West Bloomfield, MI

Marvin & Betty Danto Health Care Center

2-star overall rating with 2-star inspections with $49,228 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

6800 West Maple, West Bloomfield, MI

(248) 788-5300

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Preferred Care

Operator or chain grouping

Approved since

1976-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 4 overall / 3 health / 3 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

0.53

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.12

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.87

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.65

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

0.34

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.94

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

27%

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

13,276

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

Performance score

6.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9806

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 23.75% · Performance 24.54% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.77% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.58

Baseline 36.17% · Performance 61.29% · Measure score 0.58 · Achievement 0.58 · Improvement 0

Adjusted total nurse staffing

2.20

Baseline 3.71 hours · Performance 3.70 hours · Measure score 2.20 · Achievement 2.20 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.88%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 167 · Observed rate 13.77% · Lower 95% interval 8.36%
Discharge to community	44.42%	50.57% 6.1 pts worse	No Different than the National Rate · Eligible stays 169 · Observed rate 33.14% · Lower 95% interval 36.56%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	96.65%	95.27% 1.4 pts better	Numerator 173 · Denominator 179
Falls with major injury	1.68%	0.77% 0.9 pts worse	Numerator 3 · Denominator 179
Discharge self-care score	65.32%	53.69% 11.6 pts better	Numerator 81 · Denominator 124
Discharge mobility score	56.45%	50.94% 5.5 pts better	Numerator 70 · Denominator 124
Pressure ulcers or injuries, new or worsened	3.91%	2.29% 1.6 pts worse	Numerator 7 · Denominator 179 · Adjusted rate 2.72%
Healthcare-associated infections requiring hospitalization	8.67%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 11.85% · Lower 95% interval 5.93%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 195
Staff flu vaccination coverage	17.11%	42% 24.9 pts worse	Numerator 39 · Denominator 228
Discharge function score	62.9%	56.45% 6.4 pts better	Numerator 78 · Denominator 124
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 49 · Denominator 49
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 76 · Denominator 76
Resident COVID-19 vaccinations up to date	53.57%	25.2% 28.4 pts better	Numerator 45 · Denominator 84

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.7 0.5 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.8 · Expected 2.3 · 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 1.7 · 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 96.7% · 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	91.2%	95.0% 3.8 pts worse	95.5% 4.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.2%
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 3.3% · Q2 1.1% · Q3 1.0% · Q4 2.1% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.2%	4.1% 2.1 pts worse	11.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.8% · Q3 5.6% · Q4 10.2% · 4Q avg 6.2%
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 8.9% · Q2 3.6% · Q3 8.2% · Q4 7.0% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.5%	19.6% 9.1 pts better	19.6% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.2% · Q3 13.6% · Q4 10.1% · 4Q avg 10.5%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	16.5% 0.4 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 14.9% · Q3 18.4% · Q4 11.8% · 4Q avg 16.1% · 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	15.0%	13.9% 1.1 pts worse	16.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 19.5% · Q3 19.9% · Q4 9.7% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.0%	11.7% 1.3 pts worse	14.9% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 14.7% · Q3 11.1% · Q4 13.4% · 4Q avg 13.0% · 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 0.0% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.2%	1.7% 0.5 pts worse	1.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.2% · Q3 1.1% · Q4 2.1% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.7%	20.4% 5.3 pts worse	19.8% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 30.9% · Q3 34.1% · Q4 15.9% · 4Q avg 25.7%
Percentage of long-stay residents with pressure ulcers	6.1%	5.6% 0.5 pts worse	5.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.9% · Q3 6.4% · Q4 7.0% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.6%	82.8% 6.8 pts better	81.7% 7.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 88.7% · Q3 92.7% · Q4 90.6% · 4Q avg 89.6%
Percentage of short-stay residents who had an outpatient emergency department visit	9.8%	11.5% 1.7 pts better	12.0% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 9.4% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.1%	79.5% 9.6 pts better	79.7% 9.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.0%	24.2% 4.8 pts worse	23.9% 5.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 31.9% · Expected 26.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

15 health deficiencies

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

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2023-12-14 · Fire 2023-12-14

19 health deficiencies

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

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 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 2025-01-09

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-02-03

E · Potential for more than minimal harm 2025-01-09

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-02-03

F · Potential for more than minimal harm 2023-12-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-08

F · Potential for more than minimal harm 2023-12-14

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-12-14

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-12-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-01-08

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-03

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 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

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 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-16

E · Potential for more than minimal harm 2025-01-09

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 2025-02-03

E · Potential for more than minimal harm 2025-01-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-03

E · Potential for more than minimal harm 2025-01-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-03

E · Potential for more than minimal harm 2025-01-09

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 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-11-19

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 2024-12-02

E · Potential for more than minimal harm 2024-06-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-27

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-02-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-07

G · Actual harm 2023-12-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-08

G · Actual harm 2023-12-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-08

G · Actual harm 2023-12-14

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 2024-01-08

E · Potential for more than minimal harm 2023-12-14

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 2024-01-08

E · Potential for more than minimal harm 2023-12-14

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 2024-01-08

E · Potential for more than minimal harm 2023-12-14

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-12-14

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 2024-01-08

E · Potential for more than minimal harm 2023-12-14

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-12-14

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 2024-01-08