A
93/100

West Oaks Senior Care & Rehab Center Inspection Report, Violations & Safety Grade (Detroit, Michigan)

22355 W Eight Mile Rd, Detroit, Michigan 48219

Phone: 3132556450

CMS Overall:5/5

Overview & Bed Count

Certified Beds
102
Avg Residents/Day
97.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Wayne
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day0.360.78-0.42
Total Nurse Hours per Resident per Day3.874.03-0.16
CMS Staffing Rating3/53.6/5-
Nursing Staff Turnover50.7%44.6%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2025-12-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-06-25Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D – Moderate Harm Potential
2025-06-25Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-12-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-05-07Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-12-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-12-05Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-07-27Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2023-07-27Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2023-07-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2023-07-27Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential

Fire Safety Citation History

17 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-15Construction DeficienciesMeet other general requirements.F – Moderate Harm Potential
2025-06-25Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2025-06-25Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2025-06-25Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-06-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2024-06-27Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2024-06-27Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-06-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-06-27Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2024-06-27Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2023-07-27Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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