The Villa At West Branch faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 28th percentile among Michigan nursing homes, suggesting significant room for improvement.
Staffing at The Villa At West Branch is near the national average, with 3.88 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 45 deficiencies at The Villa At West Branch. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.88 | 3.8 | Average |
| Registered Nurses (RN) | 0.68 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.34 | 2.4 | Average |
| Weekend Total Nursing | 3.25 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity FEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 28, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 28, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Apr 28, 2025 · Infection Control Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Apr 28, 2025 · Pharmacy Service 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 | 0.6% | 4.5% | Better |
| Falls with major injury | 4.9% | 3.0% | Worse |
| On antipsychotic medication | 15.2% | 14.5% | Average |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 4.0% | 14.0% | Better |
| Excessive weight loss | 3.8% | 7.5% | Better |
| New/worsened incontinence | 17.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $170,704
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 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: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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