Michigan › Wayne County › Westland
Four Chaplains Nursing Care Center
28349 Joy Rd, Westland, MI 48185
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Four Chaplains Nursing Care Center is a For-profit, corporation nursing home in Westland, Michigan, certified for 96 beds and caring for about 89 residents a day.
CMS gives it 4 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (3, 8, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.8 per 100 beds, fewer than the state median of 29.4.
CMS lists 1 penalty in the period covered: fines totalling $45K.
Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Michigan median of 3.8; nursing staff turnover is 46.9%.
Compared with county, state and nation
| Measure | This facility | Wayne Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 26 | 29 | 28.7 |
| Citations per 100 beds | 20.8 | 22.7 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.6 | 3.8 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.7 | 0.7 |
| Nursing staff turnover | 46.9% | 46.2% | 44.6% | 45.8% |
| Fines listed | $45,126 | $0 | $0 | — |
County and state figures are medians across facilities (63 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2026, 5 Dec 2024.
Severity mix: J ×1 D ×16 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Mar 2026 |
| 13 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Mar 2026 |
| 13 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Mar 2026 |
| 5 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 27 Dec 2024 |
| 5 Sep 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 13 Sep 2024 |
| 26 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Jul 2024 |
| 25 Jan 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J | Complaint investigation | 26 Jan 2024 |
| 9 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Jan 2024 |
| 18 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 8 Nov 2023 |
| 18 Oct 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 8 Nov 2023 |
| 18 Oct 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 8 Nov 2023 |
| 18 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 8 Nov 2023 |
| 18 Oct 2023 | F0761 | 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. | D | Complaint investigation | 8 Nov 2023 |
| 18 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jan 2024 | Fine | $45,126 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 46.9%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Chaplains, Inc.. Chain: Nexcare Health Systems (20 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nexcare Health Systems, LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2005 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wayne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aerius Health Center | Riverview | 78 | 5 | 5 | 2 | 16 | 20.5 | — | 26 Jun 2024 |
| Ambassador, A Villa Center | Detroit | 176 | 5 | 4 | 3 | 40 | 22.7 | — | 16 Jun 2026 |
| Hamilton Nursing Home | Detroit | 64 | 5 | 4 | 3 | 18 | 28.1 | — | 4 Sep 2025 |
| Marywood Nursing Care Center | Livonia | 103 | 5 | 4 | 5 | 21 | 20.4 | — | 8 Jan 2026 |
| Medilodge of Haggerty Road | Plymouth | 101 | 5 | 5 | 4 | 14 | 13.9 | — | 30 Jul 2025 |
| Medilodge of Plymouth | Plymouth | 39 | 5 | 5 | 4 | 17 | 43.6 | — | 17 Jul 2025 |
| Oakpointe Senior Care and Rehab Center | Detroit | 106 | 5 | 5 | 3 | 14 | 13.2 | — | 11 Jun 2025 |
| Optalis Health and Rehabilitation of Grosse Pointe | Grosse Pointe Woods | 80 | 5 | 4 | 2 | 19 | 23.8 | — | 29 Sep 2025 |
All 63 facilities in Wayne County
Questions and answers
How many deficiencies has Four Chaplains Nursing Care Center been cited for?
20 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Four Chaplains Nursing Care Center been fined?
Yes. CMS lists fines totalling $45K in the period covered.
How does staffing at Four Chaplains Nursing Care Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Four Chaplains Nursing Care Center?
It is part of the Nexcare Health Systems chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nexcare Health Systems, LLC. Individual owners and managers are not listed on this site.
When was Four Chaplains Nursing Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 13 Feb 2026; the most recent standard health survey was 13 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.