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West Oaks Senior Care & Rehab Center

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West Oaks Senior Care & Rehab Center is a for profit - limited liability company facility in Detroit, MI with 102 certified beds and a 5-star overall CMS rating. The facility has 15 deficiency records on file.

22355 W Eight Mile Rd, Detroit, MI 48219

Phone: 3132556450

Overall Rating

5/5

Health Inspection

5/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
235374
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
102
Residents
96
In Hospital
No
County
Wayne
Last Inspection
Jun 25, 2025

Staffing Data

RN Hours
0.40 (nat'l avg: 0.68)
LPN Hours
1.18
CNA Hours
2.29
Total Nursing Hours
3.87 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
55.0%
RN Turnover
60.0%

What the CMS Record Reveals About West Oaks Senior Care & Rehab Center

West Oaks Senior Care & Rehab Center operates 102 certified beds in Detroit, MI with approximately 96 residents currently in care, and carries a CMS overall rating of 5 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 (5★), staffing levels (3★), and quality measures (4★). 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 15 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 3.87 total nursing hours per resident day (national average 3.89), with RN coverage at 0.40 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, West Oaks Senior Care & Rehab Center 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 55.0%, 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 (15 most recent)

D — Isolated - Minimal harm Dec 16, 2025 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: Dec 17, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 14, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 14, 2025

D — Isolated - Minimal harm Apr 8, 2025 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: Apr 6, 2025

D — Isolated - Minimal harm Dec 5, 2024 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: Dec 23, 2024

D — Isolated - Minimal harm May 7, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: May 29, 2024

E — Pattern - Minimal harm Dec 5, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 19, 2023

D — Isolated - Minimal harm Dec 5, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 19, 2023

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 25, 2023

F — Widespread - Minimal harm Jul 27, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

F — Widespread - Minimal harm Jul 27, 2023 Tag: 0727

Have 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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 15, 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 4.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.4% No
Percentage of long-stay residents who were physically restrained Long Stay 1.7% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 67.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 68.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 1.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for West Oaks Senior Care & Rehab Center?
West Oaks Senior Care & Rehab Center has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at West Oaks Senior Care & Rehab Center?
West Oaks Senior Care & Rehab Center reports 3.87 total nursing hours per resident day (national average: 3.89). RN hours are 0.40 per resident day (national average: 0.68). Nursing staff turnover is 55.0%.
How many beds does West Oaks Senior Care & Rehab Center have?
West Oaks Senior Care & Rehab Center has 102 certified beds with approximately 96 residents. The facility is located at 22355 W Eight Mile Rd, Detroit, MI 48219.
Does West Oaks Senior Care & Rehab Center have any deficiencies on record?
Yes, West Oaks Senior Care & Rehab Center has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has West Oaks Senior Care & Rehab Center received any fines or penalties?
No, West Oaks Senior Care & Rehab Center has no fines or penalties on record.
Who owns West Oaks Senior Care & Rehab Center?
West Oaks Senior Care & Rehab Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was West Oaks Senior Care & Rehab Center last inspected?
The most recent health inspection for West Oaks Senior Care & Rehab Center was on Jun 25, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for West Oaks Senior Care & Rehab Center?
West Oaks Senior Care & Rehab Center 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