The Manor of Farmington Hills
Nursing home in Farmington Hills, MI
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 21017 Middlebelt Rd, Farmington Hills, MI 48336
- Phone
- (248) 476-8300
- Listed under
- For-profit
- Medicare CCN
- 235508
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 127
- Average residents per day
- 97
- Ownership
- For-profit, corporation
- Legal business name
- Rhema Farmington INC
- Chain
- Ciena Healthcare/laurel Health Care (81 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 13, 1991
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Nov 20, 2025. CMS lists 73 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 23, 2023 to Nov 20, 2025): 33 from complaint inspections, 9 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Nov 20, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Nov 20, 2025 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D |
| Nov 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Nov 20, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Nov 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… | D |
| Nov 20, 2025 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D |
| Nov 20, 2025 | Keep residents' personal and medical records private and confidential. | E |
| Nov 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. | E |
| Nov 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. | F |
| Nov 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Oct 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Aug 6, 2025 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D |
Fines and payment denials
CMS records 5 fines totalling $269,106 in the last three years.
| Nov 20, 2025 | Fine: $122,795 |
| Aug 6, 2025 | Fine: $26,685 |
| May 16, 2025 | Fine: $36,988 |
| Oct 1, 2024 | Fine: $39,585 |
| May 22, 2024 | Fine: $43,053 |
Staffing
- Total nurse staffing per resident per day
- 4.13 hours
- Registered nurse (RN) time per resident per day
- 0.52 hours
- Nurse aide time per resident per day
- 2.02 hours
- Total nurse staffing on weekends
- 3.67 hours
- Nursing staff turnover (yearly)
- 60%
- RN turnover (yearly)
- 71%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.