Federal inspection record · CMS data as of October 1, 2026
Four Chaplains Nursing Care Center
28349 Joy Rd, Westland, MI · (734) 261-9500
- Certified beds
- 96
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- Nexcare Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 10, 1988
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Four Chaplains Nursing Care Center carries 41.5 inspection points. That is fewer than 70% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Everything else, by area of care
Quality of Life and Care7D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning5E
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights1D
- D
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-02-13
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-12-05
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-10-18
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 32 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 47% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$45,126 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-09 | Fine | $45,126 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.2 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 98.4% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 1.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 0.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 2.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 15.4% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.1 pts better | 9.6% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 9.6% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 9.8% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.9% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.6 pts better | 2.8% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 7.1% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.9 pts worse | 69.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4 pts better | 7.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.4 pts worse | 69.1% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts worse | 26.4% | 23.9% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Branscum, James | 5% Or Greater Direct Ownership Interest · Individual | 31% | 8 facilities |
| Robin Eisenberg 2014 Family Trust | 5% Or Greater Direct Ownership Interest · Organization | 31% | 7 facilities |
| Wronski, Frank | 5% Or Greater Direct Ownership Interest · Individual | 31% | 12 facilities |
| Branscum, James | Corporate Director · Individual | 0% | 8 facilities |
| Branscum, James | Corporate Officer · Individual | 0% | 8 facilities |
| Eisenberg, Leo | Corporate Director · Individual | 0% | 3 facilities |
| Eisenberg, Leo | Corporate Officer · Individual | 0% | 3 facilities |
| Mallet, Deborah | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Nexcare Health Systems, LLC | Operational/Managerial Control · Organization | 0% | 28 facilities |
| Perry, Michael | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Sangster, Todd | Corporate Officer · Individual | 0% | 28 facilities |
| Wronski, Frank | Corporate Director · Individual | 0% | 12 facilities |
| Wronski, Frank | Corporate Officer · Individual | 0% | 12 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems3F
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- E
Have restrictions on the use of portable space heaters.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress2F
- D
Have exits that are accessible at all times.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 44 min
- Fines
- $8,985
-
Optalis Health and Rehabilitation of Dearborn Heig
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- Nursing / resident / day
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- Fines
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-
Regency at Livonia
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
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