Starfile

Starfile / Michigan

The Lakeland Center

26900 Franklin Road, Southfield, MI 48034 · CCN 235589

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
91
Avg residents/day
85.0
Phone
2483508070

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMichigan avgNational avgvs state
12024-11-19149.99.5+4.1 worse
22024-01-31811.49.8-3.4 better
32023-03-312912.09.3+17.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning2
Nursing and physician services3
Nutrition and dietary1
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9460.0%
RN staffing (reported)0.3478.6%
Total nurse staffing (adjusted)3.72

Fines & penalties

Total fines
$189,324
Number of fines
4
Number of penalties
5
Payment denials
1

Chain

Chain
OPTALIS HEALTH & REHABILITATION
Facilities in chain
37
Chain avg overall
2.50 / 5

Inspection citations (51)3 immediate jeopardy1 actual harm

  1. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-08-19 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  2. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-02 · Health · corrected 2025-07-17

    Actual harm

  3. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-02 · Health · corrected 2025-07-21

    Potential for more than minimal harm

  4. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-03 · Health · corrected 2025-04-23

    Potential for more than minimal harm

  5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  8. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  9. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  10. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  11. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  12. DF0761Ensure 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.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  14. EF0880Provide and implement an infection prevention and control program.2024-11-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-01 · Health · corrected 2024-07-02

    Potential for more than minimal harm

  16. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-29 · Health · corrected 2024-05-29

    Immediate jeopardy

  17. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-01-31 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-31 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  19. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-31 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-31 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  21. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-01-31 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  22. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-31 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  23. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-06 · Health · corrected 2023-07-27

    Immediate jeopardy

  24. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-07-06 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  25. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  26. EF0558Reasonably accommodate the needs and preferences of each resident.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  27. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  28. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  29. EF0584Honor 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.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  30. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-31 · Health · corrected 2023-04-26

    Immediate jeopardy

  31. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  32. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-31 · Health · corrected 2023-05-24

    Potential for more than minimal harm

  33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  34. EF0610Respond appropriately to all alleged violations.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  35. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  36. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  37. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  38. DF0688Provide 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.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  40. EF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  41. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-31 · Health · corrected 2023-05-25

    Potential for more than minimal harm

  42. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  43. DF0759Ensure medication error rates are not 5 percent or greater.2023-03-31 · Health · corrected 2023-05-25

    Potential for more than minimal harm

  44. EF0761Ensure 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.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  46. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  47. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  48. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  49. FF0880Provide and implement an infection prevention and control program.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  50. EF0881Implement a program that monitors antibiotic use.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

  51. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-31 · Health · corrected 2023-04-26

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
REH 1 CORPORATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1987-12-23
POMEROY DELAWARE INVESTMENTS #2, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST31%1987-12-23
PATEL, PINALIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2013-07-15
SHAH, NAYANAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2013-07-15
ENID BARDEN TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%1987-12-23
SHAH, NAYANAIndividualLIMITED PARTNERSHIP INTEREST2013-07-15
OPTUM MANAGEMENT SOLUTIONS. INCOrganizationOPERATIONAL/MANAGERIAL CONTROL1998-01-01
REH 1 CORPORATIONOrganizationGENERAL PARTNERSHIP INTEREST1987-12-23
ENID BARDEN TRUSTOrganizationLIMITED PARTNERSHIP INTEREST1987-12-23
POMEROY DELAWARE INVESTMENTS #2, LLCOrganizationLIMITED PARTNERSHIP INTEREST1987-12-23
PATEL, PINALIndividualLIMITED PARTNERSHIP INTEREST2013-07-15

Other facilities in Southfield

NameOverallBeds
Oakland Nursing Center★★★★☆26
Lahser Hills Care Centre★★☆☆☆127
Evergreen Health and Rehabilitation Center★★☆☆☆172
Medilodge of Southfield★☆☆☆☆182

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.