Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chelsea Retirement Community during CMS and state inspections, most recent first.
Failure to Date Mark Opened Food Items: Surveyors observed multiple opened food items in kitchen refrigerators and freezers, including English muffins, bread, milk, chicken products, and ham, that were not marked with the date opened or a use-by/discard date. DD J stated staff were expected to place a sticker with the opened date and use-by date on opened food items, and the facility policy and FDA Food Code date-marking requirements were cited.
A resident with muscle weakness, personal care needs, and bladder incontinence reported urinary urgency and sometimes needing a urinal or brief because he could not reach the bathroom in time. Although the care plan directed staff to offer and assist him to the bathroom upon rising, at bedtime, between meals, and as needed, CNA documentation showed limited toileting assistance and did not reflect the scheduled toileting pattern. Staff interviews were inconsistent, with the DON saying the protocol was discussed weekly while a CNA and RN stated the resident was toileted every two hours and was not on a specific schedule.
A facility failed to coordinate timely mental health services for a resident with major depression and bipolar disorder, resulting in a delay in necessary care. Despite a Level 1 PASARR indicating the need for a Level 2 evaluation, there was no evidence of follow-up in the resident's records. Provider notes and physician orders suggested psychiatric evaluation and referral, but these were not promptly executed. The social worker was unaware of the need for a referral, and the facility's PASARR Coordination Program was not effectively implemented.
A facility failed to implement care plan interventions for a resident with dysphagia, leading to the risk of aspiration and choking. The resident required one-to-one supervision during meals, but was observed eating without supervision. The care plan lacked specific instructions from speech therapy, and staff were unaware of the need for continued supervision. The resident experienced weight loss and showed signs of swallowing difficulties, indicating a failure to adhere to the care plan.
Failure to Date Mark Opened Food Items
Penalty
Summary
The facility failed to ensure opened food items were dated with the date opened and a use-by date in a current census of 83 residents. During the initial kitchen tour on 8/04/2025 at 9:15 AM with Dietary Director (DD) J in the [NAME] one kitchen, surveyors observed a bag of opened English muffins in a refrigerator that did not have the date opened or a use-by/discard date. In the same refrigerator, six loaves of opened bread were also observed without the date opened or a use-by date. During the main kitchen tour, surveyors observed a carton of opened milk in a refrigerator that was not dated with the date opened or a use-by date. In the main kitchen freezer, one opened bag of chicken nuggets, one bag of opened chicken tenders, patties, and wings were observed; none of the bags were sealed closed and none were dated with the date opened or a use-by date. Another refrigerator in the main kitchen contained a package of opened ham that was not dated with the date opened or a use-by date. DD J stated it was her expectation that when food products were opened, kitchen staff were to place a sticker with the opened date and the use-by date on the product. The facility policy titled, Date Marking for Food Safety, required food to be clearly marked with the date or day by which it must be consumed or discarded, and the 2022 FDA Food Code section 3-501.17 was cited regarding date marking for refrigerated ready-to-eat time/temperature control for safety food.
Failure to Follow Toileting Plan for Resident with Bladder Incontinence
Penalty
Summary
The facility failed to ensure one resident with bladder incontinence received toileting assistance according to the plan of care. The resident had diagnoses of muscle weakness and need for assistance with personal care, reported urinary urgency and intermittent incontinence, and stated he sometimes had to use a urinal or wear a brief because he could not get to the bathroom in time. His care plan directed staff to offer and assist him to the bathroom upon rising, at bedtime, between meals, and as needed, and to check for incontinence with rounds and assist with care. The CNA Kardex also directed staff to offer and assist him to the bathroom upon rising, at bedtime, between meals, and as needed. Record review showed the resident was prescribed furosemide, a diuretic, on admission, and CNA task documentation did not reflect the toileting assistance described in the plan. From 8/1 through 8/4, the resident received toileting assistance only nine times total, including only one time on one day and two times on another day. After the specific toileting plan was implemented, documentation showed the resident was assisted to the toilet only twice that day, and the record did not show toileting after breakfast, lunch, or dinner as directed. In interviews, the DON stated the toileting protocol was discussed weekly and was intended to be followed, while a CNA and an RN stated the resident was not on a specific toileting schedule and was toileted every two hours. The DON also stated the facility did not usually use a toileting plan like this one and that the resident's toileting plan was unusual.
Failure to Coordinate Timely Mental Health Services
Penalty
Summary
The facility failed to coordinate with the appropriate State-designated authority to ensure timely follow-up PASSAR II evaluations and coordination of care for a resident, resulting in a delay in mental health services. The resident, a female with diagnoses including major depression, bipolar disorder, and dementia, was admitted with a Level 1 PASARR indicating the need for a Level 2 evaluation. However, there was no evidence of a Level 2 PASSAR in the electronic medical record from June 13 to August 7. The social worker reported that the facility either had the Level 2 or a letter indicating its completion, but the resident had not been seen by mental health services and did not have a referral. The resident's provider visit notes and physician orders indicated plans for psychiatric evaluation and referral, but these were not acted upon in a timely manner. The social worker was unaware of the need for a referral and reported that they are usually notified by nursing or the provider. The facility's PASARR Coordination Program stated that the Social Services Department is responsible for tracking each resident's PASARR screening status and making referrals, but this was not effectively executed in this case. The deficiency was identified during an interview and record review, highlighting a lack of coordination and follow-up for the resident's mental health needs.
Failure to Implement Care Plan for Resident with Dysphagia
Penalty
Summary
The facility failed to implement care plan interventions for a resident with dysphagia, resulting in the likelihood of aspiration and choking during meals. The resident, who had a history of stroke and aphasia, was on a dysphagia 3 diet and required full one-to-one supervision during meals. Despite these requirements, the resident was observed eating meals without supervision on multiple occasions. Additionally, the care plan did not include specific instructions from speech therapy, such as alternating liquids and solids, slow rate, small bites and sips, and sitting upright, which were necessary to ensure safe swallowing. The resident's care plan also included instructions not to share medical information with a male visitor present, yet the resident was observed with the male friend during meals without staff supervision. Interviews with facility staff revealed a lack of awareness regarding the continued need for one-to-one supervision, indicating a breakdown in communication and implementation of the care plan. The resident had experienced weight loss and continued to show signs of swallowing difficulties, highlighting the facility's failure to adhere to the prescribed care plan interventions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chelsea
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wellbridge Of Pinckney | 10.4 mi | ★★★★★ | 1 | 0 |
| Regency At Bluffs Park | 14.7 mi | ★★★★★ | 2 | 0 |
| Evangelical Home - Saline | 16.1 mi | ★★★★★ | 17 | 0 |
| Regency At Whitmore Lake | 16.2 mi | ★★★★★ | 3 | 0 |
| Glacier Hills | 18.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.