23 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Detroit, MI
2-star overall rating with 1-star inspections with $15,593 in total fines with 23 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
2295 E Vernor Highway, Detroit, MI
(313) 923-5816
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ciena Healthcare/Laurel Health Care
Operator or chain grouping
Approved since
1982-01-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
84 facilities
Chain averages 3 overall / 3 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
0.34
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.20
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.15
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
0.38
CMS adjusted RN staffing hours
Adjusted total hours
4.55
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
1,846
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.60
Composite VBP score used to determine payment impact.
Payment multiplier
1.0083
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.44
Baseline 20.27% · Performance 19.37% · Measure score 4.44 · Achievement 4.44 · Improvement 2.28
Healthcare-associated infections
4.85
Baseline 8.34% · Performance 6.55% · Measure score 4.85 · Achievement 4.30 · Improvement 4.85
Total nurse turnover
8.24
Baseline 46.53% · Performance 30.00% · Measure score 8.24 · Achievement 8.24 · Improvement 7.12
Adjusted total nurse staffing
3.91
Baseline 4.58 hours · Performance 4.19 hours · Measure score 3.91 · Achievement 3.91 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.24% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 14.08% · Lower 95% interval 8.11% |
| Discharge to community | 46.81% |
50.57%
3.8 pts worse
|
No Different than the National Rate · Eligible stays 141 · Observed rate 35.46% · Lower 95% interval 37.37% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 74 · Denominator 76 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 76 |
| Discharge self-care score | 53.7% |
53.69%
About the same
|
Numerator 29 · Denominator 54 |
| Discharge mobility score | 70.37% |
50.94%
19.4 pts better
|
Numerator 38 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 1.32% |
2.29%
1 pts better
|
Numerator 1 · Denominator 76 · Adjusted rate 1.17% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 6.45% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 10.28% |
8.2%
2.1 pts better
|
Numerator 11 · Denominator 107 |
| Staff flu vaccination coverage | 11.03% |
42%
31 pts worse
|
Numerator 16 · Denominator 145 |
| Discharge function score | 72.22% |
56.45%
15.8 pts better
|
Numerator 39 · Denominator 54 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 86.84% |
96.28%
9.4 pts worse
|
Numerator 33 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 6.67% |
25.2%
18.5 pts worse
|
Numerator 3 · Denominator 45 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 3.1 · Expected 3.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.2 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.2% |
95.0%
20.8 pts worse
|
93.4%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.2% · Q2 64.7% · Q3 69.8% · Q4 91.9% · 4Q avg 74.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 44.6% |
95.0%
50.4 pts worse
|
95.5%
50.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 44.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.1%
1.1 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.8% · Q3 2.4% · Q4 2.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
4.1%
3.9 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.5%
0.3 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.2% · Q3 5.8% · Q4 2.6% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.0% |
19.6%
16.6 pts better
|
19.6%
16.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.8% · Q3 3.3% · Q4 2.6% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.7% |
16.5%
10.8 pts better
|
16.7%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.9% · Q3 6.0% · Q4 7.4% · 4Q avg 5.7% · 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 | 4.8% |
13.9%
9.1 pts better
|
16.3%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 8.6% · Q4 5.4% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
11.7%
6.2 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.7% · Q3 8.4% · Q4 6.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.9%
0.4 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.7% · Q3 1.3% · Q4 0.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 1.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
20.4%
5.7 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.1% · Q3 27.2% · Q4 6.3% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.6%
0.7 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.4% · Q3 3.3% · Q4 3.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 23.0% |
82.8%
59.8 pts worse
|
81.7%
58.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 9.0% · Q3 22.2% · Q4 46.4% · 4Q avg 23.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.2% |
11.5%
5.3 pts better
|
12.0%
5.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.2% · Observed 7.4% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.3%
0.8 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 0.9% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 4.1% |
79.5%
75.4 pts worse
|
79.7%
75.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 4.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
24.2%
0.4 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 27.9% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-18
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-06-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-18
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 2025-06-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-18
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-05-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-17
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-05-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-07
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 2023-03-07
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 2023-03-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-07
Inspection history
Health
Provide immediate access to any resident.
Corrected 2025-06-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-18
Health
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.
Corrected 2025-06-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-18
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 2025-06-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-18
Health
Provide appropriate foot care.
Corrected 2025-06-18
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 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-18
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-06-18
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-06-18
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-06-18
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-18
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-06-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-17
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-17
Health
Dispose of garbage and refuse properly.
Corrected 2024-05-17
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-17
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-05-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-17
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-17
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 2024-05-17
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-05-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-17
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-02-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-07
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-03-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-03-07
Penalties and ownership
Fine · fine $15,593
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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Detroit, MI
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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