The 10 Worst Nursing Homes in Michigan

Updated as of August 01, 2023

A list of the ten worst skilled nursing homes in Michigan. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Michigan.

Compare the Worst Nursing Homes in Michigan

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Michigan skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Michigan. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

Nursing Home Rating
Ashley Healthcare Center
103 WEST WALLACE STREET
ASHLEY, MI 		1,591.50
Rating Not Available
Mission Point Nsg and Phy Rehab Ctr of Ishpeming
435 STONEVILLE RD
ISHPEMING, MI 		776.50
/
Mission Point Nsg and Phy Rehab Ctr of Beverly Hills
18200 W 13 MILE ROAD
BEVERLY HILLS, MI 		686.50
/
Majestic Care of Flushing
540 SUNNYSIDE DR
FLUSHING, MI 		682.67
Lakeside Manor Nursing and Rehabilitation Center
13990 LAKESIDE CIRCLE
STERLING HEIGHTS, MI 		664.67
Skld Muskegon
1061 W HACKLEY AVE
MUSKEGON, MI 		639.50
/
Mission Point Nsg and Phy Rehab Ctr of Hancock
1400 POPLAR ST
HANCOCK, MI 		621.00
/
Riverside Healthcare Center
1149 WEST MONROE RD
SAINT LOUIS, MI 		524.50
Mission Point Nsg Phy Rehab Ctr of Madison Heights
31155 DEQUINDRE
MADISON HEIGHTS, MI 		499.83
/
Regency at Waterford
1901 N TELEGRAPH RD
WATERFORD, MI 		493.17

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Michigan

Every month, we rank all of the skilled nursing facilities in Michigan. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Michigan is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Michigan nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Michigan nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Michigan

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Michigan have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

Skilled Nursing Homes in Michigan Compared to Nationwide

We have compared Michigan nursing homes to the nationwide average on several metrics. Michigan performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 12.00 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 6.00 Higher
Cycle 2 Total Number Of Health Deficiencies 13.20 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 6.10 Higher
Cycle 3 Total Number Of Health Deficiencies 14.30 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 5.00 Higher
Average Number Of Residents Per Day 78.90 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.27 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.90 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.76 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.66 Higher
Reported Total Nurse Staffing Hours Per Resident Per Day 3.93 Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.39 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 0.47 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.06 Lower
Total Nursing Staff Turnover 52.50 Lower
Registered Nurse Turnover 46.70 Lower
Number Of Administrators Who Have Left The Nursing Home 0.70 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.34 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.02 Lower
Number Of Fines 2.80 Higher
Fine Amount In Dollars 81,761.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 12.15 Lower
Percentage Of Long Stay Residents Who Lose Too Much Weight 6.52 Higher
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 47.71 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.46 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.18 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 3.30 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.16 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 2.93 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 92.80 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 13.99 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 80.41 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.38 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 13.55 Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 18.96 Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.53 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 92.79 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 78.75 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 75.19 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 22.89 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 11.42 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.71 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 0.98 Lower

FAQs About Nursing Homes in Michigan

How Many Nursing Homes in Michigan

There are 430 skilled nursing facilities registered with CMS in Michigan with a total of 44,947 beds. Average occupancy was 75.00% in August 2023.

Michigan has 76 homes that are rated as having one star on the CMS 5-Star Rating System. Approximately 20.26 percent of the total number of available skilled nursing beds in Michigan are in one-star facilities. In Michigan, occupancy is higher in skilled nursing facilities where the CMS 5-Star Rating is higher than one-star.

How to Report a Nursing Homes in Michigan

If you run into an issue at a Michigan nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Michigan nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Michigan Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Michigan go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Detroit

  • Westwood Nursing Center (468)
    • Give the resident's representative the ability to exercise the resident's rights. (2023-06-09)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2022-10-03)
  • St James Nursing Center (285.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-07-04)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-07-03)
  • Beaconshire Nursing Centre (178.333)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-06-16)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2023-03-16)
  • Boulevard Temple Care Center, LLC (116.333)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-02-16)
    • Install emergency lighting that can last at least 1 1/2 hours. (2023-02-16)
  • Regency Heights-Detroit (107.333)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-03-21)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-03-21)
  • Mission Point Nsg and Phy Rehab Ctr of Woodward (104.333)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-04-10)
    • Reasonably accommodate the needs and preferences of each resident. (2022-12-05)
  • Heritage Manor Nursing and Rehab Center (100.667)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-01-08)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2023-01-06)
  • Regency at Chene (96)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-03-07)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-03-07)
  • Mission Point Nsg and Phy Rehab Ctr of Elmwood (92.167)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-07-05)
    • Respond appropriately to all alleged violations. (2023-07-05)
  • Riverview Health and Rehab Center North (91)
    • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (2023-02-27)
    • Develop and implement policies and procedures for flu and pneumonia vaccinations. (2023-02-27)

Worst Nursing Homes in Grand Rapids

  • Skld Beltline (250)
    • Ensure medication error rates are not 5 percent or greater. (2023-01-19)
    • Provide enough food/fluids to maintain a resident's health. (2023-01-19)
  • Medilodge of Grand Rapids (202.833)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-07-19)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-07-19)
  • Samaritas Senior Living Grand Rapids Lodge (162)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-04-12)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-04-12)
  • Skld Leonard (129)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2023-05-24)
    • Ensure each resident receives an accurate assessment. (2023-05-24)
  • The Emeralds at Grand Rapids LLC (90)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-03-24)
    • 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. (2023-03-24)
  • Valley View Care Center (82)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2023-03-22)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-03-22)
  • Covenant Village of The Great Lakes (82)
    • Reasonably accommodate the needs and preferences of each resident. (2023-02-03)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2023-02-03)
  • Grand Village (77)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-04-19)
    • Have properly located and lighted "Exit" signs. (2022-06-17)
  • Spectrum Health Rehab and Nursing Center (72.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-08-07)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-08-07)
  • Spectrum Health Rehab and Nursing Center-Fuller Ave (59.333)
    • Provide activities to meet all resident's needs. (2023-01-27)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-01-27)

Worst Nursing Homes in Flint

  • Mission Point Nsg and Phy Rehab Ctr of Flint (337.833)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-06-27)
    • 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. (2023-06-27)
  • Willowbrook Manor (212.667)
    • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (2023-02-10)
    • Ensure that residents are fully informed and understand their health status, care and treatments. (2022-12-22)
  • Kith Haven (186.167)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-01-10)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-01-10)
  • Briarwood Nursing and Rehab (144.667)
    • 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. (2023-05-16)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-05-16)

Worst Nursing Homes in Lansing

  • Medilodge of Capital Area (265.333)
    • Ensure that residents are free from significant medication errors. (2023-06-02)
    • Ensure medication error rates are not 5 percent or greater. (2023-06-02)
  • Regency at Lansing West (183.667)
    • 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. (2023-06-16)
    • Ensure each resident?s drug regimen must be free from unnecessary drugs. (2023-06-16)
  • Medilodge of Lansing (170.167)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-01-18)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-01-18)
  • Tri-State Village Nrsg and Rhb (157.333)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-06-30)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2023-06-30)
  • Aria Nursing and Rehab (112.333)
    • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2023-02-24)
    • The resident has the right to receive notices in a format and a language he or she understands. (2023-02-10)
  • Lansing Care and Rehab (42)
    • Provide safe, appropriate dialysis care/services for a resident who requires such services. (2022-12-20)
    • Provide and implement an infection prevention and control program. (2022-10-26)
  • Twin Oaks Health and Rehab (18.667)
    • Establish policies and procedures for volunteers. (2023-05-04)
    • Establish procedures for tracking staff and patients during an emergency. (2023-05-04)
  • Thornton Manor Nursing and Care Center (4)
    • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (2023-03-10)
    • Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2023-03-03)

Worst Nursing Homes in Ann Arbor

  • Optalis Health and Rehabilitation of Ann Arbor (263.333)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-07-06)
    • Respond appropriately to all alleged violations. (2023-06-29)
  • Regency at Bluffs Park (108)
    • To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2023-04-10)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-03-02)
  • Glacier Hills (106.5)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2023-05-12)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-02-24)

Worst Skilled Nursing Homes in Other States

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