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The Gilbert Residence

Open-data reference.

The Gilbert Residence is a non profit - corporation facility in Ypsilanti, MI with 32 certified beds and a 4-star overall CMS rating. The facility has 18 deficiency records on file.

203 S Huron Street, Ypsilanti, MI 48197

Phone: 7344829498

Overall Rating

4/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
23E104
Ownership
Non profit - Corporation
Provider Type
Medicaid
Beds
32
Residents
30
In Hospital
No
County
Washtenaw
Last Inspection
Oct 7, 2025

Staffing Data

RN Hours
0.85 (nat'l avg: 0.68)
LPN Hours
0.64
CNA Hours
2.10
Total Nursing Hours
3.59 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
57.4%
RN Turnover
50.0%

What the CMS Record Reveals About The Gilbert Residence

The Gilbert Residence operates 32 certified beds in Ypsilanti, MI with approximately 30 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 18 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.59 total nursing hours per resident day (national average 3.89), with RN coverage at 0.85 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicaid" provider, The Gilbert Residence falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 57.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

F — Widespread - Minimal harm Oct 7, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 12, 2025

D — Isolated - Minimal harm Oct 7, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Nov 12, 2025

D — Isolated - Minimal harm Oct 7, 2025 Tag: 0578

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Nov 12, 2025

D — Isolated - Minimal harm Oct 24, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Nov 27, 2024

F — Widespread - Minimal harm Oct 24, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 27, 2024

D — Isolated - Minimal harm Oct 24, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2024

D — Isolated - Minimal harm Oct 24, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 27, 2024

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Nov 2, 2023

F — Widespread - Minimal harm Sep 28, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 2, 2023

E — Pattern - Minimal harm Sep 28, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0578

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Nov 2, 2023

C — Widespread - No harm Sep 28, 2023 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Nov 2, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for The Gilbert Residence?
The Gilbert Residence has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at The Gilbert Residence?
The Gilbert Residence reports 3.59 total nursing hours per resident day (national average: 3.89). RN hours are 0.85 per resident day (national average: 0.68). Nursing staff turnover is 57.4%.
How many beds does The Gilbert Residence have?
The Gilbert Residence has 32 certified beds with approximately 30 residents. The facility is located at 203 S Huron Street, Ypsilanti, MI 48197.
Does The Gilbert Residence have any deficiencies on record?
Yes, The Gilbert Residence has 18 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has The Gilbert Residence received any fines or penalties?
No, The Gilbert Residence has no fines or penalties on record.
Who owns The Gilbert Residence?
The Gilbert Residence is classified as "Non profit - Corporation" ownership. The facility type is "Medicaid".
When was The Gilbert Residence last inspected?
The most recent health inspection for The Gilbert Residence was on Oct 7, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for The Gilbert Residence?
The Gilbert Residence is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial