Southfield, MI

Lahser Hills Care Centre

2-star overall rating with 2-star inspections with $47,320 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

25300 Lahser Rd, Southfield, MI

(248) 354-3222

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

127

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nexcare Health Systems

Operator or chain grouping

Approved since

1976-11-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

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

0.55

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.37

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.98

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.45

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

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

4.32

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,135

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

Performance score

30.64

Composite VBP score used to determine payment impact.

Payment multiplier

0.9861

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.79% · Performance 21.69% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

6.57

Baseline 6.16% · Performance 5.87% · Measure score 6.57 · Achievement 6.57 · Improvement 2.01

Total nurse turnover

3.01

Baseline 74.29% · Performance 56.92% · Measure score 3.01 · Achievement 1.65 · Improvement 3.01

Adjusted total nurse staffing

2.67

Baseline 3.63 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 0.47

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.49%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 71 · Observed rate 16.9% · Lower 95% interval 8.05%
Discharge to community	44.39%	50.57% 6.2 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 32.5% · Lower 95% interval 32.07%
Medicare spending per beneficiary	0.81	1.02 0.2 pts better
Drug regimen review with follow-up	97.56%	95.27% 2.3 pts better	Numerator 40 · Denominator 41
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 41
Discharge self-care score	38.46%	53.69% 15.2 pts worse	Numerator 10 · Denominator 26
Discharge mobility score	26.92%	50.94% 24 pts worse	Numerator 7 · Denominator 26
Pressure ulcers or injuries, new or worsened	2.44%	2.29% 0.1 pts worse	Numerator 1 · Denominator 41 · Adjusted rate 2.22%
Healthcare-associated infections requiring hospitalization	5.87%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 0% · Lower 95% interval 3.33%
Staff COVID-19 vaccination coverage	1.07%	8.2% 7.1 pts worse	Numerator 2 · Denominator 187
Staff flu vaccination coverage	5.37%	42% 36.6 pts worse	Numerator 13 · Denominator 242
Discharge function score	46.15%	56.45% 10.3 pts worse	Numerator 12 · Denominator 26
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 22 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · 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	2.9	1.7 1.2 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.2 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.5 0.5 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	95.0% 4.2 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	95.0% 4 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.1% 1.2 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.1% · Q3 1.1% · Q4 3.2% · 4Q avg 1.9% · 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	7.0%	5.5% 1.5 pts worse	5.4% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 15.2% · Q3 7.4% · Q4 1.2% · 4Q avg 7.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.6%	19.6% About the same	19.6% About the same	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 18.8% · Q3 17.1% · Q4 20.2% · 4Q avg 19.6%
Percentage of long-stay residents who received an antipsychotic medication	18.5%	16.5% 2 pts worse	16.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 19.0% · Q3 18.0% · Q4 17.5% · 4Q avg 18.5% · 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	9.1%	13.9% 4.8 pts better	16.3% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 8.3% · Q3 7.5% · Q4 2.2% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.6%	11.7% 3.1 pts better	14.9% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 6.7% · Q3 6.3% · Q4 8.8% · 4Q avg 8.6% · 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 0.8% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.7% 0.4 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.4%	20.4% 12 pts better	19.8% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 7.7% · Q3 3.2% · Q4 10.2% · 4Q avg 8.4%
Percentage of long-stay residents with pressure ulcers	13.5%	5.6% 7.9 pts worse	5.1% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 15.9% · Q3 13.0% · Q4 11.4% · 4Q avg 13.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.7%	82.8% 6.1 pts worse	81.7% 5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 67.1% · Q2 70.0% · Q3 78.6% · Q4 87.6% · 4Q avg 76.7%
Percentage of short-stay residents who had an outpatient emergency department visit	7.9%	11.5% 3.6 pts better	12.0% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 8.7% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.7%	79.5% 0.8 pts worse	79.7% 1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.5%	24.2% 8.3 pts worse	23.9% 8.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 34.8% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-05-01 · Fire 2024-05-01

12 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-21 · Fire 2023-04-21

19 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-05

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-06-23

E · Potential for more than minimal harm 2025-06-05

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 2025-06-23

E · Potential for more than minimal harm 2025-06-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-23

Inspection history

Recent health citations

G · Actual harm 2025-06-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-05

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-06-05

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

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 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-03-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-26

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-04-14

G · Actual harm 2024-12-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

F · Potential for more than minimal harm 2024-05-01

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 2024-05-20

E · Potential for more than minimal harm 2024-05-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-05-01

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 2024-05-20

D · Potential for more than minimal harm 2024-05-01

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 2024-05-20

D · Potential for more than minimal harm 2024-05-01

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-05-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-05-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-05-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-05-01

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 2024-05-20

D · Potential for more than minimal harm 2024-05-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-20

G · Actual harm 2023-09-07

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 2023-10-19

E · Potential for more than minimal harm 2023-09-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-19

D · Potential for more than minimal harm 2023-09-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-26

J · Immediate jeopardy 2023-04-21