Home / Michigan / Rochester Hills
1480 Walton Blvd, Rochester Hills, MI 48309 · Oakland County · (248) 651-4422
126 certified beds, about 86 residents a day · For profit - Individual · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235036 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 4, 2025, inspectors cited 18 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 80 health citations since July 2023, 7 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $125,549 in the last three years; the largest was $88,239, and the latest is dated October 7, 2025.
Nurses and nurse aides worked 3.66 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
60.2% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Avon Healthcare, an affiliated group of 9 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 80 health citations on file.
Inspectors wroteThis citation pertains to Intake Number(s): 3044078 and 3044417. Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for one (R804) of four residents reviewed for abuse, resulting in psychosocial harm using the reasonable person concept when R805 laid in bed with R804, exposed his genitals, and touched R804's breast.
Inspectors wroteThis citation pertains to Intake Number(s): 3044078 and 3044417. Based on observation, interview, and record review, the facility failed to implement effective interventions for dementia related behaviors in a timely manner for one (R805) of one resident reviewed for dementia care, resulting in continued wandering behaviors and the resident climbing into bed with another resident, exposing his genitals, and touching the other resident's breast.
Inspectors wroteThis citation pertains to Intake #2985803. Based on interview and record review, the facility failed to ensure a Preadmission Screening (PAS)/Annual Resident Review (ARR) Level II evaluation (a comprehensive evaluation by the appropriate state-designated authority and determines whether the individual has a mental disorder and determines the appropriate setting for the individual and recommends any specialized services the individual needs) was completed and the recommendations incorporated into in the resident's assessments and plan of care for one (R802) of one resident reviewed for PASARR.
Inspectors wroteThis incident relates to Intake 2742599. Based on observation, interview, and record review, the facility failed to protect the residents right to be free from physical abuse when R106 punched R105 in the nose, which resulted in nasal fractures, pain, acute mental status changes, and feelings of fearfulness.
Inspectors wroteThis citation relates to Intake #2736914. Based on observation, interview, and record review, the facility failed to provide a comfortable homelike environment with consistent availability of bath linens and laundry for residents (R102, R105, R112, R114 and R118) to ensure resident cleanliness and ability to complete personal bathing and hygiene, with the potential to affect the facility residents who used facility bath linens.
Inspectors wroteThis citation relates to Intakes 2730741, 2706499, and 2706385. Based on observation, interview, and record review, the facility failed to ensure adequate supervision to prevent four resident-to-resident altercations for R109 and R108, R104 and R117, R103 and R110, and R103 and R111 of four incidents reviewed.
Inspectors wroteThis citation relates to Intake 2736914. Based on observation, interview, and record review, the facility failed to ensure the availability and consistent provision of evening snacks.
Inspectors wroteThis citation relates to Intake 2736914Based on observation, interview, and record review, the facility failed to provide ensure residents' activities of daily living (adl care) were completed timely for five Residents (R102, R107, R112, R115, and R116) of six residents reviewed for adl care provision.
Inspectors wroteThis citation relates to Intake 2733234 Based on observation, interview, and record review, the facility failed to provide consistent meaningful person-centered activities for two Residents (R101 and R114) of three residents reviewed for activities.
Inspectors wroteThis citation pertains to Complaint #2578523. Based on observation, interview, and record review, the facility failed to assess, monitor, and document a change in condition in a timely manner for two (R27 and R92) of four residents reviewed for change in condition, resulting in a delay in treating a Urinary Tract Infection (UTI) leading to septic shock and admission into the Intensive Care Unit (ICU) at the hospital.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a homelike environment during dining for four (R7, R47, R64, and R72) of nine residents reviewed for dining.
Inspectors wroteThis citation pertains to complaint 2578523. Based on interview and record review the facility failed to ensure one (92) of one resident was free from significant medication error when 18 doses of Intravenous (IV) antibiotics were ,missed and not given as the prescriber's ordered.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sufficient dietary support personnel to meet the needs of the residents in the second floor dining room for five (R7, R23, R26, R64, and R72) of 10 residents reviewed for the dining task.
Inspectors wroteThis citation pertains to Intake 2662526. Based on observation, interview and record review, the facility failed to provide an environment that promoted and enhanced residents' dignity for three (R12, R49 and R23) of three residents reviewed for dignity.
Inspectors wroteBased on interview and record review, the facility failed to ensure accurate advance directive information was in place for one (R33) of four residents reviewed for advance directives.
Inspectors wroteThis citation pertains to Incident #2569672 and Complaint #2677444. Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from neglect for one (R5) of six residents reviewed for abuse and neglect, resulting in the resident being confined to bed and their room, not receiving any oral hygiene, and not being changed out of a hospital gown.
Inspectors wroteThis citation pertains to Incident #2569672 and Complaint #2677444. Based on observation, interview, and record review, the facility failed to report incidents of neglect to the Abuse Coordinator and the State Agency for one (R5) of six resident reviewed for abuse and neglect.
Inspectors wroteBased on interview and record review the facility failed to ensure PASSAR (Preadmission Screening/Annual Resident Review) documentation and OBRA Level II exemption criteria were completed appropriately for two residents (R3 and R20) of three residents reviewed for PASSAR/OBRA (Omnibus Budget Reconciliation Act) assessments.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure professional standards for Nursing were practiced including performing accurate assessments and maintaining an accurate treatment record for two residents (R5 and R64) of two residents reviewed for Professional Standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide nail care and eating assistance for three dependent residents (R3, R23 and R26) of three residents reviewed for activities of daily living (ADL's).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure timely identification of pressure ulcers for one (R12) of three residents reviewed for pressure ulcers resulting in R12's right heel pressure ulcer and right gluteal fold pressure ulcer being first identified as an Unstageable (obscured full-thickness skin and tissue loss) pressure ulcer.
Inspectors wroteThis citation has two deficient practices. Deficient Practice #1 Based on observation, interview and record review the facility failed to ensure effective interventions were implemented to prevent multiple/re-occurring falls for one resident (R49) of nine residents reviewed for Accidents/Hazards.
Inspectors wroteThis citation pertains to Intake #2597945Based on interview and record review the facility failed to ensure timely catheter care was provided and guardian recommendations were timely addressed for one R (48) of one resident reviewed for catheter care/urinary tract infection (UTI).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure Physician ordered weight monitoring was obtained and completed for two residents (R64 and R70) of two residents reviewed for weight loss.
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer tube feeding according to the resident's assessed needs and physician's orders for one (R5) of one resident reviewed for tube feeding.
Inspectors wroteBased on interviews and record review the facility failed to provide ongoing communication and collaboration with the dialysis facility regarding dialysis care and services for one (R6) of one resident reviewed dialysis communication.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a medication error rate less than five percent when two medication errors out of 26 opportunities were observed for two (R78 and R35) of six residents reviewed during the medication administration observation, resulting in a 7.69% error rate.
Inspectors wroteThis citation pertains to intake 263088. Based on observation, interview and record review, the facility failed to protect the residents' right to be free from physical abuse by a resident for three (R801, R802, and R803) of three residents reviewed for abuse, resulting in R801 punching R802 in the face twice breaking R802's jaw and R802 pushing R803 to the floor, then kicking R803 and trying to run R803 over in their wheelchair.
Inspectors wroteThis citation pertains to intake 263088. Based on interview and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act for three (R801, R802 and R803) of three residents reviewed for abuse.
Inspectors wroteThis citation pertains to Intake Number(s): 1290771. Based on observation, interview, and record review, the facility failed to ensure there was sufficient nursing staff to meet the needs of 11 (R804, R805, R806, R807, R808, R809, R810, R811, R812, R813, and R814) of 11 residents reviewed for staffing, resulting in residents not receiving water for two days, residents wandering into other residents' rooms, incorrect meal trays being delivered and/or left in the residents' rooms for extended periods of time, and staff being unaware of their assignments. This had the potential to affect all residents who resided on the second floor.
Inspectors wroteThis citation pertains to intake: 1290771. Based on observation, interview and record reviews the facility Administration failed to follow the facility's policy regarding grievances and failed to follow up regarding reported concerns for one (R804) of one resident reviewed for grievances.
Inspectors wroteThis citation pertains to Intake Number(s): 1290904. Based on observation, interview, and record review, the facility failed to follow their abuse policy to address a witnessed resident to resident physical altercation between two (R801 and R802) of five residents reviewed for abuse, resulting in R815 attempting to intervene and stop the altercation.
Inspectors wroteThis citation pertains to intake: 1290771. Based on observation, interview and record reviews the facility failed to provide assistance with grooming for one (R804) of two residents reviewed for Activities of Daily Living (ADLs).
Inspectors wroteThis citation pertains to intake #s MI000151156 and MI00151228. Based on interviews and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident for two (R705 and R704) of three residents reviewed for abuse, resulting in R703 punching R704 and R705 on their face with a closed fist.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure nonpharmacological interventions were implemented and utilized before the administration of pharmacological interventions, failed to implement a person centered behavioral care plan, and failed to provide behavioral health services to one (R702) of three residents reviewed for falls.
Inspectors wroteThis citation pertains to Intake #MI00149000 Based on interview and record review the facility failed to fully investigate two falls to determine the root cause, ensure correct interventions were in place for one (R804) of two residents reviewed for falls/accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the development and worsening of facility acquired pressure ulcers for two (R58 and R22) of two residents reviewed for pressure ulcers and failed to implement treatments in a timely manner (R58 and R22) and according to physicians orders (R58 and R22), ensure assessments of wounds were accurate (R58 and R22), and ensure oversight by a medical provider after the development of a pressure ulcer (R58), resulting in R58 developing a stage II pressure ulcer (partial-thickness skin loss with exposed dermis) that developed into a Stage IV pressure ulcer (Full-thickness skin loss) with acute osteomyelitis (bone infection) and R22 developing an unstageable pressure ulcer (Obscured full-thickness skin and tissue loss).
Inspectors wroteBased on observation, interview and record review the facility failed to timely identify and address the weight loss for one R25 of five residents reviewed for nutrition, resulting in the delay of an identified significant weight loss of -11.67% within six months and the delay of nutritional interventions implemented.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen. This deficient practice had the potential to affect all residents that consume food from the kitchen.
Inspectors wroteBased on interview and record review, the facility licensed failed to employ a full-time qualified social worker when certified for 126 residents, resulting in multiple deficient practices including the following areas, advance directives, ancillary services, completing Social Service assessments, discharge planning, and Preadmission Screening and Resident Review (PASRR). This deficient practice had the potential to affect all 62 residents who resided in the facility.
Inspectors wroteBased on observation, interviews and record reviews the facility failed to ensure infection control standards and practices were consistently implemented (R58) and ensure an effective infection control prevention and control program was consistently implemented for 62 of 62 residents residing at the facility during the time of the survey.
Inspectors wroteThis citation has three deficient practice statements (DPS). DPS #1 Based on observation, interview, and record review, the facility failed to identify the root cause of multiple falls and implement effective interventions to prevent falls for one (R22) of two residents reviewed for falls, resulting in multiple falls with injuries including a bruise to the shoulder, a skin tear, and a bump to the head.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medically related social services were provided for eight residents (R7, R20, R48, R54, R59, R60, R312 and R315) of nine residents reviewed for social services.
Inspectors wroteBased on interview and record reviews the facility failed to maintain and implement an effective antibiotic stewardship program for five (R1, R11, R23, R58, R212) of five residents identified, however this deficient practice had the ability to affect multiple residents that were prescribed and administered antibiotics while residing in the facility.
Inspectors wroteBased on interview and record review, the facility failed to ensure effective facility communication for honoring advanced directives for two residents (R48 and R315) of four residents reviewed for advanced directives.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the State Agency for one resident (R11) of two residents reviewed for abuse/neglect/mistreatment.
Inspectors wroteBased on interview and record review, the facility failed to ensure a thorough investigation into allegations of abuse were completed for two residents (R11 and R25) of two residents reviewed for abuse/neglect/mistreatment.
Inspectors wroteBased on observation, interview and record reviews the facility failed to ensure a Level II screening was completed for one resident (R54) of four residents reviewed for PASAR (PAS - Preadmission Screening - ARR - Annual Resident Review).
Inspectors wroteBased on observation, interview and record review the facility failed to implement adequate care plan interventions for a language barrier/communication problem for one (R3) of 16 sampled residents reviewed for care plans.
Inspectors wroteThis citation pertains to Intake #MI00145963 Based on interview and record review the facility failed to facilitate a safe and coordinated discharge for one resident (R312) out of three reviewed for discharge.
Inspectors wroteThis citation has two deficient practice statements (DPS). DPS #1 Based on observation, interview, and record review, the facility failed to coordinate follow up cardiology, pulmonology, and gastrointestinal (GI) appointments for two (R57 and R58) of two residents reviewed for appointments.
Inspectors wroteBased on observation, interview and record review the facility failed to follow up on the audiology recommendations and services timely for one R7 of one resident reviewed for audiology services.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure oxygen was administered as ordered by the physician for one R315 of three residents reviewed for respiratory care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure there was physician oversight for one (R58) of two residents reviewed for pressure ulcers, resulting in the lack of medical evaluation for a stage 2 (partial-thickness skin loss with exposed dermis) facility acquired pressure ulcer that worsened to a Stage IV pressure ulcer (Full-thickness skin and tissue loss) with acute osteomyelitis (bone infection).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one (R58) of 16 residents reviewed for physician visits was seen at least once every 30 days for the first 90 days after admission by a physician or physician extender.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one (Certified Nursing Assistant - CNA 'H') of five CNAs reviewed for competency was evaluated for skills and techniques to care for residents' appropriately, resulting in CNA 'H' providing care to R58 in an unsafe manner and not according to assessed needs.
Inspectors wroteBased on observation, interview and record review the facility failed to establish and implement an effective system to receive, dispense, administer and disposition of controlled medications account for two (R's 59 & 315) of five residents reviewed for medications, this deficient practice resulted in the inaccurate documentation of a controlled medication and had the ability to result in the diversion of medication not accounted for.
Inspectors wroteBased on observation, interview and record review the facility failed to follow the facility's policy on the maintenance and storage of medications and foods for one of one medication storage rooms observed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a dental oral surgery referral was made for one resident (R20) of one residents reviewed for dental services.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a plan of care for hospice services being provided was coordinated and documented in the resident's clinical record for one (R315) of one sampled resident reviewed for hospice services, resulting in a lack of coordination of comprehensive services and incorrect code status.
Inspectors wroteBased on interview and record review the facility failed to establish an effective Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI) plan that identified issues of harm. This deficient practice had the potential to affect all 59 residents in the facility.
Inspectors wroteBased on interview and record review the facility failed to provide education and offer the pneumococcal immunization for two R's 26 & 58 of five residents reviewed for the Pneumococcal immunization.
Inspectors wroteBased on interview and record review the facility failed to provide education and offer the Covid-19 vaccine and/or booster for two R's 26 & 58 of five residents reviewed for the Covid-19 vaccine.
Inspectors wroteBased on interview and record review, the facility failed to provide an Advance Beneficiary Notice (ABN) for three (R317, R318 and R54) of three residents reviewed and failed to provide Notice of Medicare Non-coverage (NONMC) for two (R317 and R318) of three residents reviewed.
Inspectors wroteThis citation pertains to intake: MI00145585. Based on interviews and record reviews the facility failed to ensure effective tracheostomy/supervision interventions were implemented for one (R303) a resident with a tracheostomy (trach) of two residents reviewed for tracheostomy care.
Inspectors wroteThis citation pertains to intake # MI00143422 Based on interview and record review, the facility failed to establish and maintain a system that assures complete and separate accounting for Resident's Trust Funds from the facility's operating account, according to the generally accepted accounting principles, of each resident's personal funds entrusted to the facility on the resident's behalf; and failed to provide timely financial statements for one (R701) of three Residents reviewed for Resident's Trust Fund resulting in resident/resident's representative being uninformed about their personal funds and potential for misuse of resident funds.
Inspectors wroteBased on observation, interview, and record review the facility failed to report an allegation of resident to resident physical abuse to the State Agency (SA) for one (R703) of three residents reviewed for abuse.
Inspectors wroteBased on observation, interview and record review the facility failed to provide safe, appropriate monitoring/supervision/interventions for a resident that had a physician order for NPO (non-per-oral/nothing by mouth) from being fed by family member(s), resulting in an Immediate Jeopardy for one (R53) out of six residents reviewed for accidents. R53 was sent to the hospital on at least two occasions (7/10/23 and 7/12/23) for a decrease in oxygen saturation after being fed by family member(s) and the likelihood of possible aspiration, choking and/or other negative consequences. This deficient practice placed all residents with a NPO order at high risk for further safety concerns, significant harm, injury and/or death.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide medically related social services to three (R38, R39, and R50) residents reviewed for social services, with the potential to affect all facility residents. This deficient practice resulted in insufficient/ineffective mood and behavior monitoring, a lack of social service assessments to effectively monitor and/or address changes in mental and psychosocial health needs, coordination of ancillary services, and assistance with discharge planning.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store utensils in a sanitary manner, failed to maintain the dry storage room in a sanitary manner, and failed to store food in a sanitary manner. This deficient practice had the potential to affect all residents that consume food from the kitchen.
Inspectors wroteThis citation pertains to intake #s: MI00131097, MI00131393, and MI00134314. Based on observation, interview, and record review the facility failed to provide a clean, comfortable and home-like environment to ensure that hallways, resident rooms, floors and other facility areas and equipment were clean (R28), and in good repair (R48 and R55) resulting in an unclean physical environment, resident dissatisfaction and complaints regarding the lack of cleanliness and upkeep. This deficient practice had the potential to affect all residents that reside within the facility.
Inspectors wroteThis citation pertains to intake #MI00134531 Based on interview and record review, the facility failed to report narcotic count discrepancies to the Director of Nursing/Administrator for one resident, (R312) of one resident reviewed for misappropriation, resulting in the potential for future discrepancies.
Inspectors wroteBased on observation, interview and record review the facility to ensure sufficient staffing/supervision was provided for four residents (R31, R38, R40 and R264) of four residents reviewed for behavioral health needs/cognitive impairments. This deficient practice has the potential to affect all residents residing on the second floor of the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to properly follow a physician order for an antibiotic for one (R213) of five residents reviewed for unnecessary medication.
Inspectors wroteThis citation pertains to intake #s: MI00131393 and MI00134314. Based on observation, interview, and record review, the facility failed to ensure appropriate infection control practices related to medication administration for three residents (R#'s 10, 40 and 38) of 9 residents reviewed for infection control and ensure a chair that had been urinated on was cleaned in a timely manner. This deficient practice had the potential to affect multiple residents who reside in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident (R163) was treated in a dignified manner while care was being provided for one resident reviewed for dignity.
Inspectors wroteThis citation pertains to intake #MI00134531 Based on interview and record review, the facility failed to prevent misappropriation of property for one resident (R312) of one resident reviewed for misappropriation, resulting in missing controlled substance medications.
Inspectors wroteThis citation pertains to intake # MI00134314. Based on interview, and record review, the facility failed to develop comprehensive care plans which addressed actual non-pressure wounds for one (R162) of one resident reviewed for care planning.
Inspectors wroteThis citation pertains to intake #s: MI00136363, MI00134314, and MI00134531. Based on interview, and record review, the facility failed to perform skin and wound assessments consistently, administer wound treatments and diagnostic testing according to physician's orders for one (R162) of one resident reviewed for non-pressure skin conditions.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident (R9) was provided with a timely dental consult of two residents reviewed for dental services.
20 fire safety citations on file: 8 on August 28, 2024, 12 on July 13, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 7, 2025 | Fine | $37,310 |
| August 28, 2024 | Fine | $88,239 |
| August 28, 2024 | Payment Denial | 27 days from September 26, 2024 |
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) | 3.66 | 3.99 | 3.86 |
| Registered nurses | 0.40 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.50 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 1.25 | ||
| Nursing staff turnover (share who left in a year) | 60.2% | 44.1% | 45.8% |
| Registered nurse turnover | 54.5% | 39.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.29 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 3.87 on weekdays and 3.14 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.66 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 | 3.66 | 0.40 | 3.87 | 3.14 | 22.6% | 1 of 90 | 86 |
| Oct to Dec 2025 | 3.86 | 0.47 | 4.10 | 3.24 | 16.7% | 3 of 92 | 84 |
| Jul to Sep 2025 | 3.63 | 0.50 | 3.78 | 3.24 | 24.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.46 | 0.45 | 3.60 | 3.12 | 12.1% | 2 of 91 | 69 |
| 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 | 3.5 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.2 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.6 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.4 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.4 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 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 The Springs at Rochester Hills Rehab and Nursing C's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.8% 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. 40 eligible stays.
12.3% 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. 57 eligible stays.
6.9% 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. 29 eligible stays.
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: 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. 14 residents counted.
5.0% 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. 20 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. 20 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. 4 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: SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER. CMS links this home to Avon Healthcare, a group of 9 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gottlieb, Moshe | 5% or greater direct ownership interest | Individual | 50% | 07/31/2024 |
| Alatassi, Malaz | Contracted managing employee | Individual | 07/31/2024 | |
| Timmons, Arlexsus | W-2 managing employee | Individual | 07/31/2024 | |
| Freund, Eliyahu | Corporate officer | Individual | 07/31/2024 | |
| Kownacki, Kristine | Operational/managerial control | Individual | 11/14/2024 | |
| Timmons, Arlexsus | Operational/managerial control | Individual | 11/14/2024 | |
| Avon Springs Rochester Mgmt LLC | Adp of the SNF | Organization | 11/20/2024 | |
| The Springs at Rochester Hills Propco LLC | Adp of the SNF | Organization | 11/22/2024 | |
| Freund, Eliyahu | Adp of the SNF | Individual | 12/12/2024 | |
| Gottlieb, Moshe | Adp of the SNF | Individual | 11/16/2024 | |
| Kownacki, Kristine | Adp of the SNF | Individual | 11/14/2024 |
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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