Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Omni Continuing Care during CMS and state inspections, most recent first.
The facility did not ensure timely review and submission of required PASARR forms for two residents with mental illness or intellectual/developmental disabilities. In both cases, necessary documentation was either incomplete or missing, and there was a lack of timely communication and follow-through among staff responsible for the process.
A resident did not receive medications and water through a PEG tube as ordered when an LPN failed to measure and administer the correct amount of water, did not flush the tube before or after medication administration, used unclean tubing to unclog the tube, and omitted a prescribed medication. The LPN also did not check tube placement or residual as required, and could not document these checks. The DON confirmed these actions were not in line with facility policy or physician orders.
A resident with chronic respiratory conditions was found to have their CPAP machine, face mask, and tubing stored uncovered and in an unsanitary manner among personal care items and used paper towels. Both the resident and a visitor noted improper handling and lack of cleaning by staff, and a nurse confirmed the equipment was not stored correctly. Physician orders and care plans lacked instructions for cleaning or storage, and facility policy on respiratory equipment care was not followed.
A resident with a history of multiple medical conditions experienced ongoing mouth pain and difficulty eating due to delayed dental care. Despite physician orders and documented referrals, the resident did not receive timely follow-up for remaining painful teeth, largely due to scheduling issues, reliance on a single Medicaid-accepting dental office, and lack of proactive communication among staff. The facility's failure to ensure routine dental services resulted in continued oral discomfort and unmet health needs.
The facility failed to maintain physical facilities and adhere to food safety standards, risking foodborne illness for residents. Observations showed worn floor tile grout, a lack of backflow prevention on a hose, and improper cooling of diced pork. Additionally, a leaking sink and undated desserts in the freezer were noted, contrary to facility policy.
The facility failed to maintain equipment and cleanliness, resulting in contamination and a non-homelike environment. Observations included dim lighting, improperly stored medical supplies, soiled shower beds, leaking ceilings, full trash containers, mildew on the ice machine, and damaged handrails. These issues affected all residents, staff, and visitors.
A facility failed to complete an OBRA Level II Evaluation for a resident with severe cognitive impairment and mental health diagnoses, resulting in the potential for unmet mental health services. The resident's most recent Level II PASARR was outdated, and a new evaluation was required but not completed. The Social Worker acknowledged the oversight, and the DON expected compliance with OBRA requirements.
The facility failed to provide timely ADL care, including nail care and shaving, for three residents, leading to dissatisfaction. A resident with intact cognition had long nails that hindered daily activities, while two other residents with impaired cognition and medical conditions were observed with untrimmed nails and facial hair. The DON acknowledged the care deficiency, which was not in line with the care plan requirements.
A resident with severe cognitive impairment and tracheostomy and gastrostomy status was readmitted to the facility but did not receive the required PT and OT evaluations. Despite physician orders and recommendations for these evaluations, they were not conducted, as confirmed by the Rehab Manager.
A facility failed to follow infection control standards during tracheostomy care for a resident, increasing the risk of cross-contamination. A respiratory therapist did not wear a gown or gloves as required, and supplies were placed without a barrier. The therapist did not change gloves after handling the inner cannula, contrary to the facility's Enhanced Barrier Precautions policy.
Failure to Timely Complete and Submit PASARR Documentation for Residents with Mental Illness or Intellectual Disabilities
Penalty
Summary
The facility failed to ensure that Preadmission Screening and Annual Resident Review (PASARR) forms (DCH-3877 and DCH-3878) were reviewed, revised, and submitted to the state agency in a timely manner for two residents with mental illness or intellectual/developmental disabilities. For one resident with undifferentiated schizophrenia and severe cognitive impairment, the PASARR-ARR was completed, but the required Level II Determination was not documented, and the physician had not completed the necessary form due to lack of notification. The social work and nursing departments did not notify the physician in a timely manner, resulting in a delay in the process. For another resident with dementia, psychotic and mood disturbances, and severe cognitive impairment, the annual PASARR forms were missing from the medical record. The social worker indicated that the corporate social worker was handling the forms due to their part-time status, but could not provide evidence that the annual form was awaiting physician signature. The facility's policy requires annual completion and maintenance of these forms in the electronic medical record, but this was not followed for the two residents reviewed.
Failure to Follow Physician Orders and Professional Standards for PEG Tube Medication Administration
Penalty
Summary
The facility failed to follow physician orders and professional standards for administering medications and water through a PEG tube for one resident. During medication administration, an LPN was observed preparing and administering multiple medications without measuring the required amount of water, using only ten milliliters instead of the physician-ordered fifteen milliliters between each medication. The LPN also failed to flush the PEG tube before medication administration, resulting in a clogged tube. To address the clog, the LPN used tubing from the resident's nightstand without cleaning it, then returned the uncleaned tubing to the nightstand after use. The LPN was unable to specify the amount of water used for flushing and did not provide water flushes after medication administration as required by the physician's orders. Additionally, the LPN did not check the PEG tube for placement or residual prior to administering medications and could not provide documentation of these checks. The LPN also omitted a prescribed multivitamin because it was not available in the medication cart and did not verify its availability in the medication room at the time of administration. The physician's orders required flushing the PEG tube with at least fifteen milliliters of water before and after medication administration and between each medication, as well as checking for tube placement and residual. The facility's policy also required medication administration in accordance with written physician orders. The DON confirmed that the nurse should have checked tube placement and cleaned the tubing before use to prevent infection.
Unsanitary Storage of Respiratory Equipment
Penalty
Summary
A deficiency was identified when a resident's respiratory care equipment, including a CPAP machine, face mask, and tubing, was observed stored in an unsanitary manner on multiple occasions. The equipment was found uncovered and placed among personal care items, used and unused tubing, an open and undated sterile water container, and used paper towels/napkins on the resident's bedside table. Both the resident and a visitor expressed concerns about the cleanliness and handling of the equipment, noting that it was not properly cleaned or stored by staff. A nurse acknowledged during an observation that the equipment was not stored appropriately and that the face mask should not have been left in that condition. The resident involved had a history of chronic obstructive pulmonary disease, chronic respiratory failure, obstructive sleep apnea, and was dependent on supplemental oxygen. Physician orders required the use of BiPAP and supplemental oxygen at specific times, but neither the physician orders nor the care plan specified methods or frequency for cleaning or storing the respiratory equipment. The facility's policy referenced cleaning and proper storage of respiratory equipment, but this was not followed in the resident's case, as evidenced by the observations and interviews.
Failure to Provide Timely Dental Services Resulting in Unmet Oral Health Needs
Penalty
Summary
A resident who was alert, oriented, and able to communicate needs verbally reported ongoing mouth discomfort and tooth pain, expressing a need to see a dentist. The resident had only a few remaining back teeth, which were discolored, with swollen and red gums. The resident stated that most of the upper teeth had been removed months prior, but the remaining problematic teeth had not been addressed, resulting in difficulty eating and a restricted diet to soft foods. The electronic medical record documented a history of seizures, obesity, benign prostatic hyperplasia, dysarthria, major depressive disorder, and hemiplegia, with the Minimum Data Set indicating mouth or facial pain and difficulty chewing. A physician order for a dental consult was present, and social service notes indicated multiple attempts to arrange dental care, including referrals for emergency dental visits and coordination with dental providers. Despite these efforts, the resident did not receive timely follow-up dental care. The dental company providing in-house services noted that referrals could be made to any dental office, but the facility typically used a single office that accepted Medicaid and could accommodate wheelchair access. Scheduling difficulties and a backlog at the preferred dental office led to significant delays, and no recent follow-up inquiries were made after the last attempt in March. Interviews with facility staff revealed a lack of clear communication and follow-through regarding the resident's ongoing dental needs. The social worker was unaware of dental needs unless notified by the MDS department, and the medical records clerk confirmed that alternative dental offices were not pursued due to cost concerns. The nursing home administrator stated that the facility would have paid for services if aware of the urgency. The facility's policy required providing or obtaining routine and emergency dental services, but in this case, the resident's oral health needs and discomfort were not met due to delays and lack of effective coordination.
Facility Fails to Maintain Physical Facilities and Food Safety Standards
Penalty
Summary
The facility failed to maintain its physical facilities and adhere to food safety standards, which could potentially increase the risk of foodborne illness for all residents consuming food from the kitchen. Observations revealed that the floor tile grout in the dishwashing area and cookline was dissolving and worn, leading to water accumulation. Additionally, a hose under the dish machine drain board lacked a backflow prevention device, which is necessary to prevent contaminated water from entering the potable water system. During an inspection, a pan of diced pork in the walk-in cooler was found to be warm to the touch, with a temperature of 121 degrees F, indicating improper cooling. Dietary staff were unable to recite the correct cooling procedures for potentially hazardous foods. Further inspection of the kitchen revealed an active leak from the three-compartment sink, dripping directly onto the floor, which was acknowledged by the Dietary Assistant as needing repair. Undated desserts, including pound cakes, fruit pies, and a round cake, were found in the freezer, contrary to the facility's policy that requires all food items to be dated and labeled. These deficiencies highlight lapses in maintaining physical facilities and following food safety protocols, as outlined in the 2017 FDA Food Code.
Facility Maintenance and Cleanliness Deficiencies
Penalty
Summary
The facility failed to maintain equipment in good repair and clean condition, properly store refuse, and maintain the physical environment, leading to contamination and a non-homelike environment. During an environmental tour, several deficiencies were observed. In the Gratiot Hall shower room, a light was out over the sink, resulting in a dim environment. In the respiratory supply room on the [NAME] Hall, boxes of wound dressing, saline solution, gloves, and abdominal pads were stored on the floor. The shower bed in the [NAME] Hall shower room was soiled with discolored water, and the 2nd floor guest bathroom had water leaking from the ceiling due to torrential rains. Additionally, three safety razors were found on the floor of the Mac Hall shower room, and the foam shower bed had a tear exposing the interior foam. Further observations included two full trash containers in the soiled utility room on the Mac Hall, leading to three full trash bags stored on the floor. The ice machine on the Mac Hall had mildew-like accumulation on the deflector plate. A handrail near room [ROOM NUMBER] had a crack with a four-inch hole. The boiler room in the basement had water dripping from the ceiling onto the floor and equipment, and the guest bathroom on the 1st floor also had water leaking from the ceiling. These deficiencies affected all residents, staff, and visitors in the facility.
Failure to Complete OBRA Level II Evaluation
Penalty
Summary
The facility failed to complete an OBRA Level II Evaluation for a resident reviewed for PASARRs, which resulted in the potential for unmet mental health services. The resident, who was initially admitted and later readmitted to the facility, had diagnoses including seizures, unspecified convulsions, bipolar disorder, and major depressive disorder. A Minimum Data Set assessment documented severe cognitive impairment. The resident's most recent Level II PASARR was dated several months prior, and a new evaluation was required by a specific date, which was not completed. The Social Worker acknowledged the oversight, stating that a Level II request should have been submitted by the required date. The Director of Nursing expected PASARRs to be completed per OBRA requirements, but this was not done in this case.
Failure to Provide Timely ADL Care
Penalty
Summary
The facility failed to provide timely ADL care, including nail care and shaving, for three residents, resulting in dissatisfaction with care. Resident R21, who was cognitively intact, had long, curved nails that made it difficult to pick up items. Despite requesting nail clipping, the care was not provided over several days. The Director of Nursing (DON) was unaware of the issue and acknowledged the risk of infection due to long nails. Resident R56, who was nonverbal and had multiple medical conditions, was observed with long facial hair and dirty, untrimmed fingernails. The care plan indicated a need for assistance with self-care, but the required care was not provided. Similarly, Resident R53, with severely impaired cognition, was observed with long, dirty fingernails and food particles in their beard. The resident indicated a desire for nail care, but it was not provided. The DON confirmed that residents should receive showers twice a week, including nail care, but this was not adhered to.
Failure to Conduct PT and OT Evaluations
Penalty
Summary
The facility failed to obtain necessary Physical Therapy (PT) and Occupational Therapy (OT) evaluations for a resident upon their readmission. The resident, who had a tracheostomy and gastrostomy status, was readmitted to the facility and later discharged without receiving the required therapy evaluations. The Minimum Data Set (MDS) assessment indicated that the resident had severe cognitive impairment. Physician orders dated 5/24/24 specified the need for PT and OT evaluations, which were recommended by an interdisciplinary therapy screen assessment. However, a review of the electronic medical record showed that these evaluations were not conducted. During an interview, the Rehab Manager acknowledged that the evaluations were missed as recommended on 5/24/24.
Infection Control Deficiency in Tracheostomy Care
Penalty
Summary
The facility failed to adhere to infection control standards during tracheostomy care for a resident, identified as R68, which increased the potential for cross-contamination and infection. During an observation, it was noted that the suction tubing was improperly placed on the floor, and the resident's room had an Enhanced Barrier sign indicating the need for specific protective measures. Despite this, a respiratory therapist (RT C) entered the room without wearing a gown or gloves, and trach care supplies were placed directly on the bedside table without a barrier. RT C performed tracheostomy care by changing the inner cannula without changing gloves after the procedure, which is against the facility's Enhanced Barrier Precautions policy. Interviews with RT C and the Director of Nursing (DON) revealed a lack of compliance with the facility's infection control policies. RT C acknowledged the need for a gown during tracheostomy care and admitted to not following the clean technique required. The DON confirmed that gloves should be changed after handling the inner cannula and that a disposable gown should be worn if care exceeds ten minutes. The facility's policy mandates the use of gloves and gowns during high-contact resident care activities, such as tracheostomy care, to prevent the transmission of multidrug-resistant organisms.
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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 Detroit
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Orchards At Samaritan | 0.8 mi | ★★★★★ | 5 | 0 |
| Qualicare Nursing Home | 2.6 mi | ★★★★★ | 8 | 0 |
| Hamilton Nursing Home | 2.7 mi | ★★★★★ | 10 | 0 |
| Ambassador, A Villa Center | 2.8 mi | ★★★★★ | 8 | 0 |
| Riverview Health & Rehab Center | 2.9 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.