Federal inspection record · CMS data as of October 1, 2026

Notting Hill of West Bloomfield

6535 Drake Rd, West Bloomfield, MI · (248) 592-2000

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
118
Residents per day
103
Ownership
For-Profit
Chain
Ciena Healthcare/Laurel Health Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 30, 2013

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Michigan homes

Notting Hill of West Bloomfield carries 226.5 inspection points. That is fewer than 7% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 226.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–46 pts
  • 3★ 46–78 pts
  • 2★ 78–123 pts
  • 1★ over 123 pts

Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

65 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 6 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 33 4 pts
E 17 8 pts
F 8 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 25, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 16, 2026

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 14, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 10, 2025

  3. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 12, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 5, 2025

  4. G

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

    November 18, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected December 9, 2024

  5. G

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

    January 31, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected February 28, 2024

  6. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 14, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 12, 2024

Everything else, by area of care

Quality of Life and Care16E
  1. E

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

    March 25, 2026 · Complaint · F684 · Corrected April 28, 2026

  2. D

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

    March 25, 2026 · Complaint · F686 · Corrected April 28, 2026

  3. D

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

    November 25, 2025 · Complaint · F684 · Corrected January 2, 2026

  4. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 6, 2025 · Complaint · F690 · Corrected August 25, 2025

  5. D

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

    May 14, 2025 · Complaint · F677 · Corrected June 24, 2025

  6. D

    Provide safe, appropriate pain management for a resident who requires such services.

    May 14, 2025 · Complaint · F697 · Corrected June 10, 2025

  7. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 16, 2025 · Standard · F689 · Corrected February 14, 2025

  8. D

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

    January 16, 2025 · Complaint · F676 · Corrected March 20, 2025

  9. D

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

    January 16, 2025 · Complaint · F677 · Corrected February 14, 2025

  10. D

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

    January 16, 2025 · Complaint · F684 · Corrected February 14, 2025

  11. D

    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.

    January 16, 2025 · Standard · F688 · Corrected February 14, 2025

  12. D

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

    January 16, 2025 · Complaint · F692 · Corrected February 14, 2025

  13. D

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

    December 14, 2023 · Standard · F677 · Corrected January 12, 2024

  14. D

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

    December 14, 2023 · Standard · F684 · Corrected January 12, 2024

  15. D

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

    December 14, 2023 · Complaint · F686 · Corrected January 12, 2024

  16. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    December 14, 2023 · Standard · F690 · Corrected January 12, 2024

Resident Rights7E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 5, 2026 · Complaint · F550 · Corrected July 24, 2026

  2. E

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

    March 25, 2026 · Complaint · F561 · Corrected April 28, 2026

  3. E

    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.

    March 25, 2026 · Complaint · F584 · Corrected April 28, 2026

  4. D

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

    March 25, 2026 · Standard · F554 · Corrected April 28, 2026

  5. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 16, 2025 · Standard · F565 · Corrected February 14, 2025

  6. E

    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.

    January 16, 2025 · Complaint · F584 · Corrected March 20, 2025

  7. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 14, 2023 · Complaint · F550 · Corrected January 12, 2024

Infection Control7F
  1. F

    Provide and implement an infection prevention and control program.

    March 25, 2026 · Complaint · F880 · Corrected April 28, 2026

  2. E

    Implement a program that monitors antibiotic use.

    March 25, 2026 · Complaint · F881 · Corrected April 28, 2026

  3. E

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Complaint · F880 · Corrected February 14, 2025

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    January 16, 2025 · Complaint · F883 · Corrected February 14, 2025

  5. F

    Provide and implement an infection prevention and control program.

    December 14, 2023 · Standard · F880 · Corrected January 12, 2024

  6. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    December 14, 2023 · Standard · F882 · Corrected January 12, 2024

  7. E

    Implement a program that monitors antibiotic use.

    December 14, 2023 · Standard · F881 · Corrected January 12, 2024

Nutrition and Dietary6F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 5, 2026 · Complaint · F812 · Corrected September 14, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 25, 2026 · Standard · F812 · Corrected April 28, 2026

  3. F

    Dispose of garbage and refuse properly.

    March 25, 2026 · Standard · F814 · Corrected April 28, 2026

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 6, 2025 · Complaint · F812 · Corrected August 25, 2025

  5. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 14, 2025 · Complaint · F804 · Corrected June 10, 2025

  6. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 16, 2025 · Complaint · F812 · Corrected March 20, 2025

Resident Assessment and Care Planning5E
  1. D

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

    March 25, 2026 · Standard · F658 · Corrected April 28, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 25, 2026 · Standard · F842 · Corrected April 28, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 16, 2025 · Complaint · F656 · Corrected February 14, 2025

  4. D

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

    January 16, 2025 · Complaint · F658 · Corrected February 14, 2025

  5. E

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

    December 14, 2023 · Standard · F658 · Corrected January 12, 2024

Pharmacy Service5E
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    March 25, 2026 · Standard · F756 · Corrected April 28, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    March 25, 2026 · Complaint · F759 · Corrected April 28, 2026

  3. E

    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.

    January 16, 2025 · Complaint · F761 · Corrected February 14, 2025

  4. D

    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.

    January 16, 2025 · Complaint · F758 · Corrected March 20, 2025

  5. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    December 14, 2023 · Standard · F756 · Corrected January 12, 2024

Freedom from Abuse, Neglect, and Exploitation4E
  1. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 25, 2026 · Complaint · F600 · Corrected April 28, 2026

  2. D

    Respond appropriately to all alleged violations.

    November 25, 2025 · Complaint · F610 · Corrected January 2, 2026

  3. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 26, 2024 · Complaint · F600 · Corrected September 25, 2024

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 14, 2023 · Complaint · F600 · Corrected January 12, 2024

Nursing and Physician Services4E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 25, 2026 · Complaint · F725 · Corrected April 28, 2026

  2. C

    Post nurse staffing information every day.

    March 25, 2026 · Standard · F732 · Corrected April 28, 2026

  3. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    January 16, 2025 · Complaint · F725 · Corrected March 20, 2025

  4. D

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    December 14, 2023 · Standard · F710 · Corrected January 12, 2024

Administration4E
  1. D

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    January 16, 2025 · Standard · F776 · Corrected February 14, 2025

  2. E

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    June 5, 2024 · Complaint · F839 · Corrected July 11, 2024

  3. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    December 14, 2023 · Standard · F770 · Corrected January 12, 2024

  4. D

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    December 14, 2023 · Standard · F777 · Corrected January 12, 2024

Environmental1D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    November 18, 2024 · Complaint · F921 · Corrected December 9, 2024

Inspection history

  1. 2026-03-25

    21 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-01-16

    26 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (11 deficiencies)

  3. 2023-12-14

    18 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 5 min of nursing staff time a day, 16 min of it from a registered nurse.

This home

3 h 5 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 70% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$167,213 in federal fines on record over the past three years.

DatePenaltyAmount
2025-05-14Fine$59,163
2025-05-14Payment Denial · 13 day denial$0
2025-01-16Fine$51,948
2025-01-16Payment Denial · 13 day denial$0
2024-11-18Fine$26,072
2024-01-31Fine$30,030

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.6 pts worse3.31.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.41.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better99.4%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.9 pts worse88.6%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse4.7%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.9 pts worse6.4%4.5%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse6.9%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts worse20.2%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.9 pts better13.8%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2 pts worse13.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.3 pts worse19.0%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse1.1%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts better1.2%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts worse23.6%19.4%18.3%
Percentage of long-stay residents with pressure ulcers2.7 pts worse7.7%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts worse76.7%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better11.5%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse1.4%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.7 pts worse55.8%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts better21.7%23.9%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Ciena Healthcare Management IncAdp Of The SNF · Organization0%51 facilities
Khan, AnisManaging Control - Governing Body · Individual0%66 facilities
Khan, AnisOperational/Managerial Control · Individual0%66 facilities
Khan, AnisAdp Of The SNF · Individual0%66 facilities
Mohammad A Qazi Living Trust Dated 09/26/97Direct Ownership Interest · Organization0%34 facilities
Mohammad A Qazi Living Trust Dated 09/26/97Adp Of The SNF · Organization0%34 facilities
Palffy, CarlOperational/Managerial Control · Individual0%1 facilities
Palffy, CarlAdp Of The SNF · Individual0%1 facilities
Qazi, MohammadIndirect Ownership Interest · Individual0%66 facilities
Qazi, MohammadManaging Control - Governing Body · Individual0%66 facilities
Qazi, MohammadOperational/Managerial Control · Individual0%66 facilities
Qazi, MohammadAdp Of The SNF · Individual0%66 facilities
Select Rehabilitation, LLCAdp Of The SNF · Organization0%59 facilities
West Bloomfield Senior Leasing, LLCAdp Of The SNF · Organization0%1 facilities
Wilson, FareedaOperational/Managerial Control · Individual0%1 facilities
Wilson, FareedaAdp Of The SNF · Individual0%1 facilities
Zenith Financial Group, LLCAdp Of The SNF · Organization0%8 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 25, 2026 · K345 · Corrected April 28, 2026

  2. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 25, 2026 · K355 · Corrected April 28, 2026

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 14, 2023 · K345 · Corrected January 12, 2024

  4. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 14, 2023 · K355 · Corrected January 12, 2024

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 14, 2023 · K321 · Corrected January 12, 2024

  6. E

    Provide properly protected cooking facilities.

    December 14, 2023 · K324 · Corrected January 12, 2024

Emergency Preparedness3F
  1. F

    Conduct testing and exercise requirements.

    January 16, 2025 · E39 · Corrected February 14, 2025

  2. F

    Conduct risk assessment and an All-Hazards approach.

    January 16, 2025 · E6 · Corrected February 14, 2025

  3. F

    Develop and maintain an Emergency Preparedness Program (EP).

    December 14, 2023 · E4 · Corrected January 12, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 25, 2026 · K918 · Corrected April 28, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 14, 2023 · K918 · Corrected January 12, 2024

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    March 25, 2026 · K511 · Corrected April 28, 2026

·

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