The Gilbert Residence

Name: The Gilbert Residence
Address: 203 S Huron Street, Ypsilanti, MI, 48197, US
Telephone: 7344829498

203 S Huron Street, Ypsilanti, MI 48197 · Washtenaw County · 32 certified beds · avg 30 residents/day · certified since Dec 1, 1974

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.52

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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.

All citations in the current public record (18)

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
Oct 7, 2025	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.
Oct 7, 2025	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.
Oct 7, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 24, 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.
Oct 24, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Oct 24, 2024	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.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Sep 28, 2023	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.
Sep 28, 2023	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.
Sep 28, 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.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Sep 28, 2023	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.
Sep 28, 2023	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.
Sep 28, 2023	D · Potential for 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.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 28, 2023	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	11	F
2024	4	F
2025	3	F

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)

No fines or payment denials in the published 3-year window.

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)	4.52	4.32	3.95	top 28% in Michigan; top 23% in the U.S.
Registered Nurse hours	1.04	0.84	0.69	top 23% in Michigan; top 14% in the U.S.
Weekend total nurse staffing	4.20	3.79	3.50	top 20% in Michigan; top 18% 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 (%)	54.3	44.1	45.8	bottom 21% in Michigan; bottom 26% in the U.S.
RN turnover (%)	42.9	39.2	42.9	bottom 43% in Michigan; bottom 49% 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 3.72, RN 0.86, weekend 3.45. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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
The Villa at Parkridge	0.6 mi	Ypsilanti, MI	★★★☆☆	2/5
Villa at Willow Place	2.7 mi	Ypslianti, MI	★★★☆☆	2/5
Optalis Health and Rehabilitation of Ann Arbor	3.4 mi	Ann Arbor, MI	★★★☆☆	2/5	abuse
Glacier Hills	4.9 mi	Ann Arbor, MI	★★★★★	5/5
Regency at Canton	6.8 mi	Canton, MI	★★★☆☆	2/5
Regency at Bluffs Park	8.0 mi	Ann Arbor, MI	★★☆☆☆	2/5
Special Tree Neurocare Center	9.7 mi	Romulus, MI	★★★★☆	4/5
Evangelical Home - Saline	10.3 mi	Saline, MI	★★☆☆☆	2/5
Optalis Health and Rehabilitation of Canton	10.3 mi	Canton, MI	★★☆☆☆	1/5	abuse
Cherry Hill for Nursing and Rehabilitation	11.1 mi	Westland, MI	★★★★☆	4/5
Medilodge of Haggerty Road	11.6 mi	Plymouth, MI	★★★★★	5/5
Medilodge of Plymouth	11.8 mi	Plymouth, MI	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Ypsilanti →

Facility data as of CMS processing date 2026-08-01. CCN 23E104.

The Care File

Visit checklist — The Gilbert Residence

203 S Huron Street, Ypsilanti, MI 48197 · 7344829498

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 23E104 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)