West Hickory Haven
3310 W Commerce Rd, Milford, MI 48380 · CCN 235262
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 101
- Avg residents/day
- 66.3
- Phone
- 2486851400
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-13 | 11 | 9.9 | 9.5 | +1.1 worse |
| 2 | 2024-02-07 | 22 | 11.4 | 9.8 | +10.6 worse |
| 3 | 2023-03-09 | 15 | 12.0 | 9.3 | +3.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident rights | 3 |
| Pharmacy service | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.08 | 69.5% |
| RN staffing (reported) | 0.66 | 73.7% |
| Total nurse staffing (adjusted) | 4.50 | — |
Fines & penalties
- Total fines
- $54,304
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- THE PEPLINSKI GROUP
- Facilities in chain
- 10
- Chain avg overall
- 2.50 / 5
Inspection citations (48)1 immediate jeopardy7 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-20 · Health · corrected 2026-01-12
Actual harm
- 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.2026-01-20 · Health · corrected 2025-09-05
Potential for more than minimal harm
- GF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-10-29 · Health · corrected 2025-11-25
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-29 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-26 · Health · corrected 2025-09-12
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-26 · Health · corrected 2025-09-12
Actual harm
- 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.2025-07-24 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-03-13 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-03-13 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-13 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-03-13 · Health · corrected 2025-04-15
Potential for more than minimal harm
- 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.2024-12-16 · Health · corrected 2025-01-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-16 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-25 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-25 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0585Honor 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.2024-04-10 · Health · corrected 2024-04-30
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-10 · Health · corrected 2024-04-30
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-10 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-03-05
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- 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.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- 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.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-07 · Health · corrected 2024-03-05
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-02-07 · Health · corrected 2024-03-05
Potential for minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-29 · Health · corrected 2023-09-27
Actual harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-08-29 · Health · corrected 2023-09-27
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-12 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-12 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-12 · Health · corrected 2023-08-16
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-12 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-09 · Health · corrected 2023-04-06
Immediate jeopardy
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-03-09 · Health · corrected 2023-04-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-09 · Health · corrected 2023-04-29
Potential for more than minimal harm
- 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.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-09 · Health · corrected 2023-04-29
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- 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.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-09 · Health · corrected 2023-04-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PEPLINKSI HOLDINGS, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-01-01 |
| ACKERMAN, AMY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| ACKERMAN, RICKY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| BAUMGARTEN, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| BAUMGARTEN, THERESE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| PEPLINSKI, SHELI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| PEPLINSKI, TODD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| SCHADE, JEFFERY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| SCHADE, TAMARA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| THOMPSON, BRIAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| THOMPSON, SHELLY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2012-01-01 |
| ACKERMAN, RICKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-01 |
| MUSZALL, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-16 |
| SAMLUK, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 |
| SCHADE, JEFFERY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-01 |
| THOMPSON, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-01 |
| WINKELS, KATHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-05 |
| PEPLINSKI, TODD | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| SCHADE, JEFFERY | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| THOMPSON, BRIAN | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| ACKERMAN, RICKY | Individual | CORPORATE OFFICER | — | 2012-01-01 |
| PEPLINSKI, TODD | Individual | CORPORATE OFFICER | — | 2012-01-01 |
| SCHADE, JEFFERY | Individual | CORPORATE OFFICER | — | 2012-01-01 |
| THOMPSON, BRIAN | Individual | CORPORATE OFFICER | — | 2012-01-01 |
Other facilities in Milford
| Name | Overall | Beds |
|---|---|---|
| Medilodge of Milford | ★★★★☆ | 111 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.