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
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
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
Staffing
RN hours / resident day
0.80
Registered nurse staffing
LPN hours / resident day
1.42
Licensed practical nurse staffing
Aide hours / resident day
2.38
Nurse aide staffing
Weekend hours
4.30
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
61%
Annual nurse turnover
Quality measures
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
Survey summary
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-29
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-29
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-29
Inspection history
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
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
Health
Post nurse staffing information every day.
Corrected 2025-03-03
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-29
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
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-05-19
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-19
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
Payment Denial · denial start 2024-05-03 · 26 days
26 day denial
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
General Partnership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
Nearby options
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
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
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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