Federal inspection record · CMS data as of October 1, 2026
West Oaks Senior Care & Rehab Center
22355 W Eight Mile Rd, Detroit, MI · (313) 255-6450
- CMS high-performer trophy
- Certified beds
- 102
- Residents per day
- 97
- Ownership
- For-Profit
- Chain
- Nexcare Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1978
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
West Oaks Senior Care & Rehab Center carries 15 inspection points. That is fewer than 92% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
Nursing and Physician Services2F
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- F
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.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Environmental1F
- F
Keep all essential equipment working safely.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspection history
2025-06-25
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-27
2 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-07-27
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 52 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.7 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 99.7% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts worse | 5.9% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 9.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts better | 13.4% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts better | 9.1% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained3.3 pts worse | 3.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 4.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts better | 6.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.7 pts better | 1.7% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 85.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse | 13.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 83.8% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 26.7% | 23.9% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nexcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Gardner, Rosemary | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Nexcare Health Systems, LLC | Operational/Managerial Control · Organization | 0% | 28 facilities |
| Perry, Michael | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Sangster, Todd | Corporate Officer · Individual | 0% | 28 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
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.
Construction1F
- F
Meet other general requirements.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Regency Heights-Detroit
Detroit, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $19,321
-
The Villa at Great Lakes Crossing
Detroit, MI · Villa Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Beaconshire Nursing Centre
Detroit, MI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 2 min
- Fines
- $17,644