Cycle 1
Health 2025-07-17 · Fire 2025-07-17
1 health deficiencies
Top issue: Environmental (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Plymouth, MI
Medilodge of Plymouth
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
395 W Ann Arbor Trail, Plymouth, MI
(734) 453-3983
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
39
Certified beds
Average residents
37
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Medilodge
Operator or chain grouping
Approved since
1991-06-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
50 facilities
Chain averages 3 overall / 3 health / 4 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
1.21
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.16
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.05
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.27
CMS adjusted RN staffing hours
Adjusted total hours
4.24
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,307
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.03
Baseline 21.88% · Performance 19.68% · Measure score 4.03 · Achievement 3.77 · Improvement 4.03
Healthcare-associated infections
0
Baseline 6.50% · Performance 8.15% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1
Baseline 56.41% · Performance 59.57% · Measure score 1 · Achievement 1 · Improvement 0
Adjusted total nurse staffing
1.88
Baseline 4.44 hours · Performance 3.61 hours · Measure score 1.88 · Achievement 1.88 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.11% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 11.11% · Lower 95% interval 7.79% |
| Discharge to community | 50.26% |
50.57%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 49.15% · Lower 95% interval 39.62% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 73.08% |
95.27%
22.2 pts worse
|
Numerator 19 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 8 · Denominator 20 |
| Discharge mobility score | 35% |
50.94%
15.9 pts worse
|
Numerator 7 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 26 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.16% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 4.3% |
| Staff COVID-19 vaccination coverage | 1.75% |
8.2%
6.4 pts worse
|
Numerator 1 · Denominator 57 |
| Staff flu vaccination coverage | 47.56% |
42%
5.6 pts better
|
Numerator 39 · Denominator 82 |
| Discharge function score | 35% |
56.45%
21.5 pts worse
|
Numerator 7 · Denominator 20 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.1% |
95.0%
11.9 pts worse
|
93.4%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 87.1% · Q3 96.3% · Q4 71.4% · 4Q avg 83.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.0%
1.9 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.1%
0.3 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.7% · Q4 7.1% · 4Q avg 3.4% · 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 | 4.5% |
5.5%
1 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.3% · Q3 7.7% · Q4 0.0% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.7% |
19.6%
13.1 pts worse
|
19.6%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 33.3% · Q3 33.3% · Q4 34.6% · 4Q avg 32.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.8% |
16.5%
3.7 pts better
|
16.7%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 23.8% · 4Q avg 12.8% · 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 | 3.3% |
13.9%
10.6 pts better
|
16.3%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
11.7%
5.5 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 4.5% · Q4 18.2% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.2% |
20.4%
12.2 pts better
|
19.8%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.3% · Q3 3.8% · Q4 11.2% · 4Q avg 8.2% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
5.6%
2.9 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 3.1% · Q4 5.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.2% |
82.8%
32.6 pts worse
|
81.7%
31.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 45.3% · Q2 46.3% · Q3 50.0% · Q4 56.8% · 4Q avg 50.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
11.5%
2.2 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.1% · Expected 10.9% · 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 | 36.4% |
79.5%
43.1 pts worse
|
79.7%
43.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.2% |
24.2%
9 pts worse
|
23.9%
9.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.2% · Observed 31.8% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-25 · Fire 2024-07-25
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2023-04-20 · Fire 2023-04-20
9 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-17
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-08-13
D · Potential for more than minimal harm
2025-07-17
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-08-13
F · Potential for more than minimal harm
2024-07-25
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-18
F · Potential for more than minimal harm
2024-07-25
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-18
F · Potential for more than minimal harm
2024-07-25
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-18
E · Potential for more than minimal harm
2024-07-25
K223 · Egress Deficiencies
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 2024-08-18
E · Potential for more than minimal harm
2024-07-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-18
F · Potential for more than minimal harm
2023-04-20
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-05-12
E · Potential for more than minimal harm
2023-04-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-12
Inspection history
Recent health citations
B · Minimal harm
2025-07-17
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
2024-07-25
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 2024-08-18
D · Potential for more than minimal harm
2024-07-25
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 2024-08-18
D · Potential for more than minimal harm
2024-07-25
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-25
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-18
B · Minimal harm
2024-07-25
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-18
B · Minimal harm
2024-07-25
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
F · Potential for more than minimal harm
2023-04-20
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-05-12
F · Potential for more than minimal harm
2023-04-20
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-05-12
F · Potential for more than minimal harm
2023-04-20
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-05-12
F · Potential for more than minimal harm
2023-04-20
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 2023-05-12
F · Potential for more than minimal harm
2023-04-20
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-12
F · Potential for more than minimal harm
2023-04-20
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-05-12
D · Potential for more than minimal harm
2023-04-20
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-12
D · Potential for more than minimal harm
2023-04-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-12
B · Minimal harm
2023-04-20
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 2023-05-12
Penalties and ownership
What sits behind the stars
Ownership
Fifteeninone Opco Group LLC
5% Or Greater Direct Ownership Interest · Organization
B&Y Healthcare S Corp
5% Or Greater Indirect Ownership Interest · Organization
B&Y Trust
5% Or Greater Indirect Ownership Interest · Organization
Cody Healthcare S Corp
5% Or Greater Indirect Ownership Interest · Organization
Craig Flashner 2007 Trust
5% Or Greater Indirect Ownership Interest · Organization
Flashner, Craig
Operational/Managerial Control · Individual
Generations Healthcare Management LLC
Operational/Managerial Control · Organization
Kirk, Kristine
W-2 Managing Employee · Individual
Norcross, Robert
Contracted Managing Employee · Individual
Perlstein, Yitzchok
Operational/Managerial Control · Individual
Prestige Administrative Services, LLC
Operational/Managerial Control · Organization
Rogers, Stacey
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Medilodge of Haggerty Road
Plymouth, MI
3-star overall rating with 2-star inspections with abuse icon flag with $15,593 in total fines with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Optalis Health and Rehabilitation of Canton
Canton, MI
2-star overall rating with 1-star inspections with abuse icon flag with $215,880 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Four Seasons Nursing Center of Westland
Westland, MI
3-star overall rating with 2-star inspections with abuse icon flag with $15,593 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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