, comfortable, homelike environment, resulting in expressions of physical discomfort.
Inspectors wroteThis citation pertains to intake: MI00144465. Based on observation, interview, and record review, the facility failed to ensure an allegation of misappropriation was reported to the State Agency (SA) for one resident (R902), of one resident reviewed for misappropriation of funds.
Inspectors wroteBased on interview and record review the facility failed to immediately report an instance of neglect by a staff member affecting multiple residents on the first floor to the Abuse Coordinator and State Agency.
Inspectors wroteBased on interview and record review, the facility failed to ensure the protection of residents and investigate an instance of neglect affecting multiple residents on the first floor, resulting in the potential for additional instances of neglect to go unidentified and not be thoroughly investigated.
Inspectors wroteThis citation pertains to intake #MI00143778. Based on observation, interview and record review, the facility failed to ensure timely care and monitoring of a surgical wound for one (R804) of one resident reviewed for skin management.
Inspectors wroteThis citation pertains to intake #MI00144134. Based on observation, interview, and record review, the facility failed to secure smoking materials and implement a safe smoking assessment per policy for one (R805) of one resident reviewed for smoking.
Inspectors wroteThis citation pertains to Intake(s) MI00142095 MI00142376, and MI00141953 Based on observation, interview and record review the facility failed to ensure needed respiratory therapists were available to provide care and services to those residents receiving tracheostomy and ventilation services. This deficient practice had the potential to affect all residents (including R702,R704 and R705) receiving tracheostomy and ventilation services.
Inspectors wroteThis citation pertains to intake #MI00142478. Based on observation, interview and record review the facility failed to ensure professional standards of practice were followed for one (R701) of six residents reviewed for professional standards.
Inspectors wroteBased on interview and record review the facility failed to ensure a sanitary and comfortable environment for one (R701) of two three reviewed for environment.
Inspectors wroteThis citation pertains to Intake #: MI00140679 Based on observation, interview, and record review, the facility failed to ensure food was held and served at a palatable temperature. This deficient practice had the potential to affect all residents that consume food from the kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare and serve food in accordance with professional standards for food service safety. This deficient practice had the potential to affect all residents that consume food from the kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to resolve concerns expressed by the resident council group for nine of nine residents who attended the resident council interview who wished to remain anonymous.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a clean, comfortable, homelike environment for eight (R39, R36, R41, R38, R40, R44, R48, R61) residents and nine of nine residents who attended the resident council interview who wished to remain anonymous.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nursing services met professional standards for medication administration and pain assessments for four residents (R#'s 41, 33, 48, and 21), of four residents reviewed for professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to protect Protected Health Information (PHI) for three (R4, R22 and R49) residents residing on the 1 [NAME] Unit from being displayed in a public area.
Inspectors wroteBased on observation, interview, and record review the facility failed to report an injury of unknown origin to the facility's abuse coordinator for one resident (R48) of two residents reviewed for abuse.
Inspectors wroteThis citation pertains to Intake Number: MI00140679 Based on observation, interview, and record review the facility failed to provide appropriate and resident preferred activity of daily living (ADL) care for fingernails and facial hair for two residents, (R#'s 48 and 12) of three residents reviewed for ADL's.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a program of meaningful activities that supported the needs, interests, and capabilities of four (R33, 61, and 48) of four residents reviewed for activities.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow-up timely on a lost hearing aid for one (R26) of one resident with hearing loss, reviewed for ancillary services resulting in unmet care needs, frustration, with potential for worsening of their hearing.
Inspectors wroteThis citation pertains to Intake Number: MI00139850. Based on observation, interview, and record review, the facility failed to implement effective interventions to prevent the development of new pressure ulcers and implement treatment in a timely manner after a new skin impairment was identified for one (R61) of three residents reviewed for pressure ulcers, resulting in the development of an unstageable pressure ulcer (obscured full-thickness skin and tissue loss) that required surgical debridement (removal of dead or devitalized tissue) to R61's left hip and a deep tissue injury (DTI - Intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration due to damage of underlying soft tissue that results from intense and/or prolonged pressure and shear forces at the bone-muscle interface) to the right hip.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide fresh drinking water for two residents (R#'s 47 and 43) of two residents reviewed for hydration, as well as for multiple residents who participated in the group meeting, resulting in verbalized feelings of frustration from lack of fresh drinking water.
Inspectors wroteR13 On 11/28/23 at 10:42 AM R13 was observed in bed sleeping with an alarm for tube feeding administration was going off, the Jevity bag was hanging, but not infusing. On 11/28/23 at 10:56 AM, upon exiting the room, the tube feeding alarm was still going off. On 11/28/23 at 12:02 PM, the tube feeding was noted to still not be running, the alarm continued to sound, and per interview with roommate, it had been alarming since last observation (the roommate communicates by nodding/shaking her head, hand gestures or via typed notes on her cellphone). On 11/28/23 at 1:33 PM, the tube feeding was no longer alarming and was noted to be infusing at the correct rate of Jevity 50 mls(milliliters)/hour with an additional 25mls of water for flush (per review of physician orders on 11/28/23 at 11AM). On 11/29/23 at 10:30 AM, (Jevity) tube feeding was observed to be running at 50mls with 25ml flush. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assessment and dressing changes for a midline catheter (long flexible catheter inserted into a large vein in the arm for the delivery of intravenous fluids or medications) for one resident (R48) of one resident reviewed for midline catheters, resulting in the potential for blood infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate hand hygiene and glove use during medication pass for one resident (R41) of two residents reviewed during the medication pass observation, resulting in the potential for the spread of infection. On 11/29/23 at 09:01 AM, Nurse 'O' was observed preparing multiple medications (pills, liquids, subcutaneous injections, inhalers, and a nebulized medication) for administration to R41. Nurse 'O' prepared multiple medications including a Spiriva inhaler (an inhaler that contains a capsule with powder that when the the inhaler is activated the capsule pill is pierced releasing the powder for inhalation). Nurse 'O' was observed to remove the capsule from it's foil packaging with their bare hand and place it into the inhaler. Nurse 'O' also prepared three different insulin syringes at that time. [...]
Inspectors wroteThis citation pertains to intake(s): MI00138580, MI00138907 & MI00139261. Based on observation, interview, and record reviews the facility failed to timely implement adequate preventive wound interventions and consistently assessed, monitored and notified the physician for the worsening of wounds for two (R's 802 & 804) of three residents reviewed for pressure ulcers, resulting in R804 to have developed multiple pressure ulcers including a Stage 4 wound to the sacrum within a little over a month after admission into the facility and for R802 to have developed a stage II pressure ulcer to the coccyx.
Inspectors wroteThis citation pertains to intake: MI00138580. Based on observation, interviews, and record reviews the facility failed to ensure weekly weights were obtained and collaboration for weight loss was completed with the physician for one R802 of three residents reviewed for tube feedings.
Inspectors wroteThis citation pertains to Intake Number(s): MI00139188. Based on observation, interview, and record review, the facility failed to ensure there was sufficient nursing staff for the 2 East Unit for two (R805 and R806) of three residents reviewed for staffing. This had the potential to affect all 23 residents who resided on the 2 East Unit.
Inspectors wroteThis citation pertains to Intake Number(s): MI00138253. Based on observation, interview, and record review, the facility failed to report allegations of neglect to the State Agency for two (R807 and R808) of four residents reviewed for abuse and neglect.
Inspectors wroteThis citation pertains to Intake Number(s): MI00138253. Based on observation, interview, and record review, the facility failed to provide evidence of a thorough investigation into allegation of neglect for two (R807 and R808) of four residents reviewed for abuse and neglect.
Inspectors wroteThis citation pertains to intake(s): MI00138907 & MI00139261. Based on observation, interviews, and record reviews the facility failed to ensure non pharmacological interventions were implemented and behavioral health services was provided for one (R804) of one resident reviewed for psychotropic medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and maintain tube feeding supplies in a sanitary manner for two (R805 and R806) of three residents reviewed for tube feeding.
5 fire safety citations on file: 2 on January 28, 2026, 1 on October 24, 2024, 2 on November 30, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 28, 2026 | Payment Denial | 8 days from February 25, 2026 |
| November 12, 2025 | Fine | $19,135 |
| June 25, 2025 | Fine | $34,512 |
| February 6, 2025 | Fine | $115,902 |
| February 6, 2025 | Payment Denial | 19 days from March 6, 2025 |
| October 24, 2024 | Fine | $94,533 |
| September 29, 2023 | Fine | $15,593 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.92 | 3.99 | 3.86 |
| Registered nurses | 0.94 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.05 | 3.50 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 1.80 | ||
| Nursing staff turnover (share who left in a year) | 45.6% | 44.1% | 45.8% |
| Registered nurse turnover | 52.4% | 39.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 5.27 on weekdays and 4.05 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 4.92 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 | 4.92 | 0.94 | 5.27 | 4.05 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.73 | 0.92 | 4.96 | 4.13 | 0.0% | 0 of 92 | 75 |
| Jul to Sep 2025 | 5.51 | 1.17 | 5.92 | 4.49 | 0.0% | 0 of 92 | 74 |
| Apr to Jun 2025 | 4.16 | 0.91 | 4.38 | 3.59 | 0.0% | 0 of 91 | 79 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 4.5 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.6 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 15.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.3 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.7 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Medilodge of Farmington's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Michigan: 89 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 18 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · Michigan: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 30 eligible stays.
10.4% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 26 eligible stays.
16.1% this home
Median of homes: Michigan57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
0.0% this home
Median of homes: Michigan0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 54 residents counted.
0.0% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 54 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FARMINGTON OPCO LLC. CMS links this home to Medilodge, a group of 53 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Century Opco Group LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2016 |
| B&y Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 02/01/2016 | |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 02/01/2016 | |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 02/01/2016 | |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 02/01/2016 | |
| Norcross, Robert | Contracted managing employee | Individual | 02/01/2016 | |
| Rogers, Stacey | Contracted managing employee | Individual | 02/01/2016 | |
| Klucharich, Cynthia | W-2 managing employee | Individual | 02/01/2016 | |
| Flashner, Craig | Corporate officer | Individual | 02/01/2016 | |
| Perlstein, Yitzchok | Corporate officer | Individual | 02/01/2016 | |
| Century Healthcare Management LLC | Operational/managerial control | Organization | 02/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 02/01/2016 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 02/01/2016 |
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.
Chosen from this home's own inspection record.
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.