Cycle 1
Health 2025-06-04 · Fire 2025-06-04
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Southfield, MI
Oakland Nursing Center
4-star overall rating with 5-star inspections with 2 recent health deficiencies
22401 Foster Winter Dr, Southfield, MI
(248) 423-5100
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
26
Certified beds
Average residents
19
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-02-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.80
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.42
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.60
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
2.22
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.66
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
4.77
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
61%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,354
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.60
Performance 21.15% · Measure score 0.60 · Achievement 0.60 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.20
Baseline 6.44% · Performance 6.88% · Measure score 3.20 · Achievement 3.20 · Improvement 0
Total nurse turnover
0
Performance 65.62% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.79% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 209 · Observed rate 8.61% · Lower 95% interval 7.99% |
| Discharge to community | 65.45% |
50.57%
14.9 pts better
|
Better than the National Rate · Eligible stays 212 · Observed rate 62.26% · Lower 95% interval 59.09% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 84.91% |
95.27%
10.4 pts worse
|
Numerator 90 · Denominator 106 |
| Falls with major injury | 0.94% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 106 |
| Discharge self-care score | 49.25% |
53.69%
4.4 pts worse
|
Numerator 33 · Denominator 67 |
| Discharge mobility score | 53.73% |
50.94%
2.8 pts better
|
Numerator 36 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0.94% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 106 · Adjusted rate 1.3% |
| Healthcare-associated infections requiring hospitalization | 6.88% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 4.39% · Lower 95% interval 3.45% |
| Staff COVID-19 vaccination coverage | 7.5% |
8.2%
0.7 pts worse
|
Numerator 6 · Denominator 80 |
| Staff flu vaccination coverage | 25.3% |
42%
16.7 pts worse
|
Numerator 21 · Denominator 83 |
| Discharge function score | 43.28% |
56.45%
13.2 pts worse
|
Numerator 29 · Denominator 67 |
| Transfer of health information to provider | 96.55% |
95.95%
0.6 pts better
|
Numerator 28 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 77 · Denominator 77 |
| Resident COVID-19 vaccinations up to date | 16.28% |
25.2%
8.9 pts worse
|
Numerator 7 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
82.8%
16.5 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.6% · Q4 98.9% · 4Q avg 99.3% |
| 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 9.5% · Expected 10.7% · 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 | 98.4% |
79.5%
18.9 pts better
|
79.7%
18.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
24.2%
7.9 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 25.3% · Expected 18.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-01 · Fire 2024-05-01
5 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-04-27 · Fire 2023-04-27
5 health deficiencies
Top issue: Infection Control (2 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
2024-05-01
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K321 · Smoke Deficiencies
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 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-29
F · Potential for more than minimal harm
2024-05-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-04
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-27
D · Potential for more than minimal harm
2025-03-04
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-01
C · Minimal harm
2025-02-12
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-03-03
F · Potential for more than minimal harm
2024-05-01
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 2024-05-29
E · Potential for more than minimal harm
2024-05-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-29
D · Potential for more than minimal harm
2024-05-01
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-29
G · Actual harm
2024-04-10
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 2024-05-08
F · Potential for more than minimal harm
2023-04-27
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-04-27
F887 · Infection Control Deficiencies
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 2023-05-19
D · Potential for more than minimal harm
2023-04-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-27
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-05-19
Penalties and ownership
What sits behind the stars
$0
2024-04-10
Payment Denial
Payment Denial · denial start 2024-05-03 · 26 days
26 day denial
Ownership
Bush, Ara
General Partnership Interest · Individual
Bush, Ara
Corporate Officer · Individual
Ciullo, Jeremy
General Partnership Interest · Individual
Ciullo, Jeremy
Corporate Director · Individual
Ciullo, Jeremy
Corporate Officer · Individual
Colen, Alexander
General Partnership Interest · Individual
Colen, Alexander
Corporate Officer · Individual
Elia, Christopher
General Partnership Interest · Individual
Elia, Christopher
Corporate Officer · Individual
Fahim, Daniel
General Partnership Interest · Individual
Fahim, Daniel
Corporate Officer · Individual
Gorski, John
General Partnership Interest · Individual
Gorski, John
Corporate Director · Individual
Gorski, John
Corporate Officer · Individual
Goy, Phil
Corporate Director · Individual
Goy, Phil
W-2 Managing Employee · Individual
Haass, Edward
General Partnership Interest · Individual
Haass, Edward
Corporate Officer · Individual
Hall, Jeffrey
General Partnership Interest · Individual
Hall, Jeffrey
Corporate Officer · Individual
Kain, Jillian
Corporate Director · Individual
Kain, Jillian
W-2 Managing Employee · Individual
Laker, Scott
General Partnership Interest · Individual
Laker, Scott
Corporate Director · Individual
Laker, Scott
Corporate Officer · Individual
Mehta, Mehul
General Partnership Interest · Individual
Mehta, Mehul
Corporate Officer · Individual
Park, Daniel
General Partnership Interest · Individual
Park, Daniel
Corporate Officer · Individual
Patel, Nilesh
General Partnership Interest · Individual
Patel, Nilesh
Corporate Director · Individual
Patel, Nilesh
Corporate Officer · Individual
Rook, Ronald
General Partnership Interest · Individual
Rook, Ronald
Corporate Officer · Individual
Ryan, John
General Partnership Interest · Individual
Ryan, John
Corporate Officer · Individual
Samuel, Samson
General Partnership Interest · Individual
Samuel, Samson
Corporate Officer · Individual
Seley, Ronda
W-2 Managing Employee · Individual
Sigler, Yisroel
General Partnership Interest · Individual
Sigler, Yisroel
Corporate Officer · Individual
Singer, Richard
General Partnership Interest · Individual
Singer, Richard
Corporate Director · Individual
Singer, Richard
Corporate Officer · Individual
Vaupel, Zachary
General Partnership Interest · Individual
Vaupel, Zachary
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Medilodge of Southfield
Southfield, MI
1-star overall rating with 1-star inspections with Special Focus status with $414,510 in total fines with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Regency Heights-Detroit
Detroit, MI
4-star overall rating with 3-star inspections with $19,321 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
The Villa at Great Lakes Crossing
Detroit, MI
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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