Nursing HomeInspections

The Manor of Farmington Hills

Nursing home in Farmington Hills, MI

Medicare & Medicaid certified2★ overall (CMS)

Call (248) 476-8300Send a messageMap ↗

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

CMS certification number 235508. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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”.

InspectionCitationSeverity
Nov 20, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 20, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration
D
Potential for more than minimal harm, isolated
Nov 20, 2025Keep residents' personal and medical records private and confidential.
Resident Rights
E
Potential for more than minimal harm, pattern
Nov 20, 2025Honor 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.
Resident Rights
E
Potential for more than minimal harm, pattern
Nov 20, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services
F
Potential for more than minimal harm, widespread
Nov 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Oct 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Aug 6, 2025Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 73. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $269,106 in the last three years.

Nov 20, 2025Fine: $122,795
Aug 6, 2025Fine: $26,685
May 16, 2025Fine: $36,988
Oct 1, 2024Fine: $39,585
May 22, 2024Fine: $43,053

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

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