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The Rivers Health & Rehabilitation Center of GrossCMS ratings, inspections and fines

Address
900 Cook Road, Grosse Pointe Woods, MI 48236
CCN
235709
Ownership type
For-profit, limited liability company
Certified beds
86
Chain
None in the CMS record
Residents per day
80
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating4 of 5
Staffing rating3 of 5
Quality measure rating3 of 5
Care 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 Rivers Health & Rehabilitation Center of Gross an overall rating of 4 of 5 stars. The last standard survey was on 20 Aug 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Michigan is 8. CMS lists no fines 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.

CMS star ratings of The Rivers Health & Rehabilitation Center of Gross, with medians
Rating (1 to 5 stars)This homeWayne County medianMichigan medianUS average (CMS)
Overall rating43.03.03.0
Health inspection rating43.03.02.8
Staffing rating33.04.02.9
Quality measure rating34.04.03.6

A median is the middle value of the homes in the group: 63 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.

Health citations of The Rivers Health & Rehabilitation Center of Gross in the last three survey cycles
Survey cycleStandard surveyCitationsMichigan median
Cycle 1 (latest)20 Aug 202578
Cycle 222 Aug 202479
Cycle 3No date610

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.

Scope and severity of the 20 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 7 citations

Standard survey of this cycle: .

Health citations of The Rivers Health & Rehabilitation Center of Gross in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Dec 2025
20 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Sep 2025
20 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Sep 2025
20 Aug 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey22 Sep 2025
20 Aug 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey22 Sep 2025
20 Aug 2025F0761Ensure 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.DStandard survey22 Sep 2025
20 Aug 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey22 Sep 2025

Survey cycle 2: 7 citations

Standard survey of this cycle: .

Health citations of The Rivers Health & Rehabilitation Center of Gross in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Dec 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation31 Dec 2024
22 Aug 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Sep 2024
22 Aug 2024F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation20 Sep 2024
22 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Sep 2024
22 Aug 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation20 Sep 2024
22 Aug 2024F0761Ensure 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.DComplaint investigation20 Sep 2024
22 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation20 Sep 2024

Survey cycle 3: 6 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of The Rivers Health & Rehabilitation Center of Gross in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Jul 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey28 Jul 2023
12 Jul 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey28 Jul 2023
12 Jul 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Jul 2023
12 Jul 2023F0688Provide 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.DStandard survey28 Jul 2023
12 Jul 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Jul 2023
12 Jul 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey28 Jul 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.

CMS lists no fine and no payment denial for this home in its penalties file.

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.

Nurse staffing hours per resident per day at The Rivers Health & Rehabilitation Center of Gross
StaffThis homeMichigan medianMichigan average (CMS)
All nurse staff4.083.803.99
Registered nurses (RN)0.310.700.78
Licensed practical nurses (LPN)1.670.88
Nurse aides2.112.33
All nurse staff, weekends3.443.303.50
Nurse staff turnover in a year
53.8%
Nurse staff turnover, Michigan median
44.6%
RN turnover in a year
66.7%
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.

Quality measures of The Rivers Health & Rehabilitation Center of Gross, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.2%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.6%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.5%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.3%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.5%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, limited liability company
Setting
Continuing care retirement community
Legal business name
Ccla 6 LLC
Organisations in the CMS ownership record of The Rivers Health & Rehabilitation Center of Gross
OrganisationRole in the CMS recordInterestSince
DRSN Associates LLC5% or greater direct ownership interest100%27 Jul 2015
DRSN Associates LLC5% or greater mortgage interest27 Jul 2015
DRSN Associates LLCOperational/managerial control27 Jul 2015

The site shows organisations only. It does not show the names of persons.

Other homes in Wayne County

The 12 nearest other nursing homes in Wayne County, Michigan
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Riverview Health and Rehab Center NorthDetroit2 of 54$38,4712 Apr 2025
The Orchards at Harper WoodsHarper Woods1 of 59$07 May 2026
Optalis Health and Rehabilitation of Grosse PointeGrosse Pointe Woods5 of 55$023 Jul 2025
Omni Continuing CareDetroit4 of 55$02 Jul 2025
The Orchards at SamaritanDetroit2 of 514$026 Mar 2025
Ambassador, A Villa CenterDetroit5 of 56$08 Jan 2026
Riverview Health & Rehab CenterDetroit3 of 52$09 Apr 2025
Qualicare Nursing HomeDetroit5 of 53$026 Feb 2026
Hamilton Nursing HomeDetroit5 of 52$04 Sep 2025
Mission Point Nursing & Physical Rehabilitation CeDetroit1 of 59$025 Aug 2025
St. Joseph's, A Villa CenterHamtramck5 of 56$026 Mar 2026
Regency at CheneDetroit2 of 523$15,59313 May 2025

All 63 nursing homes in Wayne County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of The Rivers Health & Rehabilitation Center of Gross (CCN 235709). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-rivers-health-rehabilitation-center-of-gross-grosse-pointe-woods-mi-235709/

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 Rivers Health & Rehabilitation Center of Gross last inspected?
The latest inspection with a citation in the CMS record was on 24 Nov 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 22 Aug 2024.
Who operates The Rivers Health & Rehabilitation Center of Gross?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names DRSN Associates LLC for operational or managerial control. This site does not show the names of persons.
Is The Rivers Health & Rehabilitation Center of Gross 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.