Federal inspection record · CMS data as of October 1, 2026

Windemere Park Health and Rehabilitation Center

31800 Van Dyke Avenue, Warren, MI · (586) 722-2600

CMS overall rating

4 of 5

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Certified beds
92
Residents per day
55
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 15, 2015

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Windemere Park Health and Rehabilitation Center carries 43 inspection points. That is fewer than 68% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 43 pts · 4★

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

25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 3 8 pts
F 8 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Nutrition and Dietary5F
  1. F

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    April 30, 2025 · Standard · F813 · Corrected May 28, 2025

  2. D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    April 30, 2025 · Standard · F808 · Corrected May 28, 2025

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 4, 2024 · Complaint · F812 · Corrected May 15, 2024

  4. F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    January 11, 2023 · Standard · F802 · Corrected February 20, 2023

  5. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    January 11, 2023 · Standard · F804 · Corrected February 20, 2023

Resident Rights4D
  1. D

    Keep residents' personal and medical records private and confidential.

    June 11, 2026 · Complaint · F583 · Corrected July 13, 2026

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    April 4, 2024 · Complaint · F584 · Corrected May 15, 2024

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    January 11, 2023 · Standard · F558 · Corrected February 20, 2023

  4. D

    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.

    January 11, 2023 · Standard · F625 · Corrected February 20, 2023

Pharmacy Service4F
  1. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 4, 2024 · Complaint · F756 · Corrected May 15, 2024

  2. F

    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.

    January 11, 2023 · Standard · F761 · Corrected February 20, 2023

  3. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    January 11, 2023 · Standard · F758 · Corrected February 20, 2023

  4. D

    Ensure medication error rates are not 5 percent or greater.

    January 11, 2023 · Standard · F759 · Corrected February 20, 2023

Resident Assessment and Care Planning2D
  1. D

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

    April 7, 2026 · Complaint · F656 · Corrected April 30, 2026

  2. D

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

    January 11, 2023 · Standard · F658 · Corrected February 20, 2023

Quality of Life and Care2D
  1. D

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

    February 18, 2026 · Complaint · F677 · Corrected March 10, 2026

  2. D

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

    July 16, 2024 · Complaint · F684 · Corrected August 8, 2024

Environmental2E
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    April 30, 2025 · Standard · F919 · Corrected May 28, 2025

  2. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 4, 2024 · Complaint · F921 · Corrected May 15, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    October 1, 2024 · Complaint · F602 · Corrected October 25, 2024

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 1, 2024 · Complaint · F609 · Corrected October 25, 2024

Infection Control2F
  1. F

    Provide and implement an infection prevention and control program.

    April 4, 2024 · Standard · F880 · Corrected May 15, 2024

  2. F

    Provide and implement an infection prevention and control program.

    January 11, 2023 · Standard · F880 · Corrected February 20, 2023

Administration2F
  1. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    January 11, 2023 · Standard · F865 · Corrected February 20, 2023

  2. F

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    January 11, 2023 · Standard · F868 · Corrected February 20, 2023

Inspection history

  1. 2025-04-30

    6 health deficiencies · 9 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-04-04

    7 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2023-01-11

    12 health deficiencies · 13 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 8 min of nursing staff time a day, 33 min of it from a registered nurse.

This home

4 h 8 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 60% of nursing staff and 43% 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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better98.9%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse95.3%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better1.7%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.4 pts better3.1%4.5%13.5%
Percentage of long-stay residents who lose too much weight4.1 pts better1.4%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.7 pts worse29.1%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse24.0%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened18.9 pts worse30.0%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased13.2 pts worse23.9%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse3.4%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts worse26.7%19.4%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better3.1%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better97.0%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better7.6%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same1.1%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.5 pts better92.0%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse29.7%23.9%23.4%

·

Who owns and runs it

8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Windemere Group LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Hautamaki, DavidW-2 Managing Employee · Individual0%2 facilities
Johnson, BarbaraW-2 Managing Employee · Individual0%4 facilities
Lisa Mancini Living Trust5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Mancini, Lisa5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Shenoy, VijayW-2 Managing Employee · Individual0%1 facilities
Shenoy, VijayCorporate Director · Individual0%1 facilities
Ventimiglia, Domenica5% Or Greater Indirect Ownership Interest · Individual0%1 facilities

·

Fire safety

28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous8F
  1. F

    Provide a written emergency evacuation plan.

    April 30, 2025 · K711 · Corrected May 28, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    April 30, 2025 · K712 · Corrected May 28, 2025

  3. F

    Have simulated fire drills held at unexpected times.

    April 4, 2024 · K712 · Corrected May 15, 2024

  4. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    April 4, 2024 · K761 · Corrected May 15, 2024

  5. F

    Provide a written emergency evacuation plan.

    January 11, 2023 · K711 · Corrected February 20, 2023

  6. F

    Have simulated fire drills held at unexpected times.

    January 11, 2023 · K712 · Corrected February 20, 2023

  7. E

    Have restrictions on the use of portable space heaters.

    January 11, 2023 · K781 · Corrected February 20, 2023

  8. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    January 11, 2023 · K761 · Corrected February 20, 2023

Smoke5F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 30, 2025 · K353 · Corrected May 28, 2025

  2. E

    Install corridor and hallway doors that block smoke.

    April 30, 2025 · K363 · Corrected May 28, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 4, 2024 · K353 · Corrected May 15, 2024

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 11, 2023 · K353 · Corrected February 20, 2023

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 11, 2023 · K372 · Corrected February 20, 2023

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 30, 2025 · K918 · Corrected May 28, 2025

  2. E

    Have proper medical gas storage and administration areas.

    April 30, 2025 · K923 · Corrected May 28, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 4, 2024 · K918 · Corrected May 15, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 11, 2023 · K918 · Corrected February 20, 2023

  5. D

    Ensure proper usage of power strips and extension cords.

    January 11, 2023 · K920 · Corrected February 20, 2023

Services4F
  1. E

    Have properly installed electrical wiring and gas equipment.

    April 30, 2025 · K511 · Corrected May 28, 2025

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 4, 2024 · K521 · Corrected May 15, 2024

  3. F

    Have elevators that firefighters can control in the event of a fire.

    April 4, 2024 · K531 · Corrected May 15, 2024

  4. E

    Have properly installed electrical wiring and gas equipment.

    January 11, 2023 · K511 · Corrected February 20, 2023

Emergency Preparedness3F
  1. F

    Conduct testing and exercise requirements.

    April 30, 2025 · E39 · Corrected May 28, 2025

  2. F

    Conduct testing and exercise requirements.

    January 11, 2023 · E39 · Corrected February 20, 2023

  3. F

    Develop and maintain an Emergency Preparedness Program (EP).

    January 11, 2023 · E4 · Corrected February 20, 2023

Egress2E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 30, 2025 · K211 · Corrected May 28, 2025

  2. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    January 11, 2023 · K223 · Corrected February 20, 2023

Construction1E
  1. E

    Meet other general requirements.

    January 11, 2023 · K100 · Corrected February 20, 2023

·

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