Nursing homes across Oakland County, Michigan, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Medilodge of West Bloomfield is a for-profit, 140-bed home in Oakland County where the direct-care numbers tell a harder story than the quality measures do. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it drops about 14% on weekends, the stretch when families are most likely to visit and least likely to find coverage. Staff turnover runs 54.5% a year, nearly nine points above the national figure, so the people caring for residents keep changing. The inspection record is the real weight here: 54 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $62,790 fine and a one-star health inspection rating from CMS.
West Hickory Haven runs 101 beds in Milford under for-profit limited liability ownership, and its nurse staffing sits at 3.97 hours per resident day, only about 3% above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below the home's own weekday level. The bigger concern is staff churn: 67.9% annual turnover against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. Inspectors have logged 50 deficiencies, including 8 at the harm or jeopardy level and 7 tied to abuse, with $54,304 in fines across two penalties. The most recent inspection was March 13, 2025.
The Lakeland Center runs 91 beds in Southfield under corporate ownership, and its staffing numbers sit below where they should be: 3.69 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. That matters more when you see turnover at 62.4%, well above the 45.8% national figure, because constant churn means unfamiliar faces caring for residents who need consistency.
The inspection record is the harder read. Forty-four deficiencies are on file, three of them at the level where a resident was harmed or put in jeopardy, and seven tied to abuse. With a one-star health inspection rating and the most recent inspection dated February 2026, this is a home where the quality measures look better than the day-to-day oversight does.
Regency At Troy runs 154 certified beds under individual for-profit ownership, and its staffing sits just barely above the national average, 3.94 nurse hours per resident day against 3.86, a thin margin that mostly disappears on weekends, when coverage drops about 14% below its own weekday level. Annual turnover is 56.3%, well past the national 45.8%, so the people showing up are often new. The current inspection record carries 44 deficiencies, three at harm or jeopardy level and one tied to abuse, with the last survey dated March 2025. A 1-out-of-5 inspection rating and a 2 for quality measures are what pull the overall picture down.
Optalis Health & Rehabilitation of Bloomfield Hills runs 159 certified beds as a for-profit partnership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 10% thinner than weekdays, so coverage tightens exactly when families tend to visit. Staff turnover is the bigger problem: 91.2%, double the national rate. Inspectors have cited 79 deficiencies, including three at the harm or jeopardy level and five abuse-related, with one fine of $45,935 on record. If you're considering this home, ask how they're holding onto caregivers.
The Villa At Silverbell Estates runs 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage slips about 9% below its own weekday levels. Annual staff turnover sits at 57.4% against a national 45.8%, meaning more than half the nursing staff leaves each year. Its inspection record carries 46 deficiencies, including four at the harm or jeopardy level and five tied to abuse, with one fine of $36,030 and a most recent inspection on May 5, 2026. The quality measure stars look strong, but those reflect resident assessments, not the staffing and inspection problems underneath.
Woodward Hills runs 190 beds as a for-profit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86, with weekends about 14% thinner than weekdays. The bigger concern is its inspection record: 63 deficiencies, five at the harm or jeopardy level and six tied to abuse, with two fines totaling $56,072 and a one-out-of-five health inspection rating. Staff turnover is 55.9%, well above the 45.8% national average, though its quality measure rating is a perfect five. That gap between how residents' care is measured and how the building is actually run is worth asking about directly.
Harmony Village of Clawson runs a 120-bed for-profit operation where the staffing numbers look decent on paper, 4.23 nurse hours per resident day, roughly 9% above the national average, but that average hides a 57% annual turnover rate, well past the national 45.8%, and weekends run about 15% thinner than weekdays. The inspection record is where things fall apart: 114 deficiencies on the current record, 11 of them at harm or jeopardy level and 29 abuse-related, plus two fines totaling $193,106. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled nursing homes in the country. The most recent inspection was March 20, 2025.
Medilodge of Southfield holds 182 certified beds and runs on a for-profit corporate model, and the inspection record is where the trouble sits. CMS has flagged it as a Special Focus Facility, a designation reserved for homes with a pattern of persistent problems, and the current record shows 98 deficiencies, including 7 at the harm or jeopardy level and 16 tied to abuse. Four fines total $330,727. Staffing looks better on paper at 4.23 nurse hours per resident day, about 10% above the national average, but weekend coverage drops roughly 18% below its own weekday level, and annual turnover hits 53% against a 45.8% national average. The most recent inspection was August 2025.
The Orchards At Canterbury On The Lake runs on thinner staffing than most homes, at 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. Its inspection record carries 73 deficiencies, including three at the harm or jeopardy level and 12 tied to abuse, with one $45,461 fine and a health inspection rating of 1 out of 5. The quality measure rating sits at 3, but that measures resident outcomes, not whether the building has enough hands on deck.
Wellbridge of Rochester Hills runs 100 certified beds as a for-profit LLC, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 9% below its own weekday coverage, and annual turnover is 52.3% against a national 45.8%, so the aides and nurses cycling through are changing often. The inspection record is where the real concern lives: 32 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, with one fine of $22,523. The most recent inspection was December 11, 2025. Quality and staffing measures both rate 4 out of 5 stars, but that inspection record tells a different story.
Mission Point in Holly runs 66 certified beds under individual for-profit ownership, and the staffing picture is thinner than it looks at first glance. Total nurse coverage sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 13 percent below what the home staffs on weekdays. Annual turnover of 52.3 percent runs above the national 45.8 percent, so the people providing that care are cycling through steadily. The current record shows 52 deficiencies, including one at the harm level and eight tied to abuse, and three fines totaling $96,491. A recent inspection date of April 2026 means the findings are fresh, not historical.
Villa At Pine Place runs below the national average on nurse staffing, at 3.44 hours per resident day versus 3.86, and weekends are thinner still, roughly 11% under its own weekday level. That matters when you consider the inspection record: 59 deficiencies, six of them at the harm or jeopardy level and six tied to abuse, plus three fines totaling $296,929. Staff turnover sits at 52.9%, well above the 45.8% national figure, so caregivers are cycling through. The most recent inspection was August 2025, so the record is current. The quality measure score of 3 out of 5 is the one middling signal here; everything else points to a home where the safety and staffing picture deserves hard questions before you consider it.
Greenfield Rehab And Nursing Center runs a 105-bed for-profit operation in Royal Oak, and the numbers tell a mixed story. Nurses provide 3.34 hours per resident per day, roughly 13 percent under the national average, and weekend coverage drops about 10 percent below what the home staffs on weekdays. Staff turnover sits at 55.8 percent, well above the national 45.8 percent, so the people at the bedside keep changing. Inspectors cited 76 deficiencies on the current record, including 6 at the harm or jeopardy level and 14 tied to abuse, with four fines totaling $367,987. The quality measure rating is strong at 4 out of 5, but the inspection rating is 1 out of 5, and the last survey was July 25, 2025.
Optalis Health and Rehabilitation of Troy runs 160 certified beds under corporate ownership, and its staffing looks adequate on paper, 3.94 nurse hours per resident day, just above the national average. The cracks show in the details: weekend staffing drops roughly 15% below its own weekday level, and 57.5% of staff leave each year, well above the 45.8% national rate. The inspection record is the harder problem. Sixty-seven deficiencies, including 7 at harm or jeopardy level and 8 abuse-related, with five fines totaling $388,982 and a health inspection rating of 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Oakridge Manor runs lean on the floor: 2.82 nurse hours per resident day against a national average of 3.86, and weekends drop about 7% below its own weekday staffing. Turnover at 38.2% is actually better than the 45.8% national figure, so the home isn't bleeding caregivers, but the hours they're scheduled for are thin. The deficiency record is what stands out: 52 total, three at harm or jeopardy level, two abuse-related, and $62,259 in fines. The last inspection was May 2025, so the record is current. For-profit corporate ownership, 64 beds. Ask about weekend coverage and what changed after those harm-level citations before you decide.
Lake Orion Nursing Center runs lean on staff. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 65.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often.
The inspection record is the harder read: 22 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $137,640 fine. A May 2025 inspection is recent, at least. Nonprofit ownership doesn't erase any of that. Ask about weekend coverage and turnover directly before deciding.
The Springs at Rochester Hills has a 1-out-of-5 health inspection rating and 80 deficiencies on its current record, 12 of them abuse-related, with 6 cited at the level where residents were actually harmed or put in jeopardy. Fines total $150,532 across four penalties, and that last inspection was recent, dated December 2025.
Staffing sits at 3.66 nurse hours per resident day, slightly under the 3.86 national average, and weekends drop about 14% from the home's own weekday levels. A 60.2% annual turnover rate, well above the 45.8% national figure, means the aides and nurses working weekends are often new. For-profit, individually owned, 126 beds. Worth asking administrators directly how they're addressing the abuse citations before you decide.
The Villa At Green Lake Estates is a for-profit, 85-bed home in Orchard Lake with a staffing picture that runs below the national average, about 3.54 nurse hours per resident day against 3.86 nationally, and thins out further on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover sits at 65.2%, well above the 45.8% national figure. Its inspection record is the heavier concern: 50 deficiencies, six at the harm or jeopardy level and three abuse-related, with four fines totaling $528,432 and a health inspection rating of 1 out of 5. The quality measure rating of 4 shows some clinical metrics land well, but the inspection and staffing numbers tell the more consequential story.
The Manor of Novi runs on thinner nurse coverage than most homes, 3.45 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 15% below its own weekday level. With 61.8% annual turnover, well above the 45.8% national figure, familiar faces are hard to count on. Its current record carries 56 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, plus a $67,496 fine. State inspectors were last in on April 8, 2026, and the health inspection rating sits at 1 out of 5. For-profit corporate ownership rounds out the picture.