Overview

Address
1901 N Telegraph Rd, Waterford, MI 48328
Phone
2488361000
Certified beds
150
Avg daily residents
122 (81% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1976-01-01
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
1/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 1/5

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
4.23 3.77 4.33 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.71 0.66 0.73 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.26 0.84 1.29
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.26 2.28 2.31
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.97
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.15

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)
3.80
hrs / resident / day
RN (weekend)
0.44
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
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
46.2%
annual
RN turnover
52.2%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
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) 2025-05-22 27 23 4 204 1 204
Cycle 2/3 (prior) 2024-06-12 42 15 26 431 1 431
Total weighted health score
260.8
lower is better
Infection-control citations
8
last cycle

Deficiencies (70)

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).

1 A/B/C No actual harm — minor
65 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2026-01-14 2026-02-04
0583 Keep residents' personal and medical records private and confidential. D 2025-09-10 2025-10-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-05-22 2025-06-26
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-05-22 2025-06-26
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-05-22 2025-06-26
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-05-22 2025-06-26
0584 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. E 2025-05-22 2025-06-26
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-05-22 2025-06-26
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-05-22 2025-06-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-05-22 2025-06-26
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-22 2025-06-26
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-05-22 2025-06-26
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-05-22 2025-06-26
0688 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. E 2025-05-22 2025-06-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-05-22 2025-06-26
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-05-22 2025-06-26
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2025-05-22 2025-06-26
0759 Ensure medication error rates are not 5 percent or greater. E 2025-05-22 2025-06-26
0761 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. E 2025-05-22 2025-06-26
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-05-22 2025-06-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-05-22 2025-06-26
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2025-05-22 2025-06-26
0880 Provide and implement an infection prevention and control program. F 2025-05-22 2025-06-26
0881 Implement a program that monitors antibiotic use. E 2025-05-22 2025-06-26
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F 2025-05-22 2025-06-26
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2025-04-10 2025-05-08
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-04-10 2025-05-08
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2025-04-10 2025-05-08
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-10-07 2024-11-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-10-07 2024-11-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-10-07 2024-11-07
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. E 2024-10-07 2024-11-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-06-12 2024-07-11
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-06-12 2024-07-11
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-06-12 2024-07-11
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-06-12 2024-07-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-06-12 2024-07-11
0679 Provide activities to meet all resident's needs. D 2024-06-12 2024-07-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-12 2024-07-11
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-06-12 2024-07-11
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-06-12 2024-07-11
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. E 2024-06-12 2024-07-11
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-06-12 2024-07-11
0761 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. D 2024-06-12 2024-07-11
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2024-06-12 2024-07-11
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-06-12 2024-07-11
0880 Provide and implement an infection prevention and control program. E 2024-06-12 2024-07-11
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-03-20 2024-04-11
0584 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. D 2024-03-20 2024-04-11
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-03-20 2024-04-11

Showing 50 most recent of 70. See the All Data CSV for the full list.

Financial Health (FY 2023)

Operating performance

Operating Margin
-9.9%
Total Margin
-4.4%
Occupancy Rate
61.9%
Cost per Resident Day
$39

Revenue & costs

Net Patient Revenue
$19.3M
Total Costs
$1.8M
Net Income
-$897K

Balance sheet

Total Assets
$20.2M
Total Liabilities
$14.2M
Fund Balance
$6.0M
Current Ratio
0.70

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CIENA HEALTHCARE/LAUREL HEALTH CARE

Chain ID
144
Facilities in chain
84
Legal business name
NORTHERN OAK MANAGEMENT COMPANY LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.6
Staffing
3.2
QM
3.8

Owner / manager organizations (2)

Organization Role Association
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2011
CIENA HEALTHCARE MANAGEMENT INC OPERATIONAL/MANAGERIAL CONTROL since 06/01/2011

Owner / manager individuals (5)

Name Role Association
QAZI, MOHAMMAD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/01/2011
AVERY, SCOTT OPERATIONAL/MANAGERIAL CONTROL since 11/16/2022
KHAN, ANIS OPERATIONAL/MANAGERIAL CONTROL since 06/01/2011
PATEL, PURVAJ OPERATIONAL/MANAGERIAL CONTROL since 01/01/2025
QAZI, MOHAMMAD OPERATIONAL/MANAGERIAL CONTROL since 06/01/2011

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $39 metrics.cost_per_resident_day
Cost Report Current Ratio 0.70 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 4.5% metrics.medicare_day_share
Cost Report Net Income ($) $-897,192 metrics.net_income
Cost Report Net Patient Revenue ($) $19,335,035 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 61.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -9.9% metrics.operating_margin
Cost Report Total Assets ($) $20,174,980 metrics.total_assets
Cost Report Total Costs ($) $1,779,559 metrics.total_costs
Cost Report Total Fund Balances ($) $5,984,266 metrics.fund_balance
Cost Report Total Liabilities ($) $14,190,714 metrics.total_liabilities
Cost Report Total Margin (%) -4.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.28563 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.31196 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.72819 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.32578 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.88466 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 122.2 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 0.83723 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.27541 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65992 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.77256 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.32512 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.2 Chain Average Staffing Rating
Provider Information Chain ID 144 Chain ID
Provider Information Chain Name CIENA HEALTHCARE/LAUREL HEALTH CARE Chain Name
Provider Information City/Town Waterford City/Town
Provider Information CMS Certification Number (CCN) 235260 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Oakland County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1976-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 42.6641 Latitude
Provider Information Legal Business Name NORTHERN OAK MANAGEMENT COMPANY LLC Legal Business Name
Provider Information Location 1901 N Telegraph Rd,Waterford,MI,48328 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -83.333 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 150 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 8 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 84 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.33645 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97010 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation 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 1901 N Telegraph Rd Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Regency at Waterford 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 1 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 204 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 4 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 23 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-22 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 204 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 27 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 15 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-06-12 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 431 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 26 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 431 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 42 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.43929 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.2 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.96773 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.25620 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.25904 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.14939 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.71153 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 4.22677 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 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 2488361000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.79575 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 46.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 260.750 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