The Manor of Farmington HillsCMS ratings, inspections and fines
- Address
- 21017 Middlebelt Rd, Farmington Hills, MI 48336
- CCN
- 235508
- Ownership type
- For-profit, corporation
- Certified beds
- 127
- Residents per day
- 97
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Manor of Farmington Hills an overall rating of 2 of 5 stars. The last standard survey was on 20 Nov 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Michigan is 8. CMS lists 5 fines with a total of $269,106 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Oakland County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 43 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Nov 2025 | 14 | 8 |
| Cycle 2 | 21 Aug 2024 | 30 | 9 |
| Cycle 3 | No date | 29 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0584 | 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 | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | 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 | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 25 Nov 2025 |
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Nov 2025 |
| 30 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Dec 2025 |
| 6 Aug 2025 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 26 Aug 2025 |
| 6 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 4 Aug 2025 |
| 6 Aug 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 26 Aug 2025 |
Survey cycle 2: 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 10 Jul 2025 |
| 16 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 3 Jun 2025 |
| 5 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Apr 2025 |
| 14 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Feb 2025 |
| 14 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 6 Feb 2025 |
| 14 Jan 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 6 Feb 2025 |
| 3 Dec 2024 | F0688 | 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. | D | Complaint investigation | 12 Dec 2024 |
| 3 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 12 Dec 2024 |
| 1 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 22 Oct 2024 |
| 21 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 24 Sep 2024 |
| 21 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | Complaint investigation | 24 Sep 2024 |
| 21 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 24 Sep 2024 |
| 21 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 24 Sep 2024 |
| 21 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 24 Sep 2024 |
| 21 Aug 2024 | 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. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Sep 2024 |
| 21 Aug 2024 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 24 Sep 2024 |
Survey cycle 3: 29 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 15 Aug 2024 |
| 22 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 10 Jun 2024 |
| 22 May 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 10 Jun 2024 |
| 3 Apr 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 23 Apr 2024 |
| 3 Apr 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 23 Apr 2024 |
| 3 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Apr 2024 |
| 28 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 21 Mar 2024 |
| 28 Feb 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. | G | Complaint investigation | 21 Mar 2024 |
| 28 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Mar 2024 |
| 28 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 21 Mar 2024 |
| 28 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 21 Mar 2024 |
| 17 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 | 6 Feb 2024 |
| 17 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 6 Feb 2024 |
| 17 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 Feb 2024 |
| 17 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Feb 2024 |
| 23 May 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0584 | 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. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | 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 | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Jun 2023 |
| 23 May 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 | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 21 Jun 2023 |
| 23 May 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 | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Jun 2023 |
| 23 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Nov 2025 | Fine | $122,795 | |
| 6 Aug 2025 | Fine | $26,685 | |
| 16 May 2025 | Fine | $36,988 | |
| 1 Oct 2024 | Fine | $39,585 | |
| 22 May 2024 | Fine | $43,053 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 4.13 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.52 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 1.59 | 0.88 | |
| Nurse aides | 2.02 | 2.33 | |
| All nurse staff, weekends | 3.67 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 59.7%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 70.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.1% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.5% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Rhema Farmington Inc
- Chain
- Ciena Healthcare/Laurel Health Care (81 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ciena Healthcare Management Inc | Operational/managerial control | 1 Jan 2008 | |
| Ciena Healthcare Management Inc | Adp of the snf | 21 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Oakland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Corewell Health Rehab & Nursing Center-Commons Far | Farmington Hills | 4 of 5 | 14 | $15,593 | 18 Dec 2025 | |
| Medilodge of FarmingtonSpecial Focus candidate | Farmington | 1 of 5 | 21 | $279,675 | 28 Jan 2026 | |
| The Lakeland Center | Southfield | 1 of 5 | 22 | $15,926 | 11 Feb 2026 | |
| Lahser Hills Care Centre | Southfield | 3 of 5 | 8 | $14,898 | 5 Jun 2025 | |
| The Manor of Novi | Novi | 1 of 5 | 20 | $67,496 | 8 Apr 2026 | |
| Evergreen Health and Rehabilitation Center | Southfield | 3 of 5 | 9 | $28,815 | 11 Sep 2025 | |
| Medilodge of West Bloomfield | West Bloomfield | 2 of 5 | 24 | $62,790 | 25 Feb 2026 | |
| Novi Lakes Health Campus | Novi | 5 of 5 | 5 | $0 | 8 May 2025 | |
| Medilodge of SouthfieldSpecial Focus candidate | Southfield | 1 of 5 | 19 | $185,734 | 15 Aug 2025 | |
| Notting Hill of West Bloomfield | West Bloomfield | 1 of 5 | 21 | $167,213 | 25 Mar 2026 | |
| West Bloomfield Health and Rehabilitation Center | West Bloomfield | 3 of 5 | 6 | $0 | 10 Apr 2025 | |
| Harmony Village of Beverly HillsSpecial Focus Facility | Beverly Hills | Not rated | 6 | $0 | 3 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Manor of Farmington Hills (CCN 235508). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-manor-of-farmington-hills-farmington-hills-mi-235508/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Manor of Farmington Hills last inspected?
- The latest inspection with a citation in the CMS record was on 20 Nov 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 21 Aug 2024.
- Who operates The Manor of Farmington Hills?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Ciena Healthcare/Laurel Health Care. The CMS ownership file names Ciena Healthcare Management Inc for operational or managerial control. This site does not show the names of persons.
- Is The Manor of Farmington Hills a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.