Church of Christ Care Center

Name: Church of Christ Care Center
Address: 23575 15 Mile Rd, Clinton Township, MI, 48035, US
Telephone: 5867912470

23575 15 Mile Rd, Clinton Township, MI 48035 · Macomb County · 129 certified beds · avg 113 residents/day · certified since Feb 24, 2006

Abuse citation flag (CMS)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

$40,940

Fines, last 3 years

3.69

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 20, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Sep 23, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 1, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 23, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 2, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 25, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 11, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Apr 15, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 20, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 20, 2025	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 20, 2025	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 20, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 20, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 20, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 18, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 1, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 1, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Aug 1, 2024	D · Potential for harm, one-off	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 2, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 2, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 14, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 14, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	10	2	G ▲
2025	9	1	G ▲
2026	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $40,940, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Aug 20, 2025	Fine	$17,345
Aug 20, 2025	Payment Denial	12 days from Sep 17, 2025
Aug 1, 2024	Fine	$23,595

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.69	4.32	3.95	bottom 20% in Michigan; bottom 46% in the U.S.
Registered Nurse hours	0.47	0.84	0.69	bottom 16% in Michigan; bottom 33% in the U.S.
Weekend total nurse staffing	3.49	3.79	3.50	bottom 42% in Michigan; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.49	0.48	bottom 37% in Michigan; bottom 43% in the U.S.
Total nursing staff turnover (%)	54.2	44.1	45.8	bottom 21% in Michigan; bottom 27% in the U.S.
RN turnover (%)	35.7	39.2	42.9	top 47% in Michigan; top 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.58, RN 0.46, weekend 3.39. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Almasri, Basem	Individual	Operational/Managerial Control	NOT APPLICABLE	08/07/2009
Almasri, Basem	Individual	ADP of the SNF	NOT APPLICABLE	08/07/2009
Arnett, Debra	Individual	Trustee of the SNF	NOT APPLICABLE	03/27/2018
Hardyfoster, Lenora	Individual	Corporate Director	NOT APPLICABLE	02/13/2020
Hardyfoster, Lenora	Individual	Trustee of the SNF	NOT APPLICABLE	02/13/2020
Jenema, Patti	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Jenema, Patti	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2021
Messier, Michael	Individual	Trustee of the SNF	NOT APPLICABLE	02/14/2006
Olafsson, Janet	Individual	Operational/Managerial Control	NOT APPLICABLE	09/19/2022
Olafsson, Janet	Individual	ADP of the SNF	NOT APPLICABLE	10/22/2019
Stewart, David	Individual	Corporate Director	NOT APPLICABLE	10/22/2019
Stewart, David	Individual	ADP of the SNF	NOT APPLICABLE	10/22/2019
Stoinski, Jenel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2025
Stoinski, Jenel	Individual	ADP of the SNF	NOT APPLICABLE	01/03/2025
Swantek, John	Individual	Trustee of the SNF	NOT APPLICABLE	02/14/2006
Wilson, Mark	Individual	Trustee of the SNF	NOT APPLICABLE	02/14/2006

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Lakepointe Senior Care and Rehabilitation Center	1.3 mi	Clinton Township, MI	★★★★★	5/5
Fraser Villa	4.2 mi	Fraser, MI	★★★★★	5/5
Martha T Berry MCF	4.3 mi	Mount Clemems, MI	★★★★☆	4/5
Harmony Village of Clinton	4.4 mi	Clinton Township, MI	★★☆☆☆	2/5	abuse
Shorepointe Nursing Center	5.0 mi	St. Clair Shores, MI	★★★☆☆	3/5
Medilodge of Sterling Heights	5.6 mi	Sterling Heights, MI	★★☆☆☆	2/5
The Orchards at Roseville	5.7 mi	Roseville, MI	★☆☆☆☆	2/5
Optalis Health and Rehabilitation of Sterling Heig	6.1 mi	Sterling Heights, MI	★★★☆☆	2/5
Regency at St. Clair Shores	6.7 mi	St. Clair Shores, MI	★★★★☆	4/5
Medilodge of Shoreline	6.8 mi	Sterling Heights, MI	★★★☆☆	3/5
Michigan Veterans Home of Chesterfield Township	7.3 mi	Chesterfield Township, MI	★★★★★	5/5
The Orchards at Warren	7.3 mi	Warren, MI	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Clinton Township →

Facility data as of CMS processing date 2026-08-01. CCN 235619.

The Care File

Visit checklist — Church of Christ Care Center

23575 15 Mile Rd, Clinton Township, MI 48035 · 5867912470

Health inspection rating 2/5 · CMS overall 1/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $40,940

Most serious findings on record:

▲ Aug 20, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Aug 1, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ May 2, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235619 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)