SNF
Lourdes Rehabilitation and Healthcare Center
CCN: 235252 · Waterford, MI 48328 · Oakland County
CCRC
Overview
- Address
- 2300 Watkins Lake Rd, Waterford, MI 48328
- Phone
- 2486742241
- Certified beds
- 80
- Avg daily residents
- 70 (87% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1976-01-06
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.94 | 3.64 | 4.18 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.71 | 0.64 | 0.76 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.20 | 0.81 | 1.27 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.03 | 2.19 | 2.15 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.91 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.46
hrs / resident / day
RN (weekend)
0.55
hrs / resident / day
Total nurse (adjusted, weekend)
3.68
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
30.0%
annual
RN turnover
55.6%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-08-28 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2024-07-23 | 4 | 4 | 0 | 32 | 1 | 32 |
Total weighted health score
11.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (11)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
10 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-28 | 2025-09-19 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-07-23 | 2024-08-06 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-07-23 | 2024-08-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-23 | 2024-08-06 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-07-23 | 2024-08-06 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-08-24 | 2023-09-13 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-08-24 | 2023-09-13 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-24 | 2023-09-13 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-08-24 | 2023-09-13 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-08-24 | 2023-09-13 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-24 | 2023-09-13 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$15,593
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-24 | Fine | $15,593 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 13.2% Medicaid 56.5% Other 30.3%
Operating performance
Operating Margin
-1.4%
Total Margin
3.7%
Occupancy Rate
69.2%
Cost per Resident Day
$54
Revenue & costs
Net Patient Revenue
$10.9M
Total Costs
$1.4M
Net Income
$428K
Balance sheet
Total Assets
$32.1M
Total Liabilities
$22.2M
Fund Balance
$10.0M
Current Ratio
0.74
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager individuals (16)
| Name | Role | Association |
|---|---|---|
| ACHO, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | since 09/18/2017 |
| ASDELL, ERIN | CORPORATE DIRECTOR | since 11/01/2023 |
| BACHMAN, JANICE | CORPORATE DIRECTOR | since 11/01/2013 |
| BOAL, JAMES | CORPORATE DIRECTOR | since 11/01/2024 |
| GIFFORD, LINDA | CORPORATE DIRECTOR | since 10/13/2014 |
| HOLDEN, MARGARET | CORPORATE DIRECTOR | since 11/01/2023 |
| LEFEVRE, MICHAEL | CORPORATE DIRECTOR | since 01/01/2021 |
| MANUSZAK, JOSEPH | CORPORATE DIRECTOR | since 11/16/2021 |
| MARTIN, PEGGY | CORPORATE DIRECTOR | since 01/01/2021 |
| NOONE, JOHN | CORPORATE DIRECTOR | since 04/30/2017 |
| PROPSON, PAUL | CORPORATE DIRECTOR | since 11/01/2023 |
| ACHO, RICHARD | CORPORATE OFFICER | since 10/10/2022 |
| MENDELSON, BARBARA | CORPORATE OFFICER | since 09/20/2011 |
| TWOHILL, PATRICIA | CORPORATE OFFICER | since 08/05/2015 |
| AZIZ, NADA | CONTRACTED MANAGING EMPLOYEE | since 06/01/2018 |
| MCGEE, MAUREEN | W-2 MANAGING EMPLOYEE | since 11/01/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $54 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.74 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 56.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 13.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $427,883 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,873,586 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 69.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $32,139,379 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,355,083 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $9,978,398 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $22,160,981 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.27408 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.15337 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.75729 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.18474 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.67553 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 69.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80703 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.19333 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63612 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.63647 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.20516 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | Waterford | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235252 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Oakland | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1976-01-06 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.6647 | Latitude |
| Provider Information | Legal Business Name | LOURDES, INC | Legal Business Name |
| Provider Information | Location | 2300 Watkins Lake Rd,Waterford,MI,48328 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -83.357 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 80 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.28824 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.93510 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2300 Watkins Lake Rd | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Lourdes Rehabilitation and Healthcare Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 620 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-08-28 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.54994 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 55.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.91327 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.20001 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.02818 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.12366 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.71326 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.94146 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MI | State |
| Provider Information | Telephone Number | 2486742241 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 15593.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.46185 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 30.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 11.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 48328 | ZIP Code |