West Bloomfield, MI

West Bloomfield Health and Rehabilitation Center

3-star overall rating with 3-star inspections with 4 recent health deficiencies

6445 W Maple, West Bloomfield, MI

(248) 661-1600

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

172

Certified beds

Average residents

125

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

1989-10-01

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

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

0.59

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.72

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.26

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.57

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.31

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.86

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.21

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

0.65

CMS adjusted RN staffing hours

Adjusted total hours

5.06

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,061

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

Performance score

30.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.89% · Performance 24.07% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.29

Baseline 4.78% · Performance 6.85% · Measure score 3.29 · Achievement 3.29 · Improvement 0

Total nurse turnover

3.68

Baseline 53.96% · Performance 48.62% · Measure score 3.68 · Achievement 3.68 · Improvement 1.33

Adjusted total nurse staffing

5.38

Baseline 4.51 hours · Performance 4.61 hours · Measure score 5.38 · Achievement 5.38 · Improvement 0.26

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.46%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 559 · Observed rate 9.84% · Lower 95% interval 8.07%
Discharge to community	63.16%	50.57% 12.6 pts better	Better than the National Rate · Eligible stays 573 · Observed rate 57.24% · Lower 95% interval 58.88%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 352 · Denominator 352
Falls with major injury	0.57%	0.77% 0.2 pts better	Numerator 2 · Denominator 352
Discharge self-care score	43.55%	53.69% 10.1 pts worse	Numerator 108 · Denominator 248
Discharge mobility score	59.68%	50.94% 8.7 pts better	Numerator 148 · Denominator 248
Pressure ulcers or injuries, new or worsened	2.84%	2.29% 0.5 pts worse	Numerator 10 · Denominator 352 · Adjusted rate 2.51%
Healthcare-associated infections requiring hospitalization	6.85%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 357 · Observed rate 6.44% · Lower 95% interval 4.55%
Staff COVID-19 vaccination coverage	11.43%	8.2% 3.2 pts better	Numerator 24 · Denominator 210
Staff flu vaccination coverage	27.14%	42% 14.9 pts worse	Numerator 92 · Denominator 339
Discharge function score	56.85%	56.45% 0.4 pts better	Numerator 141 · Denominator 248
Transfer of health information to provider	98.98%	95.95% 3 pts better	Numerator 97 · Denominator 98
Transfer of health information to patient	98.98%	96.28% 2.7 pts better	Numerator 194 · Denominator 196
Resident COVID-19 vaccinations up to date	37.36%	25.2% 12.2 pts better	Numerator 65 · Denominator 174

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	1.7 1.6 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.8 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	1.5 1.2 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	95.0% 0.3 pts worse	93.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 96.6% · Q3 96.6% · Q4 87.8% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.8%	95.0% 7.2 pts worse	95.5% 7.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.1% 0.6 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.4% · Q3 2.3% · Q4 2.2% · 4Q avg 2.5% · 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	4.2%	5.5% 1.3 pts better	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.8% · Q3 5.1% · Q4 5.6% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.4%	19.6% 10.8 pts worse	19.6% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 31.2% · Q3 31.6% · Q4 29.3% · 4Q avg 30.4%
Percentage of long-stay residents who received an antipsychotic medication	16.5%	16.5% About the same	16.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 17.9% · Q3 16.7% · Q4 14.3% · 4Q avg 16.5% · 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	18.4%	13.9% 4.5 pts worse	16.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 30.1% · Q3 14.0% · Q4 20.2% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.3%	11.7% 9.6 pts worse	14.9% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 24.6% · Q3 17.2% · Q4 23.5% · 4Q avg 21.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.9% 0.7 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.9%	1.7% 1.2 pts worse	1.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.5% · Q3 3.5% · Q4 3.5% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	20.4% 3.3 pts worse	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 19.5% · Q3 25.8% · Q4 21.9% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	3.7%	5.6% 1.9 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.0% · Q3 3.0% · Q4 3.1% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	82.8% 16.2 pts better	81.7% 17.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.3% · Q3 98.7% · Q4 99.7% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	11.5% 2.8 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 13.6% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.3% 0.5 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 0.4% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.9%	79.5% 13.4 pts better	79.7% 13.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.2%	24.2% 5 pts worse	23.9% 5.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 29.3% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

17 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-10

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 2025-05-19

E · Potential for more than minimal harm 2025-04-10

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-02-11

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 2025-03-03

D · Potential for more than minimal harm 2024-09-17

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 2024-10-21

D · Potential for more than minimal harm 2024-09-17

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-05-29

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-05-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-06-27

G · Actual harm 2024-04-29

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 2024-05-25

F · Potential for more than minimal harm 2024-02-28

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 2024-04-05

F · Potential for more than minimal harm 2024-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-02-28

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 2024-04-05