West Oaks Senior Care & Rehab Center
22355 W Eight Mile Rd, Detroit, MI 48219 · Wayne County · (313) 255-6450
102 certified beds, about 99 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235374 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2025, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).
None of its 15 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
55.3% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Nexcare Health Systems, an affiliated group of 20 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
607/23
109/23
212/23
105/24
006/24
112/24
104/25
206/25
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
2F
Potential for minimal harm
0A
0B
0C
December 16, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake 2680585 Based on interview and record review, the facility failed to provide adequate supervision for one vulnerable resident (R101) of five residents reviewed for supervision, resulting in a resident being left alone during an outside appointment and the potential for injury.
June 25, 2025Standard inspection · 2 citations
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and record review, the facility failed to ensure Physician/Physician Extender progress notes were entered into the clinical record in a timely manner for one resident (R35) of 19 resident's reviewed for Physician/Physician Extender progress notes.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain infection control practices for two of five residents (R47 and R22) reviewed for respiratory care by not ensuring respiratory equipment was stored in a sanitary manner. This failure had the potential to expose residents to harmful microorganisms and increase the risk of infection.
April 8, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intakes MI00151575 and MI00151833. Based on interview and record review the facility failed to ensure proper positioning during care for one resident (R902) out of three residents reviewed for falls, resulting in R902 falling from bed and obtaining a large hematoma (blood filled bruise) with extensive bruising of the face.
December 5, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake MI00147802. Based on interview and record review, the facility failed to prevent an elopement for one resident (R301) out of four residents reviewed for elopement, resulting in R301 exiting from the facility without staff knowledge and the potential for injury for the resident.
June 27, 2024Standard inspection · 0 citations
May 7, 2024Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThis citation pertains to intake MI00143663. Based on observation, interview, and record review, the facility failed to properly assess bilateral heel wounds for one resident (R404) of three residents reviewed for pressure ulcer prevention/intervention, resulting in the potential for the worsening of wounds.
December 5, 2023Complaint inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteThis citation pertains to #MI00140569. Based on interview and record review, the facility failed to ensure two residents (R107 amd R108) out of four residents reviewed for infection control, received proper COVID-19 testing following a COVID-19 outbreak in the facility, resulting in the potential for spread of COVID-19 throughout the building.
- D Respond appropriately to all alleged violations.
Inspectors wroteThis citation pertains to MI00140144. Based on interview and record review, the facility failed to submit documentation of a completed investigation of an alleged incident of resident-to-resident abuse in a timely manner to the State Agency for two residents (R101 and R102), out of three residents reviewed for abuse, resulting in the potential delay for opportunities to implement corrective measures and interventions.
September 18, 2023Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteThis citation pertains to intake MI00139131, Based on interview and record review the facility failed to inform the resident's representative of a change in condition for three (R601, R602, and R605) of five residents reviewed for change in condition, resulting in the resident's representative not being informed of the resident's physical and psychosocial well-being.
July 27, 2023Standard inspection · 6 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview the facility failed to consistently ensure the services of a Registered Nurse (RN) for eight consecutive hours per day, seven days per week, resulting in the potential for unmet care needs for all residents who reside in the facility.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure consistent proper working order of the facility reach-in freezer which had the potential to affect all residents that eat from the kitchen.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hypertensive medication (Carvedilol) was properly administered for one resident (R4), resulting in a medication being left at the bedside.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide appropriate tracheostomy (surgical opening through the neck to help oxygen reach the lungs) care or have emergency supplies readily available for one resident (R57) reviewed for tracheostomy care resulting in the potential for inadequate oxygenation and respiratory infection.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow-up with dental recommendation for one resident with Medicaid benefits (R34) reviewed for dental services resulting in R34 not having several broken/decayed teeth extracted and the potential for tooth pain, tooth abscess, and difficulty eating.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items listed as always available were on hand to ensure resident food preferences were honored for one resident (R67) of one resident reviewed for food preferences, resulting in resident dissatisfaction with the dining experience.
Fire safety inspections
17 fire safety citations on file: 1 on July 15, 2025, 4 on June 25, 2025, 11 on June 27, 2024, 1 on July 27, 2023.
Every fire safety citation17 citations
- F Meet other general requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.99 | 3.86 |
| Registered nurses | 0.40 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.50 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 1.18 | ||
| Nursing staff turnover (share who left in a year) | 55.3% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.83 on weekdays and 3.40 on weekends, 11% 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 4.12 in April to June 2025 to 3.70 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 | 3.70 | 0.40 | 3.83 | 3.40 | 0.0% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.70 | 0.37 | 3.82 | 3.39 | 0.0% | 0 of 92 | 99 |
| Jul to Sep 2025 | 3.87 | 0.40 | 4.00 | 3.53 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 4.12 | 0.39 | 4.28 | 3.72 | 0.0% | 0 of 91 | 97 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.7 | 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 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.9 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.8 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.4 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.8 |
Owners and operators
Legal business name: WEST OAKS SENIOR CARE AND REHAB CENTER, LLC. CMS links this home to Nexcare Health Systems, a group of 20 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2013 |
| Gardner, Rosemary | W-2 managing employee | Individual | 08/03/2018 | |
| Sangster, Todd | Corporate officer | Individual | 11/04/2013 | |
| Nexcare Health Systems, LLC | Operational/managerial control | Organization | 07/01/2005 | |
| Perry, Michael | Operational/managerial control | Individual | 08/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on December 16, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on June 25, 2025: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 25, 2025: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 5, 2023: "Respond appropriately to all alleged violations."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- The Villa at Great Lakes Crossing Detroit, 1.3 mi · 2 of 5 stars · 27 citations
- Regency Heights-Detroit Detroit, 1.3 mi · 3 of 5 stars · 29 citations
- Beaconshire Nursing Centre Detroit, 1.3 mi · 2 of 5 stars · 34 citations
- The Orchards at Redford Redford, 2.5 mi · 1 of 5 stars · 37 citations
- Hartford Nursing & Rehabilitation Center Detroit, 2.9 mi · 3 of 5 stars · 31 citations
- The Orchards at Northwest Detroit, 3.3 mi · 1 of 5 stars · 43 citations
- Westwood Nursing Center Detroit, 3.7 mi · 3 of 5 stars · 22 citations
- Sheffield Manor Nursing & Rehabilitation Center Detroit, 3.9 mi · 3 of 5 stars · 17 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is West Oaks Senior Care & Rehab Center's Medicare star rating?
- CMS rates West Oaks Senior Care & Rehab Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did West Oaks Senior Care & Rehab Center get at its last inspection?
- 2 health deficiencies at the standard inspection on June 25, 2025. The Michigan average is 9.9.
- Has West Oaks Senior Care & Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does West Oaks Senior Care & Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns West Oaks Senior Care & Rehab Center?
- CMS lists 5 owners and managers, and links the home to Nexcare Health Systems. Legal business name: WEST OAKS SENIOR CARE AND REHAB CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.