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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E2 | F18 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 15, 2025 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 25, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| May 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 27, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 27, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E2 | F18 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 16, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 17, 2025 | Complaint |
| Jul 15, 2025 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
20 facilities in 1 states. CMS chain ID 369.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Nexcare Health Systems, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2005 |
| Michael Perry | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2015 |
| Todd Sangster | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 4, 2013 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Evergreen Manor Senior Care Center 111 Evergreen, Battle Creek, MI 49015 CCN 235054 | 91 | Apr 2, 2026 | 32 | — | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 128 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Villa at Great Lakes Crossing 22811 W Seven Mile Rd, Detroit, MI 48219 CCN 235402 | 2 km | 96 | Jun 10, 2026 | 331 harm | — | |
| Regency Heights-Detroit 19100 West Seven Mile Road, Detroit, MI 48219 CCN 235452 | 2 km | 168 | Jul 2, 2026 | 591 harm | $19k | |
| Beaconshire Nursing Centre 21630 Hessel, Detroit, MI 48219 CCN 235475 | 2.1 km | 99 | Apr 2, 2026 | 991 IJ1 harm1 open | $18k | |
| The Orchards at Redford 25330 West Six Mile Road, Redford, MI 48240 CCN 235014 | 4 km | 88 | Apr 9, 2026 | 64 | — | |
| Hartford Nursing & Rehabilitation Center 6700 W Outer Dr, Detroit, MI 48235 CCN 235177 | 4.7 km | 188 | Jul 9, 2026 | 441 harm1 open | — | |
| The Orchards at Northwest 16181 Hubbell St, Detroit, MI 48235 CCN 235539 | 5.3 km | 154 | Aug 28, 2026 | 801 IJ2 harm1 open | $16k | |
| Westwood Nursing Center 16588 Schaefer, Detroit, MI 48235 CCN 235444 | 6 km | 108 | May 26, 2026 | 69 | — | |
| Sheffield Manor Nursing & Rehabilitation Center 15311 Schaefer Rd, Detroit, MI 48227 CCN 235492Abuse icon | 6.4 km | 106 | May 6, 2026 | 391 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235374 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235374 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 25, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2025 |
| Jun 25, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2025 |
| Jun 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2025 |
| Jun 25, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2025 |
| Jun 25, 2025 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 14, 2025 |
| Jun 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 14, 2025 |
| Apr 8, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Apr 6, 2025 | Complaint |
| Dec 5, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 23, 2024 | Complaint |
| Jun 27, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2024 |
| Jun 27, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jun 27, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| May 7, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 | Complaint |
| Dec 5, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 19, 2023 | Complaint |
| Dec 5, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 19, 2023 | Complaint |
| Jul 27, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 27, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.30).
| Rosemary Gardner | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 3, 2018 |
| Jul 9, 2026 |
493 harm |
| $31k |
| South Lyon Senior Care and Rehab Center 700 Reynolds Sweet Parkway, South Lyon, MI 48178 CCN 235065 | 74 | Jun 15, 2026 | 153 harm | — |
| Wexford Senior Care Center 460 Pearl Street, Cadillac, MI 49601 CCN 235094 | 131 | Jun 22, 2026 | 31 | — |
| Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113 | 71 | Dec 4, 2025 | 403 harm | $68k |
| Durand Senior Care and Rehab Center 8750 E Monroe Road, Durand, MI 48429 CCN 235123 | 141 | Jun 11, 2026 | 194 harm | $54k |
| Oakpointe Senior Care and Rehab Center 18901 Meyers Rd, Detroit, MI 48235 CCN 235207 | 106 | Aug 27, 2026 | 331 open | — |
| Dimondale Nursing Care Center 4000 N Michigan Road, Dimondale, MI 48821 CCN 235256 | 150 | Jul 8, 2025 | 444 harm | $35k |