The Gilbert Residence — nursing home in Ypsilanti, MI

Facility type: Nursing facility · Medicaid only
CMS provider type: Medicaid
Certified beds: 32 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 30.5 CMS, MDS-derived
CMS Certification Number: 23E104
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 1, 1974
Ownership type: Non profit - Corporation
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Not part of a CMS-reported chain
Phone: (734) 482-9498
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 28, 2026

Citations

37

21 health · 16 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E4	F14
Minimal	A·	B·	C1

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 23E104
Program: Medicaid
Medicare (SNF): No
Medicaid (NF): Certified
Certified beds: 32
First approved: Dec 1, 1974
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Michigan.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 28, 2026	Health	Health Complaint	3	Potential harm	3	Open →
Oct 7, 2025	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Oct 7, 2025	Health	Health Standard	3	Potential harm	—	Open →
Oct 24, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Oct 24, 2024	Health	Health Standard	4	Potential harm	—	Open →
Sep 28, 2023	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Sep 28, 2023	Health	Health Standard	11	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E4	F14
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 28, 2026	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Plan of correction, not yet verified Oct 2, 2026	Complaint
Aug 28, 2026	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	Plan of correction, not yet verified Oct 2, 2026	Complaint
Aug 28, 2026	F-0811	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Plan of correction, not yet verified Oct 2, 2026	Complaint
Oct 7, 2025	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 2, 2025
Oct 7, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 2, 2025
Oct 7, 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 Dec 2, 2025
Oct 7, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 2, 2025
Oct 7, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 2, 2025
Oct 7, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 2, 2025
Oct 7, 2025	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 Dec 2, 2025
Oct 7, 2025	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 12, 2025
Oct 7, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 12, 2025
Oct 7, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 12, 2025
Oct 24, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 24, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 24, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 27, 2024
Oct 24, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 27, 2024
Oct 24, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 27, 2024
Oct 24, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 27, 2024
Sep 28, 2023	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 15, 2023
Sep 28, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 15, 2023
Sep 28, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2023
Sep 28, 2023	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2023
Sep 28, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2023
Sep 28, 2023	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 Nov 15, 2023
Sep 28, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2023
Sep 28, 2023	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	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 Nov 2, 2023
Sep 28, 2023	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 Nov 2, 2023
Sep 28, 2023	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 2, 2023
Sep 28, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 2, 2023
Sep 28, 2023	F-0849	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. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Nov 2, 2023
Sep 28, 2023	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Nov 2, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.80

State avg 4.03US avg 3.90

Registered nurse (RN)0.76

State avg 0.78US avg 0.69

Licensed practical nurse0.62

State avg 0.89US avg 0.86

Nurse aide2.41

State avg 2.36US avg 2.35

Weekend total nurse3.45

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.50 (case-mix index 1.18).

Staff turnover

Total nursing staff turnover50.0%

State avg 44.6%US avg 45.3%

Registered nurse turnover37.5%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Oct 7, 2025
Cycle 1 health score: 40
Total weighted score: 37

Operating entity

CMS reports the legal business name as not available.

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

No ownership disclosures in the CMS Ownership file for this CCN.

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 203 S Huron Street, Ypsilanti, MI 48197
ZIP: 48197
County: Washtenaw County FIPS 26161
State: Michigan
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Villa at Parkridge 28 S Prospect Street, Ypsilanti, MI 48198 CCN 235503	0.9 km	144	Jun 25, 2026	501 harm	—
Villa at Willow Place 8380 Geddes Road, Ypslianti, MI 48198 CCN 235596	4.4 km	94	Apr 16, 2026	86	—
Optalis Health and Rehabilitation of Ann Arbor 4701 East Huron River Drive, Ann Arbor, MI 48105 CCN 235580Abuse icon	5.5 km	180	Jul 9, 2026	523 harm	$16k
Glacier Hills 1200 Earhart Road, Ann Arbor, MI 48105 CCN 235223	7.8 km	105	May 15, 2026	20	—
Regency at Canton 45900 Geddes Road, Canton, MI 48188 CCN 235657	10.9 km	141	Jun 25, 2026	262 IJ1 harm	$17k
Regency at Bluffs Park 355 Huronview Blvd, Ann Arbor, MI 48103 CCN 235658	12.9 km	71	Aug 12, 2026	463 harm	$27k
Special Tree Neurocare Center 10909 Hannan Road, Romulus, MI 48174 CCN 235734	15.6 km	4	Aug 7, 2025	13	—
Optalis Health and Rehabilitation of Canton 7025 Lilley Road, Canton, MI 48187 CCN 235618Abuse icon	16.6 km	150	Aug 25, 2026	941 IJ3 harm2 open	$140k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	23E104	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	23E104	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

Record-level source links for CCN 23E104

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction