Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Medilodge Of Sault Ste. Marie runs about 3.62 nursing hours per resident per day, roughly 6% under the national average, and weekends drop about 16% below its own weekday numbers. That matters because the home carries 73 deficiencies on its current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus three fines totaling $65,403. Staff turnover sits at 50.6%, higher than the 45.8% national average. CMS gave it a 1 out of 5 on health inspections and placed it in the Special Focus Facility program; its most recent inspection was February 2026. It's a for-profit limited liability company. The quality measure star is a 4, but the inspection record is where the real story is.
Villa At Beecher Place runs 167 certified beds in Flint under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, about 18% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, and annual turnover hits 53.7% against a national 45.8%. The inspection record is where the real trouble shows: 99 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $210,026. A May 2025 inspection is recent, and the quality measure score is strong, but staffing and compliance numbers tell a harder story.
Optalis Health And Rehabilitation Of Grand Rapids runs 120 beds as a for-profit, individually owned home, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.39 hours per resident day, about 12 percent under the national average, with weekends roughly 10 percent below its own weekday coverage, and annual turnover hits 64.7 percent against a national 45.8. Its current inspection record carries 101 deficiencies, 12 at the harm or jeopardy level and 13 tied to abuse, along with two fines totaling $136,785, and CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems.
Pinnacle Care of Battle Creek runs 82 certified beds as a for-profit partnership, and its nurse staffing sits at 1.78 hours per resident day against a national average of 3.86, roughly half the typical level, with weekends about 3% thinner than weekdays. The inspection record carries 111 deficiencies, including four at harm or jeopardy level and eight tied to abuse, plus two fines totaling $133,946; CMS has placed the home in its Special Focus Facility program, and the most recent inspection was May 12, 2025. Its quality measure stars look strong at 5/5, but that score sits alongside 1/5 marks for health inspections and staffing, which tells you where the real trouble lies.
Regency At Jackson runs on 2.84 nurse hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 79 deficiencies, five at harm or jeopardy level, and 14 tied to abuse. A single fine of $15,593 and a 1-out-of-5 inspection rating sit alongside 1 out of 5 for staffing, even as quality measures rate 3. That gap matters, the care processes may look average on paper, but the hands available to deliver them and the survey history tell a different story.
Bayside Village is a 59-bed nonprofit home in L'Anse that CMS has placed in its Special Focus Facility program, the designation reserved for the homes with the most persistent compliance problems. The record backs that up: 47 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, plus $176,157 in fines across two penalties. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, about 11 percent below the home's own weekday level. Inspection and quality measure ratings both come in at the bottom of CMS's scale.
Medilodge Of Farmington runs 4.92 nurse hours per resident day, well above the national average, but that staffing cushion hasn't kept the home out of trouble. Its inspection record shows 92 deficiencies, including 13 tied to abuse and 7 serious enough to put residents in harm's way, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Six fines total $277,531. Weekend staffing drops about 18% below weekday levels, meaning the weakest coverage lands when families are most likely to visit. Turnover sits at 45.6%, roughly the national rate, so the staff you meet may not be there next year.
Alamo Nursing Home runs on thinner nurse coverage than most places, 3.44 hours per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap matters when you're the family deciding who checks on Mom on a Sunday. The inspection record is the bigger concern: 68 deficiencies on file, including 7 at the harm or jeopardy level and 6 tied to abuse, with a 1-star health inspection rating from CMS. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people providing care are frequently new. One fine totaling $18,274 has been levied. The quality measure stars look good on paper, but the inspection and staffing numbers tell a different story.
The Orchards at Three Rivers runs on 3.38 nursing hours per resident day, about 12% under the national average, and weekend coverage slips roughly another 10% below its own weekday level. That thin staffing sits alongside a 48.1% annual turnover rate, so the people caring for residents are often new and still learning the building. On inspections, CMS gives this home one star out of five, and its record carries 70 deficiencies, including three at the harm or jeopardy level and six tied to abuse. The federal government has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Greentree of Hubbell runs 55 beds as a for-profit, individually owned home, and the numbers carry more weight than any single rating. Nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and weekends drop about 16% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection record is the real concern: 66 deficiencies, three at harm or jeopardy level, two tied to abuse, and $59,940 in fines. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Turnover, at 43.8%, is slightly better than average, and the quality measure score is strong, but those don't offset a supervision and safety record this troubled.
Harmony Village of Beverly Hills runs 96 certified beds under for-profit LLC ownership, and its nurse staffing sits just above the national average at 3.93 hours per resident day, though weekends drop about 15% below its own weekday levels. What stands out more is the inspection record: 58 deficiencies, including 3 at harm or jeopardy level and 9 tied to abuse, with one fine of $3,147. Staff turnover is 24.2%, well below the national 45.8%, which suggests people stay. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The most recent inspection was December 4, 2025.
Lakeside Manor runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what it manages during the week, which is when families tend to visit and notice. Annual turnover sits at 57.1%, well above the 45.8% national figure, so the people caring for residents keep changing. The deficiency record is the harder fact: 53 citations on file, including one at the harm or jeopardy level and four tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The most recent inspection was February 6, 2026.
Notting Hill Of West Bloomfield runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and that thin coverage gets thinner on weekends. The bigger warning sign is turnover: 71.6% of nursing staff leaving annually, against a national rate near 46%, which means the people caring for your family member are often brand new. The inspection record backs that up, 67 deficiencies, including 6 at harm or jeopardy level and 5 tied to abuse, plus $167,213 in fines across four penalties. A for-profit corporate owner and a one-star inspection rating round out the picture.
Church Of Christ Care Center runs 129 certified beds as a church-affiliated nonprofit, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the 3.86 national average, with weekends running about 5% leaner than its own weekdays. Annual turnover is 54.2% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record shows 28 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus two fines totaling $40,940; the most recent inspection was August 2025. CMS rates it 2 out of 5 on health inspections, 2 on staffing, and 1 on quality measures, a pattern where weaker clinical outcomes line up with thinner staffing.
Optalis Health And Rehabilitation Of Canton runs 150 certified beds under corporate for-profit ownership, and the staffing numbers explain a lot. Nurses provide 3.44 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends drop about 16 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 73.4 percent against a national 45.8, meaning most of the people caring for your relative are new to the building. The inspection record backs this up: 74 deficiencies, four at harm or jeopardy level, eleven abuse-related, and one fine of $140,322. Quality measures score well, but that sits on top of a staffing and compliance picture that isn't reassuring.
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.
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.
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.
Optalis Health & Rehabilitation of Whitehall runs 125 certified beds under corporate for-profit ownership, and the numbers worth your attention are on the staffing and inspection side. Nurses provide about 3.23 hours per resident day, roughly 16 percent under the national average, and weekend coverage drops about 7 percent below what the home staffs on weekdays. Meanwhile, 57.8 percent of staff turned over in a year against a national rate near 46 percent, which makes consistent care hard to hold onto. The current inspection record carries 59 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse; the most recent inspection was March 5, 2026.
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.
Plainwell Pines runs on thinner nursing coverage than most homes in the country, about 3.24 hours per resident per day against a national average near 3.86, with weekends running roughly a tenth below its own weekday level. That gap shows up in turnover, too: 62.8% of staff leave each year, well above the 45.8% norm. The inspection record is the heavier concern, 55 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus two fines totaling just under $195,000. Its quality measure score looks strong on paper, but that's self-reported data, and the last state visit in May 2025 tells a different story.
Jackson County Medical Care Facility runs a county-owned home of 194 beds where the bedside math is genuinely strong: 5.37 nurse hours per resident day, about 39% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 23.5%, well under the 45.8% national figure, which matters for residents who want to see the same faces. The trouble is inspection history, 20 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a single $68,744 fine, with the last inspection dated April 2026. Strong hands-on care and a troubled survey record can coexist, and here they do.
Meadow Brook Medical Care Facility is county-owned, with 133 certified beds in Bellaire. Three out of four caregivers left their jobs last year, 75.7% turnover against a national average of 45.8%, and CMS gives the home its lowest staffing rating, one star out of five. That instability shows up in the inspection record too: nine deficiencies currently on file, including two serious enough to reach harm or jeopardy and two tied to abuse. Health inspection and quality measure ratings each sit at two stars. State surveyors were last in the building in September 2025, so the picture is recent. For a family weighing this home, the turnover number and the abuse-related findings are the two things worth asking about directly before a tour.
Bay County Medical Care Facility runs on 6.39 total nurse hours per resident day, roughly two and a half hours more than the national average, and that staffing shows in a four-star CMS staffing rating. Weekends dip about 16 percent below weekday coverage, though, and annual turnover sits at 53.9 percent, higher than the 45.8 percent national figure, so the people delivering those hours keep changing. The county-owned home holds 31 deficiencies on its current record, seven at harm or jeopardy level and two tied to abuse, with $165,536 in fines and a two-star inspection rating from its April 2025 survey. Strong hands-on coverage, uneven consistency, and a recent inspection record that's the real concern here.
Grandvue runs a county-owned home in East Jordan with 113 certified beds, and the staffing numbers are its clearest strength, 4.39 total nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 6% below its own weekday level, though staff turnover at 42.7% is slightly better than the 45.8% national figure.
The trouble sits on the inspection side. The current record shows 17 deficiencies, including three at the harm or jeopardy level and two tied to abuse. That combination, strong daily staffing beside serious cited problems, is why the two-star health inspection rating pulls the overall picture down despite the five-star staffing mark.
Grand Traverse Pavilions is county-owned and large, 240 beds, and its inspection record is the first thing to know. Sixty-five deficiencies on the current record, seven of them serious enough to involve actual harm or jeopardy, plus eight tied to abuse. Three fines totaling about $158,000. The last inspection was June 2025, so this isn't stale paperwork.
Staffing is the other problem. CMS rates it at the bottom of the scale, meaning residents here get fewer direct care hours than most homes nationally. The quality measure score looks better, but that number reflects clinical outcomes like rehospitalization rates, not whether someone answers the call light.
For a family weighing this placement, ask about direct-care hours per resident per day and how the last inspection's abuse findings were resolved.
Optalis Health & Rehabilitation at Kent-Crossing runs 182 certified beds on Grand Rapids' southeast side, and the numbers tell two different stories. Nurse staffing sits at 3.75 hours per resident day, just under the national average, but weekends drop about 9% below the home's own weekday level, and turnover runs 56.1% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Then there's the inspection record: 69 deficiencies, including 2 at harm or jeopardy level and 9 abuse-related, with ownership changing hands in the past year. That combination of high turnover and recent turnover in ownership is worth asking about directly when you visit.
Hillsdale County Medical Care Facility runs on county government ownership and 170 certified beds, and its staffing is genuinely heavy, 5.38 nurse hours per resident day against a national average of 3.86. Weekends dip about 13% below weekday levels, and turnover sits at 34%, better than the 45.8% national figure. The trouble is the inspection record: 25 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus three fines totaling $314,537. The most recent inspection was February 26, 2026. Strong staffing and quality scores don't cancel out that many serious findings, read the actual inspection reports before deciding.
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.
Lenawee Medical Care Facility has the staffing most families are looking for, 5.33 nurse hours per resident day, roughly 38% above the national average, and that holds up even with weekends running about 13% thinner than weekdays. The county runs it, so there's no corporate owner to answer to. What pulls the grade down is the inspection record: 24 deficiencies, including 5 at the harm level and 9 tied to abuse, plus a 2-star health inspection rating. Staff turnover sits at 50.5%, a bit above the national 45.8%, so the people delivering that generous staffing keep changing. Strong care hours, a troubling paper trail, worth a visit and hard questions before deciding.
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.
Calhoun County Medical Care Facility is county-owned, with 120 beds in Battle Creek. Its 4.26 nurse hours per resident day sit about 10% above the national average of 3.86, and turnover at 41.8% is a bit better than the 45.8% national figure, but weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The current inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. With an April 2026 inspection and a 2/5 health inspection rating alongside a 3/5 quality measure rating, the recent survey history is the part worth asking about directly.
Christian Park Health Care Center runs 99 certified beds in Escanaba under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing. Nurse coverage sits at 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 8% below the home's own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover is 54.5% against a national 45.8%, meaning more than half the nursing team turns over in a year. The current record carries 20 deficiencies, four at harm or jeopardy level and two tied to abuse, with one fine of $36,651. The last inspection was January 23, 2025. Ask about weekend coverage and how they've addressed those harm-level findings.
Brittany Manor runs 138 beds in Midland under for-profit LLC ownership, and its staffing is the genuine bright spot: 4.06 nurse hours per resident day, about 5% above the national average, with a five-star CMS staffing rating. Turnover sits at 45.9%, essentially identical to the national 45.8%, no better, no worse. Weekend coverage dips roughly 11% below weekday levels, so care thins out when families tend to visit. The inspection record is the problem. Twenty-two deficiencies, five at harm or jeopardy level, two abuse-related, and a two-star health inspection rating, with the last inspection in March 2025. Strong staffing is doing a lot of work holding up a record that otherwise looks shaky.
Ely Manor runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop another 7% below its own weekday staffing. The 1-out-of-5 health inspection rating reflects a record of 67 deficiencies, including six at the harm or jeopardy level and eight tied to abuse, plus $174,559 in fines across six penalties. That combination has placed the home in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Staff turnover sits at 49.4%, above the national figure, so even the direct-care hours that exist are often delivered by people who haven't been there long.
Clearstream Rehabilitation and Nursing Center runs 98 beds in Hastings under individual for-profit ownership, and its inspection record is the part that should worry you: 47 deficiencies on the current record, including 4 at the harm or jeopardy level and 10 tied to abuse. Federal inspectors were last in the building on May 5, 2026, and the health inspection rating came back 1 out of 5. Staffing sits at 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends run about 12 percent thinner than weekdays. Annual turnover is 53.8 percent, well above the 45.8 percent national figure, meaning the people caring for residents keep changing. Two fines totaling $35,416 are on file. The quality measure rating, 4 out of 5, reflects chart-based numbers, not the day-to-day supervision those other figures describe.
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 Laurels of Sandy Creek runs on 3.06 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips about 5% below its own weekday levels. Staff turnover sits at 46.5%, slightly above the national 45.8%. The inspection record is the heavier issue: 34 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse, with one $14,020 fine and a most recent inspection on May 21, 2025. The 5/5 quality measure score reflects charted care indicators, but it sits alongside a 2/5 inspection rating. This is an individually owned, for-profit home where the paperwork scores well and the on-the-ground record is rougher.
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.
Kith Haven runs 159 beds in Flint under corporate for-profit ownership, and its staffing is genuinely a bright spot: 3.93 nurse hours per resident day, slightly above the national average, with a 33.3% turnover rate that's well below the 45.8% national figure. Weekends dip about 9% below weekday coverage, so plan visits accordingly. The trouble sits elsewhere. CMS gives the home 1 out of 5 stars on quality measures and 2 out of 5 on health inspections, and the current record carries 48 deficiencies, three at harm or jeopardy level, three tied to abuse, plus a $119,506 fine. The most recent inspection was March 2026, so the picture is current. Ask directly what's been fixed since.
Mission Point in Belding runs 128 certified beds under corporate for-profit ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is genuinely better than most: 35.3% against a national 45.8%, so aides and nurses tend to stick around longer here than at the typical home.
The harder question is the inspection record. Forty deficiencies are on file, including three at the harm or jeopardy level and seven tied to abuse. CMS gave the home 2 out of 5 stars on health inspections, though its quality measure and staffing ratings both came back at 5. The most recent inspection was June 1, 2026. Read those deficiencies yourself before deciding.
Faith Haven runs on thinner staffing than most homes, 3.46 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 8% below what the building manages Monday through Friday. That gap matters, because aides and nurses are the people who notice when a resident is declining or hasn't been turned. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff who do show up are often new to the floor.
The inspection record is heavier: 37 deficiencies, five tied to abuse and four serious enough to put residents in harm's way. One fine of $15,872 has been levied. Even with a recent inspection in March 2026, that record under a for-profit corporate owner is what a family should be asking about directly.
Valley View Care Center runs 139 beds in Grand Rapids under corporate ownership, and the numbers pull in two directions. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national figure, and weekend coverage drops roughly 11% below what the home staffs on weekdays, so the hours your family member gets depend partly on which day it is. Staff turnover of 43.5% is slightly better than average, which helps.
The trouble is the inspection record: 48 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $57,896. A health inspection rating of 1 out of 5 against decent quality and staffing scores is the tension worth asking about directly.
Nurse staffing at Optalis Health And Rehabilitation Of Three Rivers runs 3.02 hours per resident day, roughly 22% under the national average, and weekends dip about 8% below its own weekday levels. That thin coverage sits alongside 73 deficiencies on the current record, including 3 at the harm or jeopardy level and 11 tied to abuse. Staff turnover is 47.7%, against a 45.8% national figure, and CMS fines total $40,700 across two penalties. Ownership is for-profit corporate. The inspection star stands at 1 out of 5, most recently dated December 3, 2025, while the quality measure star sits at 4, a split worth asking about directly.
Harmony Village Of Clinton runs 127 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends are thinner still, about 14% below the home's own weekday coverage, which matters most when families visit and needs go unnoticed. Turnover of 37.3% is better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. The inspection record is where it gets harder: 42 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in June 2025.
Medilodge Of Hillman runs a 39-bed for-profit home in Montmorency County, and its staffing is the strongest part of the story: 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 13% below its own weekdays. Staff turnover sits at 31.1%, well under the 45.8% national figure, which suggests people tend to stay. The trouble is the inspection record, 23 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $47,740 fine and a two-star health inspection rating. Quality measures score well, but that gap between daily care and the survey history is what a family should weigh.
Autumn Woods runs 293 beds in Warren under for-profit LLC ownership, and its staffing sits a bit above the national average at 4.00 nurse hours per resident day. The catch is weekends, when coverage drops roughly 12% below what the home staffs during the week. Turnover comes in at 38%, better than the 45.8% national figure, which matters for consistency of care. Its last inspection was recent, in August 2025. The record shows 39 deficiencies, three tied to abuse, though none rose to the harm or jeopardy level. Combined with a 2-out-of-5 inspection rating, that's a lot of paperwork findings for a home this size.
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.
Medilodge Of Marshall runs 98 certified beds under for-profit LLC ownership, and its last health inspection was in April 2025, recent enough that the findings are current. That inspection record is the problem: 61 deficiencies, four at harm or jeopardy level and ten abuse-related, plus a $16,801 fine. Nurse staffing sits at 3.82 hours per resident day, slightly under the national average, and weekends drop about 21% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 43% is a touch better than the 45.8% national figure, and the quality measure rating is strong, but the inspection history carries the most weight here.
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.
Maple Woods Manor runs 151 certified beds in Clio under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86, with weekends about 9% thinner than weekdays. Turnover of 43.5% is slightly better than the 45.8% national figure, but the inspection record is where the trouble shows: 31 deficiencies, five of them serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $58,583. The last inspection was April 2025, so that record is fairly current, not stale. Staffing looks adequate on paper; the survey history suggests the problems lie elsewhere.
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.
Boulder Park Terrace runs 3.70 nurse hours per resident day, about 4% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. The inspection record is where the real concern sits: 58 deficiencies on file, seven of them at harm or jeopardy level and ten tied to abuse. The most recent inspection was June 5, 2025, so the findings are current, not stale. That combination, below-average staffing that thins further on weekends, alongside a one-star health inspection rating, explains why this nonprofit's overall standing lands at a C. Quality and staffing measures each rate three stars, but the health inspection side drags the whole picture down.
Roosevelt Park runs 39 certified beds in Muskegon, and the nurse staffing number, 3.92 hours per resident day, sits just above the national average. But weekends drop about 12% below its own weekday coverage, and turnover runs 46.9%, slightly worse than the national rate. The inspection record is where families should slow down: 44 deficiencies on file, including 2 at the harm or jeopardy level and 5 tied to abuse, plus a $78,176 fine. The last inspection was June 2025. Quality measures score well, and staffing holds at 4 stars, but a 2-star health inspection rating with that many open deficiencies is the part worth asking about directly.
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.
Medilodge Of Cheboygan runs 85 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 21% below weekday coverage, so the hours your family member gets depend heavily on which day it is. Turnover is a relative bright spot at 36.8% against a 45.8% national rate, and the staffing and quality stars both come in at 4 out of 5. The inspection record is the weaker side: 23 deficiencies currently on file, three of them at harm or jeopardy level, one abuse-related, plus a $29,348 fine. The most recent inspection was April 15, 2026.
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.
Optalis Health And Rehabilitation Of Ann Arbor runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.71 nurse hours per resident day, about 4% under the national average of 3.86, with weekends running roughly 14% below its own weekday level. Turnover sits at 50.3% against a national 45.8%, so the people caring for residents change often.
The inspection record is heavier than that staffing gap suggests, 51 deficiencies on the current record, four at harm or jeopardy level and four abuse-related, with one fine totaling $15,593 and a survey as recent as April 2025. Quality measures score well, but the health inspection side is where the trouble concentrates.
Medilodge of Montrose runs a for-profit corporate operation with 121 certified beds, and the staffing picture is mixed. Total nurse coverage sits at 4.20 hours per resident day, about 9% above the national average, but weekends drop roughly 14% below its own weekday levels, and annual turnover hits 60% against a national 45.8%. The inspection record is where things get serious: 83 deficiencies on file, including 7 at harm or jeopardy level and 8 tied to abuse. Three fines total $119,637, and the last inspection was February 2026. CMS scored the health inspection side at 1 out of 5 stars, even though quality measures came in at 4. The staffing numbers read better on paper than the outcomes suggest.
Orchard Creek runs 5.75 nurse hours per resident day, roughly half again the national average, and its staff turnover sits just under the national figure, so the people caring for your relative tend to stay. Weekends are thinner, about 16% below weekday coverage, worth asking about if you visit Saturdays. The trouble is the inspection record: 19 deficiencies, two serious enough to put residents in harm's way, five tied to abuse. That mix, strong daily staffing, weak state survey results, is why this small for-profit home lands in the middle rather than near the top. Ask directly what changed since the September 2025 inspection.
Portagepointe runs on a lot of nurse hours, 5.45 per resident per day, roughly 41% above the national average of 3.86. That staffing level is the main reason the home lands where it does. Weekends dip about 9% below its own weekday coverage, so care gets a little thinner on Saturdays and Sundays. Its inspection record shows 10 deficiencies, none serious enough to cause harm or jeopardy and none tied to abuse, and the most recent visit was May 29, 2025. Quality measures score lower than staffing does. The tradeoff here is real: strong day-to-day coverage, weaker marks on clinical outcomes, and a corporate for-profit owner.
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.
Caretel Inns of Linden runs 3.45 nursing hours per resident day, about 11% under the national average, and weekends dip roughly 9% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays, since fewer hands are on the floor. Annual turnover sits at 57.5% against a national 45.8%, and the home carries 58 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A 2/5 on health inspections and 2/5 on staffing, offset by a 4/5 on quality measures, suggests the clinical tracking looks better than the day-to-day oversight.
Medilodge of Capital Area runs 120 beds in Lansing under corporate ownership, and its last inspection was recent enough that the record should reflect current conditions. What that record shows is a long list: 51 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. Staffing sits at 3.82 nurse hours per resident day, just under the national figure, and weekends drop roughly 14% below the home's own weekday coverage. Annual turnover of 58.1% is well above the 45.8% national average, which matters more than the staffing star suggests, consistent caregivers know residents. One fine totaling $22,710 is on file.
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.
Dj Jacobetti Home for Veterans runs on unusually deep staffing for a state-run home: 5.41 nurse hours per resident day, roughly 40% above the national average, with turnover at 21.2% against a national 45.8%. That retention shows up in resident outcomes, where the quality measure rating sits at the top of the scale. The tradeoff is on the health inspection side, where six deficiencies on the current record include one at the harm or jeopardy level and one abuse-related citation, and the inspection itself dates to December 2025. Weekend coverage also runs about 18% lighter than weekdays. Plenty of hands on deck most days, the compliance record is where the concerns concentrate.