28349 Joy Rd, Westland, MI 48185 (opens Google Maps) · Wayne County · (734) 261-9500· 96 certified beds · avg 89 residents/day · certified since Apr 10, 1988 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 26, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0686
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. F-0759
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Dec 5, 2024 | F · Potential for more than minimal harm, widespread | 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 · F-0812 |
| Dec 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0646 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0687 |
| Sep 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0558 |
| Jun 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Jan 25, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0803 |
| Jan 9, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Oct 18, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0656 |
| Oct 18, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0691 |
| Oct 18, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0693 |
| Oct 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Oct 18, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Oct 18, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $45,126.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jan 9, 2024 | Fine | $45,126 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Four Chaplains Nursing Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Nexcare Health Systems — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Compare this facility with the 3 closest →
CMS records place this facility in Wayne, MI — 63 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 235467.
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