Cycle 1
Health 2025-05-29 · Fire 2025-05-29
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
White Lake, MI
The Neighborhoods of White Lake
5-star overall rating with 5-star inspections
10770 Elizabeth Lake Road, White Lake, MI
(248) 618-4100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
39
Certified beds
Average residents
36
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Trinity Health
Operator or chain grouping
Approved since
1983-03-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 3 overall / 3 health / 4 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
Hours and turnover
RN hours / resident day
0.69
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.48
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
2.18
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.15
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.31
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
0.75
CMS adjusted RN staffing hours
Adjusted total hours
4.88
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,716
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.12
Composite VBP score used to determine payment impact.
Payment multiplier
1.0018
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.08% · Performance 23.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.18
Baseline 6.68% · Performance 5.99% · Measure score 6.18 · Achievement 6.18 · Improvement 3.63
Total nurse turnover
7.57
Baseline 48.84% · Performance 32.73% · Measure score 7.57 · Achievement 7.57 · Improvement 6.22
Adjusted total nurse staffing
5.49
Baseline 4.53 hours · Performance 4.64 hours · Measure score 5.49 · Achievement 5.49 · Improvement 0.37
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.24% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 171 · Observed rate 12.28% · Lower 95% interval 8.9% |
| Discharge to community | 71.77% |
50.57%
21.2 pts better
|
Better than the National Rate · Eligible stays 165 · Observed rate 70.91% · Lower 95% interval 63.45% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 130 · Denominator 130 |
| Falls with major injury | 0.77% |
0.77%
About the same
|
Numerator 1 · Denominator 130 |
| Discharge self-care score | 48.54% |
53.69%
5.1 pts worse
|
Numerator 50 · Denominator 103 |
| Discharge mobility score | 58.25% |
50.94%
7.3 pts better
|
Numerator 60 · Denominator 103 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 130 · Adjusted rate 1.9% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 3.25% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 92.03% |
8.2%
83.8 pts better
|
Numerator 127 · Denominator 138 |
| Staff flu vaccination coverage | 29.46% |
42%
12.5 pts worse
|
Numerator 38 · Denominator 129 |
| Discharge function score | 65.05% |
56.45%
8.6 pts better
|
Numerator 67 · Denominator 103 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 109 · Denominator 109 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 44.93% |
25.2%
19.7 pts better
|
Numerator 31 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 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 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
19.6%
9.4 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 40.7% |
16.5%
24.2 pts worse
|
16.7%
24 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.7% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.5% |
11.7%
4.2 pts better
|
14.9%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.7%
1 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.6% |
20.4%
5.8 pts better
|
19.8%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.6%
0.1 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
82.8%
16.1 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 100.0% · Q3 98.7% · Q4 97.5% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
11.5%
3.3 pts worse
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 13.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
79.5%
20.5 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
24.2%
4.1 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 23.6% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-22 · Fire 2024-05-22
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-02 · Fire 2023-03-02
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-27
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-27
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-27
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 2025-04-01
D · Potential for more than minimal harm
2024-01-29
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-02-15
D · Potential for more than minimal harm
2023-03-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-12
D · Potential for more than minimal harm
2023-03-02
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-04-12
Penalties and ownership
What sits behind the stars
Ownership
Trinity Continuing Care Services
5% Or Greater Direct Ownership Interest · Organization
Trinity Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
Bowens, Marcus
Corporate Director · Individual
Bowens, Marcus
Corporate Officer · Individual
Defrain, David
Corporate Director · Individual
Handy, Joanne
Corporate Director · Individual
Henkel, Arthur
Corporate Director · Individual
Jones, Beverly
Corporate Director · Individual
Latovick, Pamela
W-2 Managing Employee · Individual
Minnix, William
Corporate Director · Individual
Murray, Mandi
Corporate Director · Individual
Murray, Mandi
Corporate Officer · Individual
Poole, Lejon
Corporate Director · Individual
Tag, Anna Marie
Corporate Director · Individual
Tapia, Marjorie
Corporate Director · Individual
Turner, Anngenette
W-2 Managing Employee · Individual
Villarruel, Antonia
Corporate Director · Individual
Wells, Dewayne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Westlake Health Campus
Commerce, MI
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
The Orchards at Canterbury on the Lake
Waterford, MI
1-star overall rating with 1-star inspections with abuse icon flag with $97,916 in total fines with 33 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
The Villa at Green Lake Estates
Orchard Lake, MI
1-star overall rating with 1-star inspections with $282,021 in total fines with 17 recent health deficiencies
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