Orchard Lake, MI

The Villa at Green Lake Estates

1-star overall rating with 1-star inspections with $282,021 in total fines with 17 recent health deficiencies

6470 Alden Dr, Orchard Lake, MI

(248) 363-4121

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 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

Villa Healthcare

Operator or chain grouping

Approved since

1989-05-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

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

Changed ownership

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

0.41

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.58

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

70%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,042

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

Performance score

21.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.93

Baseline 18.24% · Performance 20.54% · Measure score 1.93 · Achievement 1.93 · Improvement 0

Healthcare-associated infections

4.23

Baseline 6.18% · Performance 6.57% · Measure score 4.23 · Achievement 4.23 · Improvement 0

Total nurse turnover

Baseline 70.67% · Performance 68.61% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.49

Baseline 3.78 hours · Performance 3.79 hours · Measure score 2.49 · Achievement 2.49 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.99%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 76 · Observed rate 17.11% · Lower 95% interval 7.37%
Discharge to community	34.7%	50.57% 15.9 pts worse	Worse than the National Rate · Eligible stays 71 · Observed rate 22.54% · Lower 95% interval 26.28%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 39 · Denominator 39
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 39
Discharge self-care score	70%	53.69% 16.3 pts better	Numerator 14 · Denominator 20
Discharge mobility score	55%	50.94% 4.1 pts better	Numerator 11 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 39 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.57%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 3.73%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 97
Staff flu vaccination coverage	85.88%	42% 43.9 pts better	Numerator 73 · Denominator 85
Discharge function score	75%	56.45% 18.5 pts better	Numerator 15 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.1%	95.0% 25.9 pts worse	93.4% 24.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.9% · Q2 76.5% · Q3 69.2% · Q4 58.5% · 4Q avg 69.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.0%	95.0% 1 pts better	95.5% 0.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.8%	3.1% 2.3 pts better	3.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	59.1%	4.1% 55 pts worse	11.4% 47.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 47.5% · Q3 63.3% · Q4 83.3% · 4Q avg 59.1%
Percentage of long-stay residents who lose too much weight	2.1%	5.5% 3.4 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 3.4% · Q4 1.7% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.2%	19.6% 0.4 pts better	19.6% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 22.0% · Q3 26.7% · Q4 19.7% · 4Q avg 19.2%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	16.5% 0.4 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 17.9% · Q3 17.9% · Q4 17.8% · 4Q avg 16.1% · 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	9.4%	13.9% 4.5 pts better	16.3% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 16.7% · Q3 9.2% · Q4 3.1% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	11.7% 2.7 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 9.1% · Q3 17.5% · Q4 5.5% · 4Q avg 9.0% · 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	1.6%	1.7% 0.1 pts better	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.7%	20.4% 7.3 pts worse	19.8% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 37.1% · Q3 33.0% · Q4 15.5% · 4Q avg 27.7%
Percentage of long-stay residents with pressure ulcers	2.2%	5.6% 3.4 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.3% · Q3 2.6% · Q4 1.4% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	29.7%	82.8% 53.1 pts worse	81.7% 52 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 32.0% · Q3 32.8% · Q4 28.9% · 4Q avg 29.7%
Percentage of short-stay residents who had an outpatient emergency department visit	14.1%	11.5% 2.6 pts worse	12.0% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 17.6% · Expected 14.0% · 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	56.6%	79.5% 22.9 pts worse	79.7% 23.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 56.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	24.2% 2.8 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 38.2% · Expected 33.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-02 · Fire 2025-07-02

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

23 health deficiencies

Top issue: Resident Rights (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-11 · Fire 2023-05-11

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

J · Immediate jeopardy 2025-10-08

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 2025-10-25

D · Potential for more than minimal harm 2025-10-08

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-08-24

D · Potential for more than minimal harm 2025-09-04

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-04

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 2025-10-01

G · Actual harm 2025-07-02

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-08

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

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 2025-08-08

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

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-08-08

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

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

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

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 2025-08-08

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

F585 · Resident Rights Deficiencies

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 2025-08-08

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

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 2025-08-08

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

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-08

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-08

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

E · Potential for more than minimal harm 2025-03-27

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-27

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-04

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 2025-03-07

G · Actual harm 2024-12-11

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-11

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-07-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-02

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-07-01

F · Potential for more than minimal harm 2024-05-08

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-08

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-08

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 2024-06-14

E · Potential for more than minimal harm 2024-05-08

F565 · Resident Rights Deficiencies

Health

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-08

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 2024-06-14

E · Potential for more than minimal harm 2024-05-08

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-08

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 2024-06-14

E · Potential for more than minimal harm 2024-05-08