6 health deficiencies
Top issue: Infection Control (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Wayne, MI
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3999 Venoy Road, Wayne, MI
(734) 727-0440
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
59
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-05-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.86
Registered nurse staffing
LPN hours / resident day
1.34
Licensed practical nurse staffing
Aide hours / resident day
2.85
Nurse aide staffing
Weekend hours
4.83
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
62%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.0% |
95.0%
20 pts worse
|
93.4%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 60.0% |
95.0%
35 pts worse
|
95.5%
35.5 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.1%
2.2 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
19.6%
0.8 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5% |
16.5%
8 pts worse
|
16.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
11.7%
2.6 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.2% |
0.9%
4.3 pts worse
|
1.0%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.8% |
20.4%
19.6 pts better
|
19.8%
19 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.6%
1.5 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
82.8%
3.5 pts better
|
81.7%
4.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.3% |
11.5%
11.8 pts worse
|
12.0%
11.3 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.3% |
1.3%
5 pts worse
|
1.6%
4.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.2% |
79.5%
16.3 pts worse
|
79.7%
16.5 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 41.2% |
24.2%
17 pts worse
|
23.9%
17.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Infection Control (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-12
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2025-09-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-18
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 2024-11-18
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-11-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-01
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 2023-12-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-01
Inspection history
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 2025-08-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-25
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-25
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-08-25
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-03-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-04
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-04
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-11-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-13
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-11-13
Health
Keep all essential equipment working safely.
Corrected 2023-11-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-13
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 2023-11-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
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