7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Detroit, MI
3-star overall rating with 3-star inspections with $12,221 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2102 Orleans St., Detroit, MI
(313) 462-4362
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
59
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mission Point Healthcare Services
Operator or chain grouping
Approved since
2000-08-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 2 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
RN hours / resident day
0.15
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.70
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.96
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.17
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
37%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
8,718
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.26
Baseline 19.18% · Performance 19.92% · Measure score 3.26 · Achievement 3.26 · Improvement 0
Healthcare-associated infections
2.84
Baseline 7.98% · Performance 6.99% · Measure score 2.84 · Achievement 2.84 · Improvement 2.84
Total nurse turnover
3.13
Baseline 47.83% · Performance 50.88% · Measure score 3.13 · Achievement 3.13 · Improvement 0
Adjusted total nurse staffing
1.11
Baseline 4.83 hours · Performance 3.39 hours · Measure score 1.11 · Achievement 1.11 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.56% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 116 · Observed rate 18.1% · Lower 95% interval 9.18% |
| Discharge to community | 39.19% |
50.57%
11.4 pts worse
|
Worse than the National Rate · Eligible stays 125 · Observed rate 28.8% · Lower 95% interval 30.82% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 41 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| Discharge self-care score | 51.72% |
53.69%
2 pts worse
|
Numerator 15 · Denominator 29 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 15 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 41 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.99% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 8% · Lower 95% interval 4.23% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 29.66% |
42%
12.3 pts worse
|
Numerator 35 · Denominator 118 |
| Discharge function score | 41.38% |
56.45%
15.1 pts worse
|
Numerator 12 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.2% |
95.0%
13.8 pts worse
|
93.4%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.0% · Q2 78.0% · Q3 85.1% · Q4 89.6% · 4Q avg 81.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 62.5% |
95.0%
32.5 pts worse
|
95.5%
33 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 62.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.1%
1.4 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 4.2% · 4Q avg 1.7% · 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 | 3.7% |
5.5%
1.8 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 6.8% · Q4 2.4% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% |
19.6%
11.8 pts better
|
19.6%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.8% · Q3 9.1% · Q4 4.5% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.5% |
16.5%
11 pts better
|
16.7%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 7.1% · Q4 9.4% · 4Q avg 5.5% · 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 | 12.0% |
13.9%
1.9 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 9.6% · Q4 9.7% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
11.7%
1 pts worse
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 16.7% · Q3 7.5% · Q4 14.6% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
0.9%
2 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.8% · Q3 1.6% · Q4 2.9% · 4Q avg 2.9% · 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 | 25.6% |
20.4%
5.2 pts worse
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 26.6% · Q3 16.7% · Q4 28.7% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.6%
0.1 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.1% · Q3 4.8% · Q4 3.8% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.0% |
82.8%
7.8 pts worse
|
81.7%
6.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 81.1% · Q3 80.0% · Q4 55.2% · 4Q avg 75.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.5%
0.3 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.8% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.3%
0.1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
79.5%
3.8 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
24.2%
4.7 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 20.6% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-31
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-11-21
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-21
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-11-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-11-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-21
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 2023-11-21
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 2023-11-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-21
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-11-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-11-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-15
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 2022-11-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-11-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-15
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-09-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-10
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 2025-01-10
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 2025-01-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-01-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-10
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-20
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-21
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-21
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-21
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-11-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-15
Penalties and ownership
Fine · fine $12,221
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
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