Detroit, MI

Hartford Nursing & Rehabilitation Center

4-star overall rating with 3-star inspections with $7,446 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

6700 W Outer Dr, Detroit, MI

(313) 836-1700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

188

Certified beds

Average residents

173

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

1969-06-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

84 facilities

Chain averages 3 overall / 3 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

0.23

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.51

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.16

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.74

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.62

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.09

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

0.25

CMS adjusted RN staffing hours

Adjusted total hours

4.49

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,623

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

Performance score

26.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.05% · Performance 24.83% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.05

Baseline 8.90% · Performance 8.69% · Measure score 0.05 · Achievement 0 · Improvement 0.05

Total nurse turnover

5.33

Performance 41.90% · Measure score 5.33 · Achievement 5.33 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

5.10

Baseline 3.42 hours · Performance 4.53 hours · Measure score 5.10 · Achievement 5.10 · Improvement 4.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.9%	10.72% 3.2 pts worse	Worse than the National Rate · Eligible stays 189 · Observed rate 20.11% · Lower 95% interval 11.17%
Discharge to community	53.02%	50.57% 2.5 pts better	No Different than the National Rate · Eligible stays 201 · Observed rate 41.29% · Lower 95% interval 45.11%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	89.76%	95.27% 5.5 pts worse	Numerator 114 · Denominator 127
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 127
Discharge self-care score	29.73%	53.69% 24 pts worse	Numerator 22 · Denominator 74
Discharge mobility score	13.51%	50.94% 37.4 pts worse	Numerator 10 · Denominator 74
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 127 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.69%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 127 · Observed rate 11.81% · Lower 95% interval 4.9%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 200
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 204
Discharge function score	18.92%	56.45% 37.5 pts worse	Numerator 14 · Denominator 74
Transfer of health information to provider	95.92%	95.95% About the same	Numerator 47 · Denominator 49
Transfer of health information to patient	94.83%	96.28% 1.5 pts worse	Numerator 55 · Denominator 58
Resident COVID-19 vaccinations up to date	9.09%	25.2% 16.1 pts worse	Numerator 7 · Denominator 77

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.5 1.1 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.1%	95.0% 3.1 pts better	93.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.2% · Q3 96.1% · Q4 97.0% · 4Q avg 98.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.3%	95.0% 4.7 pts worse	95.5% 5.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.3%
Percentage of long-stay residents experiencing one or more falls with major injury	0.6%	3.1% 2.5 pts better	3.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	4.1% 3.7 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	6.9%	5.5% 1.4 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 7.1% · Q3 6.6% · Q4 2.4% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.5%	19.6% 15.1 pts better	19.6% 15.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.0% · Q3 4.0% · Q4 3.1% · 4Q avg 4.5%
Percentage of long-stay residents who received an antipsychotic medication	9.8%	16.5% 6.7 pts better	16.7% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 7.7% · Q3 10.8% · Q4 12.0% · 4Q avg 9.8% · 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	7.3%	13.9% 6.6 pts better	16.3% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.6% · Q3 4.9% · Q4 14.2% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	11.7% 5.2 pts better	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.4% · Q3 5.4% · Q4 9.6% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	0.9% 0.2 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.4% · Q3 1.0% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.7% 1.5 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.9%	20.4% 5.5 pts worse	19.8% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 14.3% · Q3 29.2% · Q4 27.1% · 4Q avg 25.9%
Percentage of long-stay residents with pressure ulcers	7.1%	5.6% 1.5 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 10.2% · Q3 5.5% · Q4 7.7% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.0%	82.8% 8.8 pts worse	81.7% 7.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 76.2% · Q3 64.3% · Q4 64.7% · 4Q avg 74.0%
Percentage of short-stay residents who had an outpatient emergency department visit	5.2%	11.5% 6.3 pts better	12.0% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.5% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.3% 0.2 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.9% · Q3 0.8% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	63.0%	79.5% 16.5 pts worse	79.7% 16.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 63.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.8%	24.2% 2.4 pts better	23.9% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 23.9% · Expected 26.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

11 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-09-21 · Fire 2023-09-21

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-07-07 · Fire 2022-07-07

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-22

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-19

F · Potential for more than minimal harm 2023-09-21

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-03

F · Potential for more than minimal harm 2023-09-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-11-03

F · Potential for more than minimal harm 2023-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-03

F · Potential for more than minimal harm 2023-09-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-09-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-03

E · Potential for more than minimal harm 2022-07-07

K222 · Egress Deficiencies

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 2022-08-12

E · Potential for more than minimal harm 2022-07-07

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2022-08-12

E · Potential for more than minimal harm 2022-07-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-07-07

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-07-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-07-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-29

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-03-03

E · Potential for more than minimal harm 2026-01-29

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-03-03

E · Potential for more than minimal harm 2025-08-04

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 2025-08-28

G · Actual harm 2025-03-31

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 2025-04-21

E · Potential for more than minimal harm 2024-11-22

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 2024-12-27