The Manor of Farmington Hills
21017 Middlebelt Rd · Farmington Hills, MI · 48336 · 2484768300
127 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $226,053 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$226,053 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.81 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 5 · $269,106 |
Inspection citations (73 in the current record)
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Potential for harm · E November 20, 2025
Keep residents' personal and medical records private and confidential.
Corrected November 25, 2025 · Resident Rights
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Potential for harm · E November 20, 2025
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 November 25, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · F November 20, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 25, 2025 · Nursing and Physician Services
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Potential for harm · D November 20, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 25, 2025 · Pharmacy Service
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Potential for harm · D November 20, 2025
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected November 25, 2025 · Administration
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Potential for harm · F November 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 25, 2025 · Nutrition and Dietary
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Actual harm · G October 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2025 · Quality of Life and Care
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Actual harm · G August 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected August 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected August 26, 2025 · Environmental
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Potential for harm · D June 18, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected July 10, 2025 · Resident Rights
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Actual harm · G May 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 3, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D January 14, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · D January 14, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · D January 14, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · D December 3, 2024 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · D December 3, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 12, 2024 · Quality of Life and Care
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Actual harm · G October 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 22, 2024 · Quality of Life and Care
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Potential for harm · E August 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · E August 21, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 24, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2025 | Fine | $122,795 |
| August 6, 2025 | Fine | $26,685 |
| May 16, 2025 | Fine | $36,988 |
| October 1, 2024 | Fine | $39,585 |
| May 22, 2024 | Fine | $43,053 |
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 235508 · certified since August 13, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.