Cycle 1
Health 2024-10-23 · Fire 2024-10-23
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Brighton, MI
Caretel Inns of Brighton
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1014 E Grand River, Brighton, MI
(810) 220-5222
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Symphony Care Network
Operator or chain grouping
Approved since
2005-05-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
1.21
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
2.09
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.05
CMS adjusted RN staffing hours
Adjusted total hours
3.52
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,533
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.64% · Performance 21.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
9.28
Baseline 7.03% · Performance 5.06% · Measure score 9.28 · Achievement 9.28 · Improvement 9
Total nurse turnover
3.82
Baseline 71.77% · Performance 51.52% · Measure score 3.82 · Achievement 2.98 · Improvement 3.82
Adjusted total nurse staffing
2.72
Baseline 3.96 hours · Performance 3.85 hours · Measure score 2.72 · Achievement 2.72 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.17% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 447 · Observed rate 12.98% · Lower 95% interval 9.65% |
| Discharge to community | 63.9% |
50.57%
13.3 pts better
|
Better than the National Rate · Eligible stays 461 · Observed rate 58.35% · Lower 95% interval 57.37% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 247 · Denominator 247 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 247 |
| Discharge self-care score | 66.83% |
53.69%
13.1 pts better
|
Numerator 137 · Denominator 205 |
| Discharge mobility score | 60.49% |
50.94%
9.6 pts better
|
Numerator 124 · Denominator 205 |
| Pressure ulcers or injuries, new or worsened | 2.83% |
2.29%
0.5 pts worse
|
Numerator 7 · Denominator 247 · Adjusted rate 2.38% |
| Healthcare-associated infections requiring hospitalization | 5.06% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 257 · Observed rate 3.11% · Lower 95% interval 3.43% |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 87 |
| Staff flu vaccination coverage | 25.88% |
42%
16.1 pts worse
|
Numerator 44 · Denominator 170 |
| Discharge function score | 66.83% |
56.45%
10.4 pts better
|
Numerator 137 · Denominator 205 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 79 · Denominator 79 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 153 · Denominator 153 |
| Resident COVID-19 vaccinations up to date | 21.01% |
25.2%
4.2 pts worse
|
Numerator 25 · Denominator 119 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.0%
5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · 4Q avg 100.0% |
| 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 | 11.4% |
3.1%
8.3 pts worse
|
3.3%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 14.3% · Q3 5.0% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.0% |
4.1%
7.9 pts worse
|
11.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · 4Q avg 12.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
19.6%
1.6 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
16.5%
0.5 pts better
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.0% · 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 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.0% |
11.7%
1.7 pts better
|
14.9%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
20.4%
6.8 pts better
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 9.0% |
5.6%
3.4 pts worse
|
5.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.3% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
82.8%
17.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
11.5%
4.8 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 5.9% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.3%
1 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.7% |
79.5%
20.2 pts better
|
79.7%
20 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
24.2%
1.2 pts better
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 19.2% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-16 · Fire 2023-11-16
12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-12-14 · Fire 2022-12-14
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-14
F · Potential for more than minimal harm
2024-10-23
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-14
F · Potential for more than minimal harm
2023-11-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-08
F · Potential for more than minimal harm
2023-11-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-12-08
E · Potential for more than minimal harm
2023-11-16
K321 · Smoke Deficiencies
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 2023-12-08
F · Potential for more than minimal harm
2022-12-14
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-10
F · Potential for more than minimal harm
2022-12-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-10
F · Potential for more than minimal harm
2022-12-14
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-10
F · Potential for more than minimal harm
2022-12-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-10
F · Potential for more than minimal harm
2022-12-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K223 · Egress Deficiencies
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 2023-02-21
E · Potential for more than minimal harm
2022-12-14
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-02-21
E · Potential for more than minimal harm
2022-12-14
K321 · Smoke Deficiencies
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 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-14
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-14
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-14
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-10
Inspection history
Recent health citations
G · Actual harm
2025-11-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-26
D · Potential for more than minimal harm
2025-02-06
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-04
D · Potential for more than minimal harm
2025-02-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-04
F · Potential for more than minimal harm
2024-10-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-14
F · Potential for more than minimal harm
2024-10-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-14
F · Potential for more than minimal harm
2024-10-23
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-11-14
E · Potential for more than minimal harm
2024-10-23
F584 · Resident Rights Deficiencies
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 2024-11-14
E · Potential for more than minimal harm
2024-10-23
F761 · Pharmacy Service Deficiencies
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 2024-11-14
D · Potential for more than minimal harm
2024-10-23
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-14
D · Potential for more than minimal harm
2024-10-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-14
D · Potential for more than minimal harm
2024-05-21
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-07
D · Potential for more than minimal harm
2024-05-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-07
D · Potential for more than minimal harm
2024-03-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-29
D · Potential for more than minimal harm
2024-01-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-29
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-16
F · Potential for more than minimal harm
2023-11-16
F761 · Pharmacy Service Deficiencies
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 2023-12-08
F · Potential for more than minimal harm
2023-11-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-16
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-09
D · Potential for more than minimal harm
2023-11-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
E · Potential for more than minimal harm
2023-10-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-13
D · Potential for more than minimal harm
2023-10-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-13
E · Potential for more than minimal harm
2022-12-14
F584 · Resident Rights Deficiencies
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 2023-01-06
E · Potential for more than minimal harm
2022-12-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-01-06
D · Potential for more than minimal harm
2022-12-14
F578 · Resident Rights Deficiencies
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 2023-01-06
D · Potential for more than minimal harm
2022-12-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-06
D · Potential for more than minimal harm
2022-12-14
F758 · Pharmacy Service Deficiencies
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 2023-01-06
Penalties and ownership
What sits behind the stars
Ownership
Symphony Of Michigan Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Benoit Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Calumet South LLC
5% Or Greater Indirect Ownership Interest · Organization
Drake Louis Enterprise, LLC
5% Or Greater Indirect Ownership Interest · Organization
Drake Louis Enterprise, LLC
Operational/Managerial Control · Organization
Fairhome Trust Uad 12312012
5% Or Greater Indirect Ownership Interest · Organization
Gzlt Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hartman, David
5% Or Greater Indirect Ownership Interest · Individual
Hartman, David
Operational/Managerial Control · Individual
Hartman, David
Corporate Officer · Individual
Hartman, Mark
5% Or Greater Indirect Ownership Interest · Individual
Krupp, Ari
5% Or Greater Indirect Ownership Interest · Individual
Krupp, Ari
Operational/Managerial Control · Individual
Krupp, Ari
Corporate Officer · Individual
Raza, Ali
W-2 Managing Employee · Individual
Senderowicz, Yossi
5% Or Greater Indirect Ownership Interest · Individual
Truist
5% Or Greater Security Interest · Organization
Willow Delta Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
WellBridge of Brighton
Howell, MI
2-star overall rating with 2-star inspections with $26,686 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Regency at Whitmore Lake
Whitmore Lake, MI
1-star overall rating with 1-star inspections with $235,995 in total fines with 21 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
West Hickory Haven
Milford, MI
1-star overall rating with 1-star inspections with $54,304 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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