Lake Woods Nursing & Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 33th percentile among Michigan nursing homes, suggesting significant room for improvement.
Staffing at Lake Woods Nursing & Rehabilitation Center is near the national average, with 3.99 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 41 deficiencies at Lake Woods Nursing & Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.99 | 3.8 | Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.96 | 2.4 | Above Average |
| Weekend Total Nursing | 3.63 | 3.8 | Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Apr 30, 2025 · Infection Control Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarApr 30, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.5% | 4.5% | Average |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 27.1% | 14.5% | Worse |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 11.0% | 14.0% | Better |
| Excessive weight loss | 9.9% | 7.5% | Worse |
| New/worsened incontinence | 22.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $67,541
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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