481 Village Green Lane, Monroe, MI 48162 · Monroe County · (734) 242-6282
103 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235563 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 12, 2026, inspectors cited 0 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 6 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.88 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
26.7% 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 6 health citations on file.
Inspectors wroteThis citation pertains to MI00151320. Based on interview and record review the facility failed to properly assess and ensure pain was effectively managed for one resident (R901) of four residents reviewed for a fall with injury resulting in ongoing pain.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a mattress in a timely manner for one resident (R45) of one resident reviewed for accommodation of needs, resulting in the resident's sleep pattern being disturbed and verbalizing frustration of having back pain caused by an uncomfortable mattress.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide nail care for two dependent residents (R5 and R66) of five residents reviewed for activities of daily living (ADLs), resulting in unmet care needs.
Inspectors wroteR3 In an observation and interview on 2/11/24 at 1:09 p.m., R3 sat in a wheelchair in the room and wore a gown. R3 reported the staff took their clothes without asking or let them know that they were taking them. R3 reported wanting to go to the dining room but did not have any clothes. Review of an admission Record revealed, R3 admitted to the facility on [DATE] with pertinent diagnoses which included Depression. Review of a MDS assessment, with a reference date of 12/4/23 revealed R3 had mild cognitive impairment with a BIMS score of 11, out of a total possible score of 15. R54 In an observation and interview on 2/11/24 at 10:19 a.m., R54 sat in a wheelchair in the hallway and wore a gown with no socks or footwear. R54 reported they took all the clothes to wash them. R54 expressed there was a scheduled doctor's appointment the following day at 9:40 a.m. [...]
Inspectors wroteR31 Review of an admission Record revealed, R31 admitted to the facility on [DATE] with pertinent diagnoses which included Obstructive and Reflux Uropathy (blockage in the urinary tract) and Neuromuscular Dysfunction of Bladder (bladder malfunction which results in difficulty urinating). Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed R31 had cognitive impairment with a Brief interview for Mental Status (BIMS) score of 6, out of a total possible score of 15 and required an indwelling catheter. In an observation on 2/12/24 at 9:25 a.m., Certified Nursing Assistants (CNA) I and J provided ADL and catheter care for R31. In an observation on 2/12/24 at 9:32 a.m., Staff Development Coordinator (SDC) A entered the room, applied gloves, and did not perform hand hygiene before application. [...]
Inspectors wroteThis information pertains to intake MI00142266. Based on interview and record review the facility failed to maintain privacy for one resident (R66) of two residents reviewed for privacy, resulting in the exposure of R66 on social media via video and texted message.
7 fire safety citations on file: 7 on February 14, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.88 | 3.99 | 3.86 |
| Registered nurses | 0.71 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.50 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 26.7% | 44.1% | 45.8% |
| Registered nurse turnover | 30.8% | 39.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.86 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 4.13 on weekdays and 3.26 on weekends, 21% 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 3.90 in April to June 2025 to 3.88 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 | 3.88 | 0.71 | 4.13 | 3.26 | 0.0% | 0 of 90 | 94 |
| Oct to Dec 2025 | 3.89 | 0.68 | 4.13 | 3.27 | 0.0% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.82 | 0.61 | 4.06 | 3.22 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.90 | 0.68 | 4.17 | 3.21 | 0.0% | 0 of 91 | 91 |
| 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.
| 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 | 6.8 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.9 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.1 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.8 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.6 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Medilodge of Monroe's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.2% this home
No different from the national rate
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. 77 eligible stays.
10.5% 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. 113 eligible stays.
11.0% this home
Worse than 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. 60 eligible stays.
49.1% 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. 59 residents counted.
1.2% 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. 81 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. 81 residents counted.
97.5% this home
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. 40 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: MONROE OPCO, LLC. CMS links this home to Medilodge, a group of 53 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fifteeninone Opco Group LLC | 5% or greater direct ownership interest | Organization | 100% | 06/24/2013 |
| B&y Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Norcross, Robert | Contracted managing employee | Individual | 06/24/2013 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/20/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 01/01/2018 | |
| Generations Healthcare Management LLC | Operational/managerial control | Organization | 06/24/2013 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 06/24/2013 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 06/24/2013 |
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.
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