The Manor of Farmington Hills
A nursing home in Farmington Hills, Michigan 48336
21017 Middlebelt Rd, Farmington Hills, Michigan 48336. (248) 476-8300.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 13 health citations at the latest inspection cycle Michigan average: 9.9
- 3.49 nurse hours per resident per day Michigan average: 4.03
- 5 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
13 health citations at the latest inspection cycle
The Michigan average is 9.9.
Last standard inspection Nov 20, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on May 22, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
61 citations in 16 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 61 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 35 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 6, 2026: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 20, 2025: standard inspection10 citations
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Keep residents’ personal and medical records private and confidential.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 30, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 6, 2025: complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jun 18, 2025: complaint inspection1 citation
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Keep residents’ personal and medical records private and confidential.
May 16, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 5, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 14, 2025: complaint inspection3 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide enough food/fluids to maintain a resident’s health.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Dec 3, 2024: complaint inspection2 citations
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Oct 1, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 21, 2024: standard inspection16 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Keep residents’ personal and medical records private and confidential.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Provide and implement an infection prevention and control program.
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Put firmly secured handrails on each side of hallways.
Aug 21, 2024: standard and complaint inspection5 citations
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Reasonably accommodate the needs and preferences of each resident.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jul 24, 2024: complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
May 22, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Apr 3, 2024: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 28, 2024: complaint inspection5 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide enough food/fluids to maintain a resident’s health.
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Assess the resident when there is a significant change in condition
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jan 17, 2024: complaint inspection4 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 13, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 127 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 5 fines in the last three years, $226,128 in all.
- No Medicare payment denials in the last three years.
- 35 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 20, 2025 | Fine | $79,817 |
| Aug 6, 2025 | Fine | $26,685 |
| May 16, 2025 | Fine | $36,988 |
| Oct 1, 2024 | Fine | $39,585 |
| May 22, 2024 | Fine | $43,053 |
Who does the caring?
3.49 nurse hours per resident per day
The Michigan average is 4.03.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Michigan average |
|---|---|---|
| Nurse hours per resident per day | 3.49 | 4.03 |
| Of which registered nurses | 0.45 | 0.78 |
| At weekends | 3.07 | 3.50 |
| Nursing staff turnover | 54.2% | 44.6% |
| Registered nurse turnover | 50% | 39.2% |
| Administrators who left | 0 | Not given |
Who owns it?
- Mohammad A Qazi Living Trust Dated 09/26/97 owns 100% directly since Jan 1, 2008.
- Ciena Healthcare Management Inc. runs it.
- 16 owners or officers are people: Anis Khan (corporate officer, 100%); Mohammad A. Qazi (owns 5% or more through other companies, 100%); Mohammad A. Qazi (corporate officer, 100%); Mohammad A. Qazi (corporate director, 100%); David M Schwartzenfeld (runs it (operational or managerial control)); David M Schwartzenfeld (additional disclosable party (controls, leases property to, or provides services to the home)); Carla Annette Dillard (runs it (operational or managerial control)); Carla Annette Dillard (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Anis Khan (runs it (operational or managerial control)); Anis Khan (additional disclosable party (controls, leases property to, or provides services to the home)); Mohammad A. Qazi (runs it (operational or managerial control)); Mohammad A. Qazi (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Ciena Healthcare/Laurel Health Care (80 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Mohammad A Qazi Living Trust Dated 09/26/97 | Owns 5% or more directly | 100% | Jan 1, 2008 |
| Ciena Healthcare Management Inc. | Runs it (operational or managerial control) | Jan 1, 2008 | |
| Ciena Healthcare Management Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 21, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2008 | |
| Mohammad A Qazi Living Trust Dated 09/26/97 | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 21, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 21, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Michigan average 3.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.1 miles, this one had the 3rd most health citations at the latest inspection cycle (13; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Manor of Farmington Hills This nursing home | 13 | |
| Medilodge of Livonia | 0.3 | 9 |
| Brookside Commons Rehab and Nursing Center, LLC | 0.8 | 12 |
| The Orchards at Redford | 2.3 | 12 |
| Medilodge of Farmington | 3.0 | 17 |
| Regency at Livonia | 3.5 | 8 |
| Majestic Care of Livonia | 3.5 | 7 |
| The Lakeland Center | 3.7 | 22 |
| Beaconshire Nursing Centre | 4.0 | 6 |
| West Oaks Senior Care & Rehab Center | 4.6 | 3 |
| Lahser Hills Care Centre | 4.8 | 8 |
| Marywood Nursing Care Center | 5.1 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.