Nursing homes across Wayne County, Michigan, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Optalis Health And Rehabilitation Of Dearborn Heights runs 124 certified beds under corporate for-profit ownership, and the numbers show a home juggling real strengths against real problems. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but weekends drop about 15% below its own weekday level, and annual turnover of 51.4% tops the national figure of 45.8%. Its inspection record carries 34 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus a $42,136 fine. What keeps this from being a purely grim picture is the 4-out-of-5 quality measure rating, meaning charted care outcomes look better than the inspection history would suggest. That gap between paper quality and on-the-ground compliance is worth asking about directly.
Imperial, A Villa Center runs 265 certified beds in Dearborn Heights under for-profit individual ownership, and its inspection record is the main thing to know. State surveyors have logged 38 deficiencies on the current record, two of them at the harm or jeopardy level and one tied to abuse. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 7% below the home's own weekday numbers. Annual turnover is 46.6%, close to the national 45.8%. The last inspection was April 23, 2026. Inspections rate 2 out of 5 stars; quality measures and staffing each rate 3.
Westwood Nursing Center runs lighter on nursing hours than most homes, 3.44 per resident day against a national average of 3.86, and weekends are thinner still, about 18% below what the building staffs Monday through Friday. That matters for a 108-bed for-profit home, because care doesn't pause on Saturdays. Turnover sits at 49%, a few points above the national rate, and the record shows 25 deficiencies, two tied to abuse, plus three fines totaling $22,936. No deficiency rose to the harm level, and the last inspection was recent, in December 2025. The quality measure score of 2 out of 5 is the weakest mark in the file.
The Orchards at Harper Woods runs 151 certified beds under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin weekday-to-weekend gap matters because care doesn't pause on Saturdays. The current record carries 49 deficiencies, three of them abuse-related, and while none reached harm or jeopardy level, that's still a lot of citations to accumulate. Federal inspectors last visited in May 2026, and the staffing rating came back at the lowest tier. If you're weighing this one, ask specifically how abuse-related issues were resolved and what weekend coverage actually looks like on the floor.
The Orchards At Northwest runs 154 certified beds under corporate ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. The inspection record is where the real weight sits: 43 deficiencies, three of them serious enough to put residents at risk of harm, plus three abuse-related findings and a $15,889 fine. Its last inspection was March 2026, so the record is current, not stale. Quality measures score well, but that's a narrow slice of the picture. A single star on both inspections and staffing tells you more about daily life here than the quality score does.
The Lodge at Taylor runs 134 certified beds under for-profit LLC ownership in Wayne County, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That's a thin margin, and weekends drop about 15 percent below weekday coverage, so the care you'd see on a Saturday may not match what you'd see midweek. Staff turnover is 52.8 percent, well above the 45.8 percent national figure, meaning the people helping your family member likely change often. The current record shows 32 deficiencies, three of them at harm or jeopardy level, plus one abuse-related citation and a $16,801 fine. The last inspection was December 11, 2025.
Special Tree Neurocare Center runs just four certified beds in Romulus, which makes it about as small as a Medicare-certified nursing home gets. Its last inspection came in August 2025 and turned up two deficiencies, neither of which involved actual harm or jeopardy to a resident, and none tied to abuse. That's a clean enough record to earn four stars on health inspections. What holds it back from the top tier is the for-profit corporate ownership and whatever sits underneath the score, with only four beds, there's very little staffing data to judge against the national average, so the picture is thin. A short record at a small home can mean fewer chances to find problems, not necessarily fewer problems.
Belle Fountain runs 91 beds in Riverview under corporate for-profit ownership, and its staffing numbers are the first thing to look at. Total nurse hours sit just above the national average, 3.91 versus 3.86, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 60.7% against a national 45.8%. That churn matters more than the headline staffing figure. The inspection record shows 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $4,194. Quality measures score well, but the staffing and health inspection ratings sit at 2 out of 5, and the most recent inspection was March 2025. Ask about weekend coverage and how they keep consistent aides on the floor.
Applewood runs 150 certified beds in Woodhaven, and the numbers behind its record deserve a careful look before you decide. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, with weekends running roughly 8% thinner than weekdays, so the hours when families tend to visit are also the hours with the least coverage. Its inspection history is the harder problem: 41 deficiencies on the current record, four of them at the harm or jeopardy level, and two fines totaling $63,665. Staff turnover of 46.7% is slightly above the national rate, meaning familiar faces are not something you can count on.
Riverview Health and Rehab Center North runs 180 beds under corporate ownership, and the staffing picture is thinner than it looks. Total nurse coverage sits at 3.76 hours per resident day, under the national average, and it drops further on weekends, roughly 13% below the home's own weekday level. That matters when you consider turnover: 59.4% of staff left over the past year, against a national rate near 46%. Inspectors have logged 40 deficiencies, including two at the harm level and three tied to abuse, plus $38,471 in fines across four penalties. The most recent inspection was April 2025. High turnover and thin weekend coverage together are the kind of thing families notice on a Sunday visit.
Medilodge of Livonia runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, which matters if you're visiting Saturday or Sunday. Turnover is 48.2%, a bit above the 45.8% national figure, so you may see familiar faces change. The current inspection record lists 30 deficiencies, two of them at harm or jeopardy level, plus one fine of $45,429; the most recent inspection was March 19, 2026. CMS gives three stars each for health inspections, quality measures, and staffing, middling across the board, with the harm-level citations worth asking about directly.
Pine Creek Manor runs 49 certified beds in Wayne under for-profit LLC ownership, and its staffing is the first thing to notice: 2.80 total nurse hours per resident day, roughly 28 percent under the national average of 3.86. Weekend coverage dips about 8 percent below its own weekday level, and annual turnover sits at 48.7 percent, modestly above the 45.8 percent national figure. The March 2025 inspection earned a 4-star health inspection rating, and none of the 19 deficiencies on record reached harm or jeopardy level, though one is abuse-related and quality measures score just 2 stars.
Heritage Manor runs 122 beds in Detroit under corporate ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends dropping about 14% below its own weekday levels. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The current inspection record carries 44 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. A recent inspection date helps, and resident quality measures score well, but the inspection history and thin weekend coverage are what a family should weigh when deciding.
Westland's 230-bed home is owned by a for-profit limited liability company and carries 63 deficiencies on its current record, including one at the harm or jeopardy level and five tied to abuse. Its last inspection was in March 2025, and CMS gives the place one star for health inspections. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 10% thinner than weekdays, so the coverage gap tends to land when families visit. Annual turnover is 46.2%, essentially the national rate. The four-star quality measure score is the bright spot, but inspections and staffing are where the problems live.
The Villa at the Park runs 3.30 nurse hours per resident day, about 14% under the national average, and weekends dip roughly 11% below its own weekday staffing. That matters more in a 114-bed building where 43 deficiencies sit on the current record, including five at harm or jeopardy level and three tied to abuse. Staff turnover is 32.7%, better than the 45.8% national figure, so the same faces tend to stick around. The quality measure star looks strong at 5/5, but that's self-reported data, and the 2/5 health inspection rating reflects what surveyors actually found when they last visited in September 2025. Two fines total $64,623.
Sheffield Manor runs 106 beds in Detroit under corporate for-profit ownership, and its inspection record is the harder story here: 17 deficiencies on file, including one at the harm or jeopardy level and five tied to abuse. That's a lot to carry for a building this size, and it's the main reason the health inspection rating sits low. Staffing lands at 3.47 nurse hours per resident day, roughly 10% under the national average of 3.86, with weekends running about 10% lighter than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure. The quality measure score is high, but those measures lean on self-reported data. Ask about the abuse citations directly before touring.
Boulevard Temple Care Center runs 124 certified beds in Detroit under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the bright spot at 28.3%, well below the 45.8% national figure, which suggests less churn than most homes. Against that, the current record carries 24 deficiencies, including one at the harm level and four tied to abuse. Inspectors were last on site in May 2025, so the picture is recent.
The Orchards At Wayne runs 179 certified beds under corporate ownership, and its staffing rating sits at the bottom of the federal scale, one star out of five. That's the number I'd weigh hardest, because daily hands-on care is what staffing measures, and it's the piece families feel most.
The inspection record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A single fine totaling $8,991 has been levied. The most recent inspection was November 2025, so the picture is current, not stale.
Health inspection and quality measure ratings both land at three stars. Nothing here is catastrophic on paper, but the gap between how the place scores on outcomes and how thin the staffing runs is worth asking about directly.
Four Seasons Nursing Center of Westland runs 180 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.40 hours per resident day, about 12% under the national average of 3.86. Weekends drop roughly another 13% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is where the real concern lives: 45 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, plus a $15,593 fine. Staff turnover is 32.2%, notably better than the 45.8% national figure, and the quality measure score is strong, but a recent April 2026 inspection means the deficiency history is current, not old.
The Orchards at Samaritan runs 120 certified beds in Detroit under individual for-profit ownership, and its nurse staffing sits about 8% under the national average, thin enough on its own, but weekends drop roughly 13% below what the home staffs on weekdays. That pattern matters in a building with 32 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. The last inspection was March 2025, so the record is recent, not stale. Quality measures score well, but quality scores come largely from resident assessments the home reports itself; inspections and staffing are measured independently, and those are where this home struggles.