6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
St. Clair Shores, MI
3-star overall rating with 3-star inspections with $22,874 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
22700 Greater Mack Avenue, St. Clair Shores, MI
(586) 772-4300
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
146
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ciena Healthcare/Laurel Health Care
Operator or chain grouping
Approved since
1976-04-01
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
0.45
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.21
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
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
3,451
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9973
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.58% · Performance 23.83% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.66
Baseline 7.24% · Performance 6.14% · Measure score 5.66 · Achievement 5.66 · Improvement 4.39
Total nurse turnover
9.46
Baseline 45.95% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9
Adjusted total nurse staffing
2.59
Baseline 4.26 hours · Performance 3.81 hours · Measure score 2.59 · Achievement 2.59 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.04% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 338 · Observed rate 10.06% · Lower 95% interval 7.28% |
| Discharge to community | 60.19% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 344 · Observed rate 53.78% · Lower 95% interval 54.11% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.6% |
95.27%
1.3 pts better
|
Numerator 227 · Denominator 235 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 235 |
| Discharge self-care score | 30.67% |
53.69%
23 pts worse
|
Numerator 50 · Denominator 163 |
| Discharge mobility score | 42.94% |
50.94%
8 pts worse
|
Numerator 70 · Denominator 163 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 3 · Denominator 235 · Adjusted rate 1% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 4.95% · Lower 95% interval 3.62% |
| Staff COVID-19 vaccination coverage | 4.97% |
8.2%
3.2 pts worse
|
Numerator 9 · Denominator 181 |
| Staff flu vaccination coverage | 12.18% |
42%
29.8 pts worse
|
Numerator 24 · Denominator 197 |
| Discharge function score | 30.06% |
56.45%
26.4 pts worse
|
Numerator 49 · Denominator 163 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 199 · Denominator 199 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 22.03% |
25.2%
3.2 pts worse
|
Numerator 26 · Denominator 118 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.7
1.5 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
95.0%
4.7 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
95.0%
3.6 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.1%
1.7 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.1% · Q3 1.2% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
4.1%
3.1 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.5%
0.2 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.7% · Q3 5.0% · Q4 12.3% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
19.6%
6 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 12.0% · Q3 13.6% · Q4 14.8% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
16.5%
2.3 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 20.0% · Q3 17.2% · Q4 16.7% · 4Q avg 18.8% · 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 | 27.9% |
13.9%
14 pts worse
|
16.3%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 38.2% · Q3 27.9% · Q4 23.3% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
11.7%
0.7 pts better
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 18.5% · Q3 7.7% · Q4 3.9% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 0.0% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
20.4%
3.4 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.7% · Q3 21.5% · Q4 20.0% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
5.6%
4.2 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 1.1% · Q4 1.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
82.8%
12.7 pts better
|
81.7%
13.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 97.3% · Q3 92.0% · Q4 94.3% · 4Q avg 95.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
11.5%
6 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.4% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.3%
0.3 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.3% · Q3 1.3% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.5% |
79.5%
10 pts better
|
79.7%
9.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.2% |
24.2%
11 pts worse
|
23.9%
11.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.2% · Observed 34.1% · Expected 23.1% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-10
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-09-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-10
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-07-26
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-07-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-07-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-26
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 2024-07-26
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-07-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-18
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 2023-05-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-18
Inspection history
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-09-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-10
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-06-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-26
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 2024-07-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-26
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 2024-07-26
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 2024-07-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-26
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2024-07-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-07
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 2024-01-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-18
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-18
Health
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.
Corrected 2023-05-18
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-05-18
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-18
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-05-18
Penalties and ownership
Fine · fine $22,874
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Grosse Pointe Woods, MI
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
St. Clair Shores, MI
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Roseville, MI
1-star overall rating with 2-star inspections with $15,926 in total fines with 11 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
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