Four Chaplains Nursing Care Center
28349 Joy Rd, Westland, MI 48185 · Wayne County · 96 certified beds · avg 89 residents/day · certified since Apr 10, 1988
Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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)
▲ Immediate jeopardy, one-off · Jan 25, 2024 · F-0803 · triggered by a complaint
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Why it matters: When menus aren't planned and followed properly, residents may not get the nutrition their health depends on.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 26, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Feb 13, 2026 | 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. |
| Feb 13, 2026 | 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. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 5, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Dec 5, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Dec 5, 2024 | 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. · from a complaint |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · from a complaint |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Dec 5, 2024 | 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. · from a complaint |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Sep 5, 2024 | 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. · from a complaint |
| Jun 26, 2024 | 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. · from a complaint |
| Jan 25, 2024 | ▲ J · Immediate jeopardy, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jan 9, 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 |
| Oct 18, 2023 | 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. · from a complaint |
| Oct 18, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint |
| Oct 18, 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. · from a complaint |
| Oct 18, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Oct 18, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Oct 18, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 11 | 1 | J ▲ |
| 2026 | 3 | 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)
1 fine totaling $45,126.
| Date | Type | Amount / length |
|---|---|---|
| Jan 9, 2024 | Fine | $45,126 |
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) | 3.93 | 4.32 | 3.95 | bottom 37% in Michigan; top 42% in the U.S. |
| Registered Nurse hours | 0.69 | 0.84 | 0.69 | bottom 40% in Michigan; top 37% in the U.S. |
| Weekend total nurse staffing | 3.62 | 3.79 | 3.50 | top 48% in Michigan; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.49 | 0.48 | bottom 46% in Michigan; top 47% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 44.1 | 45.8 | bottom 39% in Michigan; bottom 45% in the U.S. |
| RN turnover (%) | 50.0 | 39.2 | 42.9 | bottom 32% in Michigan; bottom 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 3.53, RN 0.62, weekend 3.25. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Branscum, James | Individual | 5% or Greater Direct Ownership Interest | 31% | 12/02/2013 |
| Robin Eisenberg 2014 Family Trust | Organization | 5% or Greater Direct Ownership Interest | 31% | 04/01/2014 |
| Wronski, Frank | Individual | 5% or Greater Direct Ownership Interest | 31% | 04/01/2014 |
| Branscum, James | Individual | Corporate Director | NOT APPLICABLE | 12/02/2013 |
| Branscum, James | Individual | Corporate Officer | NOT APPLICABLE | 12/02/2013 |
| Eisenberg, Leo | Individual | Corporate Director | NOT APPLICABLE | 04/01/2014 |
| Eisenberg, Leo | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Mallet, Deborah | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/18/2021 |
| Nexcare Health Systems, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2005 |
| Perry, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2015 |
| Sangster, Todd | Individual | Corporate Officer | NOT APPLICABLE | 11/04/2013 |
| Wronski, Frank | Individual | Corporate Director | NOT APPLICABLE | 04/01/2014 |
| Wronski, Frank | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Fountain Bleu Health and Rehabilitation Center | 1.1 mi | Livonia, MI | ★★★★☆ | 4/5 | |
| Optalis Health and Rehabilitation of Dearborn Heig | 2.4 mi | Dearborn Heights, MI | ★★☆☆☆ | 2/5 | |
| Regency at Livonia | 2.7 mi | Livonia, MI | ★★★☆☆ | 3/5 | |
| Majestic Care of Livonia | 3.7 mi | Livonia, MI | ★★★☆☆ | 2/5 | |
| Westland, a Villa Center | 4.2 mi | Westland, MI | ★☆☆☆☆ | 1/5 | abuse |
| Four Seasons Nursing Center of Westland | 4.6 mi | Westland, MI | ★★★☆☆ | 2/5 | abuse |
| The Orchards at Redford | 4.9 mi | Redford, MI | ★☆☆☆☆ | 2/5 | |
| Regency at Westland | 5.1 mi | Westland, MI | ★★★★☆ | 4/5 | |
| Marywood Nursing Care Center | 5.5 mi | Livonia, MI | ★★★★★ | 4/5 | |
| Maple Manor Rehab Center | 5.7 mi | Wayne, MI | ★★★★☆ | 4/5 | |
| Imperial, a Villa Center | 5.8 mi | Dearborn Heights, MI | ★★☆☆☆ | 2/5 | |
| Cherry Hill for Nursing and Rehabilitation | 5.9 mi | Westland, MI | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235467.