Lourdes Rehabilitation and Healthcare Center
2300 Watkins Lake Rd, Waterford, MI 48328 · Oakland County · 80 certified beds · avg 70 residents/day · certified since Jan 6, 1976
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 · Jun 29, 2026 · F-0685 · triggered by a complaint
The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Why it matters: Untreated vision and hearing problems lead to falls, isolation, and confusion that could be avoided.
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: Jul 22, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 24, 2023 · F-0689
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 13, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 29, 2026 | ▲ G · Actual harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint |
| Aug 28, 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. |
| Jul 23, 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. |
| Jul 23, 2024 | E · Potential for harm, repeated | 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. |
| Jul 23, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 23, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Aug 24, 2023 | ▲ 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. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 24, 2023 | 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. |
| Aug 24, 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. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Aug 24, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | G ▲ |
| 2024 | 4 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 1 | G ▲ |
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 $15,593.
| Date | Type | Amount / length |
|---|---|---|
| Aug 24, 2023 | Fine | $15,593 |
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) | 4.26 | 4.32 | 3.95 | top 41% in Michigan; top 30% in the U.S. |
| Registered Nurse hours | 0.92 | 0.84 | 0.69 | top 31% in Michigan; top 19% in the U.S. |
| Weekend total nurse staffing | 3.77 | 3.79 | 3.50 | top 38% in Michigan; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.49 | 0.48 | top 23% in Michigan; top 21% in the U.S. |
| Total nursing staff turnover (%) | 25.3 | 44.1 | 45.8 | top 8% in Michigan; top 7% in the U.S. |
| RN turnover (%) | 53.3 | 39.2 | 42.9 | bottom 24% in Michigan; bottom 31% 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 3.99, RN 0.86, weekend 3.53. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Acho, Richard | Individual | Corporate Officer | NOT APPLICABLE | 10/10/2022 |
| Acho, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2017 |
| Acho, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
| Asdell, Erin | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| Aziz, Nada | Individual | Contracted Managing Employee | NOT APPLICABLE | 06/01/2018 |
| Aziz, Nada | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Bachman, Janice | Individual | Corporate Director | NOT APPLICABLE | 11/01/2013 |
| Boal, James | Individual | Corporate Director | NOT APPLICABLE | 11/01/2024 |
| Dominican Sisters of Peace INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Gifford, Linda | Individual | Corporate Director | NOT APPLICABLE | 10/13/2014 |
| Holden, Margaret | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| Lefevre, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Manuszak, Joseph | Individual | Corporate Director | NOT APPLICABLE | 11/16/2021 |
| Martin, Peggy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| McGee, Maureen | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/01/2018 |
| McGee, Maureen | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Mendelson, Barbara | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2011 |
| Noone, John | Individual | Corporate Director | NOT APPLICABLE | 04/30/2017 |
| Propson, Paul | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| Twohill, Patricia | Individual | Corporate Officer | NOT APPLICABLE | 08/05/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "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 |
|---|---|---|---|---|---|
| Regency at Waterford | 1.2 mi | Waterford, MI | ★☆☆☆☆ | 1/5 | |
| The Orchards at Canterbury on the Lake | 2.2 mi | Waterford, MI | ★☆☆☆☆ | 1/5 | abuse |
| Villa at Pine Place | 3.1 mi | Clarkston, MI | ★★☆☆☆ | 2/5 | |
| Oakland Manor Nursing and Rehabilitation Center LL | 4.4 mi | Pontiac, MI | ★★★☆☆ | 3/5 | |
| The Villa at Green Lake Estates | 5.7 mi | Orchard Lake, MI | ★☆☆☆☆ | 1/5 | |
| The Villa at Silverbell Estates | 6.0 mi | Orion, MI | ★★☆☆☆ | 1/5 | |
| Wellbridge of Clarkston | 6.1 mi | Clarkston, MI | ★★★☆☆ | 3/5 | |
| The Neighborhoods of White Lake | 7.3 mi | White Lake, MI | ★★★★★ | 5/5 | |
| Westlake Health Campus | 7.9 mi | Commerce, MI | ★★★★☆ | 3/5 | |
| Woodward Hills Health and Rehabilitation Center | 8.4 mi | Bloomfield Hills, MI | ★★☆☆☆ | 1/5 | |
| Pomeroy Living Rochester Skilled Rehabilitation | 8.4 mi | Rochester Hills, MI | ★★☆☆☆ | 2/5 | |
| West Bloomfield Health and Rehabilitation Center | 8.8 mi | West Bloomfield, MI | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235252.