Beaconshire Nursing Centre
21630 Hessel · Detroit, MI · 48219 · 3135348400
99 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,644 in fines in the last 24 months.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $23,994 |
Inspection citations (49 in the current record)
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Potential for harm · D September 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 23, 2025 · Infection Control
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Potential for harm · D June 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 5, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 7, 2025 · Environmental
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Potential for harm · D January 29, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · F January 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2025 · Nutrition and Dietary
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Potential for harm · F January 29, 2025
Dispose of garbage and refuse properly.
Corrected March 18, 2025 · Nutrition and Dietary
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Potential for harm · F January 29, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 6, 2025 · Administration
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Potential for harm · F January 29, 2025
Provide and implement an infection prevention and control program.
Corrected March 6, 2025 · Infection Control
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Potential for harm · F January 29, 2025
Keep all essential equipment working safely.
Corrected March 6, 2025 · Environmental
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Potential for harm · D January 29, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 6, 2025 · Environmental
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No harm found · B January 29, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Waiver has been granted · Environmental
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Immediate jeopardy · J January 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · D January 22, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 8, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 8, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 30, 2024 · Pharmacy Service
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Actual harm · G July 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · D July 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 24, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 19, 2024 · Environmental
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Potential for harm · D June 21, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 16, 2024 · Resident Rights
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Potential for harm · D February 13, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · D February 13, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · D December 6, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 22, 2025 | Fine | $17,644 |
| January 22, 2025 | Payment Denial | 57 days |
| June 21, 2024 | Payment Denial | 10 days |
| December 6, 2023 | Payment Denial | 9 days |
| August 7, 2023 | Fine | $2,117 |
| July 17, 2023 | Fine | $4,233 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235475 · certified since August 10, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.