Shelby Townhip, MI

Shelby Crossing Health Campus

5-star overall rating with 5-star inspections with 2 recent health deficiencies

13794 21 Mile Road, Shelby Townhip, MI

(586) 532-2100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

57

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2013-05-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.10

Registered nurse staffing

LPN hours / resident day

1.40

Licensed practical nurse staffing

Aide hours / resident day

2.02

Nurse aide staffing

Weekend hours

3.88

Weekend nurse staffing

RN turnover

24%

Annual RN turnover

Total nurse turnover

25%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.7%	95.0% 3.3 pts worse	93.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.1% 3.1 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	4.2%	4.1% 0.1 pts worse	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	0.0%	19.6% 19.6 pts better	19.6% 19.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	0.0%	5.6% 5.6 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	82.8% 16.9 pts better	81.7% 18 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	6.9%	11.5% 4.6 pts better	12.0% 5.1 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.3% 1.1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.8%	79.5% 19.3 pts better	79.7% 19.1 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.9%	24.2% 0.7 pts worse	23.9% 1 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-26 · Fire 2025-03-26

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-15 · Fire 2024-02-15

5 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-06 · Fire 2023-01-06

2 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-01-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-26

F761 · Pharmacy Service Deficiencies

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 2025-04-18

D · Potential for more than minimal harm 2025-03-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

F · Potential for more than minimal harm 2024-02-15

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 2024-03-12

F · Potential for more than minimal harm 2024-02-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-15

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-15

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-03-12

D · Potential for more than minimal harm 2023-01-06

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 2023-02-08

D · Potential for more than minimal harm 2023-01-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-08

Penalties and ownership

What sits behind the stars

Ownership

Trilogy Opco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 62 facilities 2015-12-01

American Healthcare Reit Holdings LP

5% Or Greater Indirect Ownership Interest · Organization

0% 65 facilities 2021-10-01

American Healthcare Reit Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 66 facilities 2021-10-01

Barney, Leigh

Corporate Officer · Individual

0% 69 facilities 2019-11-01

Bryant, William

Corporate Officer · Individual

0% 49 facilities 2016-01-05

Bufford, Randall

Corporate Officer · Individual

0% 35 facilities 2019-11-01

Chua, Nelson

Operational/Managerial Control · Individual

0% 1 facilities 2021-09-22

Conner, Gregory

Corporate Officer · Individual

0% 34 facilities 2021-06-03

Continental Merger Sub LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01

Corbin, Kathy

W-2 Managing Employee · Individual

0% 72 facilities 2011-01-10

Davis, David

Corporate Officer · Individual

0% 71 facilities 2017-08-21

Fightmaster, Lisa

W-2 Managing Employee · Individual

0% 60 facilities 2015-12-01

Gahc3 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2021-10-01

Gahc4 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2021-10-01

Keybank National Association

5% Or Greater Mortgage Interest · Organization

0% 44 facilities 2018-08-01

Northstar Healthcare Income Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01

Northstar Healthcare Income Operating Partnership LP

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01

Prosky, Danny

Corporate Officer · Individual

0% 51 facilities 2015-12-01

Streiff, Mathieu

Corporate Officer · Individual

0% 47 facilities 2015-12-01

Trilogy Healthcare Holdings Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 63 facilities 2021-10-01

Trilogy Holdings Nt-Hci, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 48 facilities 2021-10-01

Trilogy Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01

Trilogy Management Services LLC

Operational/Managerial Control · Organization

0% 56 facilities 2021-10-01

Trilogy Real Estate Investment Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01

Trilogy Reit Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01

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Staffing: 2 / 5
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