13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Novi, MI
2-star overall rating with 2-star inspections with $67,496 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
24500 Meadowbrook Rd, Novi, MI
(248) 477-2000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ciena Healthcare/Laurel Health Care
Operator or chain grouping
Approved since
1992-09-30
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
0.53
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.80
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
3.35
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.17
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
10,390
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.70% · Performance 21.61% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.05
Baseline 8.41% · Performance 7.54% · Measure score 2.05 · Achievement 0.99 · Improvement 2.05
Total nurse turnover
3.57
Baseline 39.62% · Performance 49.09% · Measure score 3.57 · Achievement 3.57 · Improvement 0
Adjusted total nurse staffing
2.60
Baseline 3.53 hours · Performance 3.82 hours · Measure score 2.60 · Achievement 2.60 · Improvement 0.76
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.34% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 9.43% · Lower 95% interval 6.44% |
| Discharge to community | 35.53% |
50.57%
15 pts worse
|
Worse than the National Rate · Eligible stays 49 · Observed rate 22.45% · Lower 95% interval 24.94% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 90.91% |
95.27%
4.4 pts worse
|
Numerator 30 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 33 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.54% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 4.38% |
8.2%
3.8 pts worse
|
Numerator 6 · Denominator 137 |
| Staff flu vaccination coverage | 13.57% |
42%
28.4 pts worse
|
Numerator 27 · Denominator 199 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
1.7
1.4 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.5
0.6 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
95.0%
6.8 pts worse
|
93.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 86.5% · Q3 86.9% · Q4 88.9% · 4Q avg 88.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 57.7% |
95.0%
37.3 pts worse
|
95.5%
37.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 57.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.1%
1.6 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 2.0% · Q4 3.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.1%
4.1 pts better
|
11.4%
11.4 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 who lose too much weight | 15.2% |
5.5%
9.7 pts worse
|
5.4%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 19.0% · Q3 17.5% · Q4 18.1% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
19.6%
1.3 pts better
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 21.0% · Q3 14.4% · Q4 19.0% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
16.5%
6.8 pts worse
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 23.9% · Q3 21.9% · Q4 23.4% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.3% |
0.1%
2.2 pts worse
|
0.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.9% · Q3 3.0% · Q4 3.3% · 4Q avg 2.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.8% |
13.9%
0.1 pts better
|
16.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 21.4% · Q3 11.1% · Q4 7.3% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
11.7%
2.8 pts worse
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 21.6% · Q3 11.5% · Q4 9.2% · 4Q avg 14.5% · 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 | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.2% |
20.4%
5.8 pts worse
|
19.8%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 26.2% · Q3 27.4% · Q4 24.1% · 4Q avg 26.2% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
5.6%
0.9 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 6.3% · Q4 3.7% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.8% |
82.8%
18 pts worse
|
81.7%
16.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 78.7% · Q3 69.2% · Q4 52.7% · 4Q avg 64.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
11.5%
4.7 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 8.0% · Expected 13.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.8% |
79.5%
31.7 pts worse
|
79.7%
31.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.5% |
24.2%
11.3 pts worse
|
23.9%
11.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.5% · Observed 44.0% · Expected 29.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (9 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-03-05
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 2025-03-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-01-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-16
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-19
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-08-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-05
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-05
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-05
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-03-05
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-05
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-12-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-03
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-10-03
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 2024-02-01
Health
Implement a program that monitors antibiotic use.
Corrected 2024-01-25
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-01-25
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-01-25
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-25
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 2024-01-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-01-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-25
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-01-25
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-02-16
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-02-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-17
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 2023-02-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-16
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 2023-02-16
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 2023-02-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-16
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-02-16
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 2023-02-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-16
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-02-16
Penalties and ownership
Fine · fine $67,496
Fine
Payment Denial · denial start 2024-01-25 · 7 days
7 day denial
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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