Detroit, MI

Hamilton Nursing Home

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

590 E Grand Blvd, Detroit, MI

(313) 921-1580

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

64

Certified beds

Average residents

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Priority Healthcare Group

Operator or chain grouping

Approved since

1979-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 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

0.36

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.11

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.78

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,943

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.98

Composite VBP score used to determine payment impact.

Payment multiplier

0.9828

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.9

Baseline 60.78% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0

Adjusted total nurse staffing

3.50

Baseline 3.57 hours · Performance 4.07 hours · Measure score 3.50 · Achievement 3.50 · Improvement 1.77

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 24 · 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 6 · 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 9 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 9 · 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 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 84
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 86
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.7
0.3 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.5
0.8 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.5%
95.0%
11.5 pts worse
93.4%
9.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 84.7% · Q3 84.7% · Q4 78.9% · 4Q avg 83.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
95.0%
1.8 pts better
95.5%
1.3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.1%
1.4 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 0.0% · Q4 1.8% · 4Q avg 1.7% · 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 3.7%
5.5%
1.8 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.4% · Q3 1.9% · Q4 5.7% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.3%
19.6%
0.3 pts better
19.6%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 21.4% · Q3 18.2% · Q4 17.0% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication 13.9%
16.5%
2.6 pts better
16.7%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 17.2% · Q3 16.7% · Q4 10.7% · 4Q avg 13.9% · 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 8.2%
13.9%
5.7 pts better
16.3%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.6% · Q3 8.3% · Q4 19.6% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.2%
11.7%
7.5 pts better
14.9%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 3.7% · Q4 9.8% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.9%
0.5 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
1.7%
1.3 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.6%
20.4%
12.8 pts better
19.8%
12.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.8% · Q3 6.7% · Q4 10.8% · 4Q avg 7.6%
Percentage of long-stay residents with pressure ulcers 0.6%
5.6%
5 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.9%
82.8%
24.9 pts worse
81.7%
23.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 57.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

2 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-23 · Fire 2024-08-23

10 health deficiencies

Top issue: Environmental (2 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-08-23 · Fire 2023-08-23

6 health deficiencies

Top issue: Environmental (3 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-01

F · Potential for more than minimal harm 2025-09-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-04

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-10-01

F · Potential for more than minimal harm 2024-08-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-23

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-30

F · Potential for more than minimal harm 2023-08-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-25

F · Potential for more than minimal harm 2023-08-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

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 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-08-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-09-25

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-04

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-10-01

B · Minimal harm 2025-09-04

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

D · Potential for more than minimal harm 2024-09-05

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-09-30

D · Potential for more than minimal harm 2024-09-05

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 2024-09-30

F · Potential for more than minimal harm 2024-08-23

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 2024-09-30

F · Potential for more than minimal harm 2024-08-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-23

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-23

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-23

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-09-30

B · Minimal harm 2024-08-23

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-09-24

F · Potential for more than minimal harm 2023-08-23

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 2023-09-25

F · Potential for more than minimal harm 2023-08-23

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-08-23

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 2023-09-25

E · Potential for more than minimal harm 2023-08-23

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-25

B · Minimal harm 2023-08-23

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-09-25

Penalties and ownership

What sits behind the stars

Ownership

Gamzeh, David

5% Or Greater Direct Ownership Interest · Individual

25% 12 facilities 2020-01-28
Gast, David

5% Or Greater Direct Ownership Interest · Individual

25% 3 facilities 2020-01-28
Lahasky, Ephram

5% Or Greater Direct Ownership Interest · Individual

25% 60 facilities 2020-01-28
Asf Trust

5% Or Greater Direct Ownership Interest · Organization

13% 1 facilities 2020-01-28
Rsf Trust

5% Or Greater Direct Ownership Interest · Organization

13% 1 facilities 2020-01-28
Advanced Care Consultants LLC

Operational/Managerial Control · Organization

0% 2 facilities 2019-01-01
Clinical Consulting Services LLC

Operational/Managerial Control · Organization

0% 24 facilities 2019-01-01
Mathis, Toya

Operational/Managerial Control · Individual

0% 1 facilities 2018-03-01
Summation Financial Services LLC

Operational/Managerial Control · Organization

0% 24 facilities 2019-01-01
Sunbulli, Mohammad

Operational/Managerial Control · Individual

0% 1 facilities 2011-11-11

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