8 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Trenton, MI
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
5500 Fort St, Trenton, MI
(734) 671-3500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.53
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.16
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 44% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 72.16% |
8.2%
64 pts better
|
Numerator 70 · Denominator 97 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
95.0%
0.4 pts worse
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 96.7% · Q3 96.8% · Q4 92.5% · 4Q avg 94.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
3.1%
3.8 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.0% · Q3 6.5% · Q4 2.5% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.1%
4.1 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
5.5%
2.5 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.2% · Q3 0.0% · Q4 3.8% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% |
19.6%
4.6 pts better
|
19.6%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 16.7% · Q3 11.5% · Q4 15.6% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.5% |
16.5%
13 pts better
|
16.7%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 0.0% · Q4 8.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.6% |
13.9%
4.7 pts worse
|
16.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
11.7%
4.4 pts worse
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.3% · Q3 18.2% · Q4 28.6% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.9%
0.9 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 3.6% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.8% |
1.7%
8.1 pts worse
|
1.7%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 13.3% · Q3 9.7% · Q4 2.9% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
20.4%
0.9 pts worse
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 11.2% · Q3 28.5% · Q4 21.9% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
5.6%
4.5 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.7% · Q3 9.6% · Q4 16.0% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.1% |
82.8%
11.7 pts worse
|
81.7%
10.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 73.9% · Q4 71.4% · 4Q avg 71.1% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
1.3%
2.1 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-27
Fire Safety
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.
Corrected 2023-09-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-27
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-10-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-27
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-09-27
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-09-27
Fire Safety
Install proper backup exit lighting.
Corrected 2023-10-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-27
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-27
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-27
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2025-10-27
Health
Keep all essential equipment working safely.
Corrected 2025-10-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-10-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-18
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-18
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-11
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-09-27
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-09-27
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-09-27
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-09-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-27
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-27
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-09-27
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-09-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-09-27
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-27
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-09-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-27
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-09-27
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-09-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-27
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2023-09-27
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-09-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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1-star overall rating with 1-star inspections with $73,216 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Riverview, MI
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
Riverview, MI
3-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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