Southfield, MI

The Lakeland Center

2-star overall rating with 1-star inspections with $189,324 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

26900 Franklin Road, Southfield, MI

(248) 350-8070

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Optalis Health & Rehabilitation

Operator or chain grouping

Approved since

1999-03-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 2 health / 3 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.60

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.94

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.94

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.58

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.72

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

79%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,772

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

38.64

Composite VBP score used to determine payment impact.

Payment multiplier

0.9917

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

6.36

Baseline 7.55% · Performance 5.93% · Measure score 6.36 · Achievement 6.36 · Improvement 5.83

Total nurse turnover

2.91

Baseline 82.42% · Performance 62.79% · Measure score 2.91 · Achievement 0 · Improvement 2.91

Adjusted total nurse staffing

2.32

Baseline 3.20 hours · Performance 3.74 hours · Measure score 2.32 · Achievement 2.32 · Improvement 1.60

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.55%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 58 · Observed rate 17.24% · Lower 95% interval 6.86%
Discharge to community	59.8%	50.57% 9.2 pts better	No Different than the National Rate · Eligible stays 56 · Observed rate 50% · Lower 95% interval 45.04%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	57.14%	53.69% 3.5 pts better	Numerator 12 · Denominator 21
Discharge mobility score	57.14%	50.94% 6.2 pts better	Numerator 12 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 32 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.93%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 0% · Lower 95% interval 2.61%
Staff COVID-19 vaccination coverage	9.56%	8.2% 1.4 pts better	Numerator 13 · Denominator 136
Staff flu vaccination coverage	17.87%	42% 24.1 pts worse	Numerator 37 · Denominator 207
Discharge function score	47.62%	56.45% 8.8 pts worse	Numerator 10 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	38.46%	25.2% 13.3 pts better	Numerator 10 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.7 0.7 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.1 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.5 0.8 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.0% 5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	4.1% 3.2 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	4.5%	5.5% 1 pts better	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.7% · Q3 4.3% · Q4 1.4% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.3%	19.6% 10.3 pts better	19.6% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 7.5% · Q3 9.9% · Q4 10.0% · 4Q avg 9.3%
Percentage of long-stay residents who received an antipsychotic medication	13.7%	16.5% 2.8 pts better	16.7% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.1% · Q3 16.7% · Q4 15.7% · 4Q avg 13.7% · 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	6.3%	13.9% 7.6 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q4 4.1% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.1%	11.7% 6.6 pts better	14.9% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 8.3% · Q3 3.3% · Q4 3.2% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.1%	20.4% 8.3 pts better	19.8% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.8% · Q3 6.5% · Q4 5.2% · 4Q avg 12.1%
Percentage of long-stay residents with pressure ulcers	6.0%	5.6% 0.4 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 7.5% · Q3 8.0% · Q4 4.2% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	82.8% 11.4 pts better	81.7% 12.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 91.6% · Q3 99.2% · Q4 100.0% · 4Q avg 94.2%
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 6.4% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.3% 0.4 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 2.9% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.5%	79.5% 13 pts better	79.7% 12.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.0%	24.2% 1.2 pts better	23.9% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 25.5% · Expected 26.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-19 · Fire 2024-11-19

14 health deficiencies

Top issue: Nursing and Physician Services (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-31 · Fire 2024-01-31

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-31 · Fire 2023-03-31

29 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-19

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-12-05

E · Potential for more than minimal harm 2024-11-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

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 2024-12-05

F · Potential for more than minimal harm 2024-01-31

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-02-23

F · Potential for more than minimal harm 2024-01-31

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-23

F · Potential for more than minimal harm 2024-01-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-01-31

K222 · Egress Deficiencies

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 2024-02-23

E · Potential for more than minimal harm 2024-01-31

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 2024-02-23

E · Potential for more than minimal harm 2023-03-31

K222 · Egress Deficiencies

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 2023-04-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-19

F919 · Environmental Deficiencies

Health

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

Corrected 2025-08-29

G · Actual harm 2025-07-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-07-02

F690 · Quality of Life and Care Deficiencies

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 2025-07-21

F · Potential for more than minimal harm 2025-04-03

F725 · Nursing and Physician Services Deficiencies

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 2025-04-23

F · Potential for more than minimal harm 2024-11-19

F725 · Nursing and Physician Services Deficiencies

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 2024-12-05

F · Potential for more than minimal harm 2024-11-19

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 2024-12-05

E · Potential for more than minimal harm 2024-11-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-12-05

D · Potential for more than minimal harm 2024-11-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

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 2024-12-05

D · Potential for more than minimal harm 2024-11-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-19

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 2024-12-05

D · Potential for more than minimal harm 2024-07-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-02

J · Immediate jeopardy 2024-05-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-01-31

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-31

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-31

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-02-20

D · Potential for more than minimal harm 2024-01-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-19

K · Immediate jeopardy 2023-07-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-07-27

D · Potential for more than minimal harm 2023-07-06

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-07-27

K · Immediate jeopardy 2023-03-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-03-31

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-31

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-03-31

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 2023-04-26

F · Potential for more than minimal harm 2023-03-31

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-03-31

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-03-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F584 · Resident Rights Deficiencies

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 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-25

E · Potential for more than minimal harm 2023-03-31

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-03-31