Overview

Address
25300 Lahser Rd, Southfield, MI 48034
Phone
2483543222
Certified beds
127
Avg daily residents
102 (80% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1976-11-18
Setting
Urban
2 /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.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 3/5

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
3.98 3.56 4.32 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.55 0.62 0.59 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.07 0.79 1.16
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.37 2.15 2.57
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.61
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.08

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)
3.45
hrs / resident / day
RN (weekend)
0.21
hrs / resident / day
Total nurse (adjusted, weekend)
3.74
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
54.7%
annual
RN turnover
52.9%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.92
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) 2025-06-05 10 8 2 64 1 64
Cycle 2/3 (prior) 2024-05-01 26 10 17 235 1 235
Total weighted health score
106.8
lower is better

Deficiencies (41)

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
36 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
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-06-05 2025-06-30
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 2025-06-05 2025-06-30
0646 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. D 2025-06-05 2025-06-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-06-05 2025-06-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-06-05 2025-06-30
0692 Provide enough food/fluids to maintain a resident's health. E 2025-06-05 2025-02-04
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-06-05 2025-06-30
0881 Implement a program that monitors antibiotic use. E 2025-06-05 2025-06-30
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-03-26 2025-04-14
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2025-03-26 2025-04-14
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-12-30 2025-01-31
0880 Provide and implement an infection prevention and control program. D 2024-12-30 2025-01-16
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-05-01 2024-05-20
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-05-01 2024-05-20
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-05-01 2024-05-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-05-01 2024-05-20
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-05-01 2024-05-20
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 2024-05-01 2024-05-20
0759 Ensure medication error rates are not 5 percent or greater. D 2024-05-01 2024-05-20
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 2024-05-01 2024-05-20
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-05-01 2024-05-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-05-01 2024-05-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-09-07 2023-09-26
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2023-09-07 2023-09-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-09-07 2023-10-19
0880 Provide and implement an infection prevention and control program. E 2023-09-07 2023-10-19
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-04-21 2023-05-08
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. D 2023-04-21 2023-05-08
0760 Ensure that residents are free from significant medication errors. D 2023-04-21 2023-05-08
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 2023-04-21 2023-05-08
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2023-04-21 2023-05-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-04-21 2023-05-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-04-21 2023-05-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2023-04-21 2023-05-08
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-04-21 2023-05-08
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-04-06 2023-05-08
0610 Respond appropriately to all alleged violations. D 2023-04-06 2023-05-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-04-06 2023-05-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-04-06 2023-05-08
0585 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. D 2023-03-08 2023-03-17
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. C 2023-03-08 2023-03-17

Penalties (4)

Fines issued
2
last 3 years
Total fines
$47,320
Payment denials
2
Date Type Fine amount
2023-09-07 Fine $14,898
2023-04-06 Fine $32,422
2024-12-30 Payment Denial
2023-09-07 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.3% Medicaid 83.8% Other 12.9%

Operating performance

Operating Margin
-5.8%
Total Margin
-0.3%
Occupancy Rate
74.5%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$12.7M
Total Costs
$858K
Net Income
-$47K

Balance sheet

Total Assets
$1.9M
Total Liabilities
-$52K
Fund Balance
$2.0M

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

Ownership & Corporate Structure

Chain: NEXCARE HEALTH SYSTEMS

Chain ID
369
Facilities in chain
20
Legal business name
CHELSEA HEALTH CENTER, LLC
Chain-average star ratings (for peer context)
Overall
3.6
Health
3.3
Staffing
4.0
QM
4.2

Owner / manager organizations (3)

Organization Role Association
NEXCARE HOLDINGS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2013
ROBIN EISENBERG 2014 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2014
NEXCARE HEALTH SYSTEMS, LLC OPERATIONAL/MANAGERIAL CONTROL since 03/06/2007

Owner / manager individuals (6)

Name Role Association
BRANSCUM, JAMES 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2013
EISENBERG, LEO 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2014
WRONSKI, FRANK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2014
PERRY, MICHAEL OPERATIONAL/MANAGERIAL CONTROL since 08/01/2015
SANGSTER, TODD CORPORATE OFFICER since 11/04/2013
FARRIS, MICHAEL W-2 MANAGING EMPLOYEE since 12/19/2016

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
Both
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 ($) $22 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.3% metrics.medicare_day_share
Cost Report Net Income ($) $-46,821 metrics.net_income
Cost Report Net Patient Revenue ($) $12,707,518 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 74.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -5.8% metrics.operating_margin
Cost Report Total Assets ($) $1,902,790 metrics.total_assets
Cost Report Total Costs ($) $858,210 metrics.total_costs
Cost Report Total Fund Balances ($) $1,954,866 metrics.fund_balance
Cost Report Total Liabilities ($) $-52,076 metrics.total_liabilities
Cost Report Total Margin (%) -0.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.15645 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.56679 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.59266 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.31590 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.73574 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 101.6 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 0.79103 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.14984 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62350 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.56437 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.14161 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.0 Chain Average Staffing Rating
Provider Information Chain ID 369 Chain ID
Provider Information Chain Name NEXCARE HEALTH SYSTEMS Chain Name
Provider Information City/Town Southfield City/Town
Provider Information CMS Certification Number (CCN) 235320 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 1976-11-18 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 42.487 Latitude
Provider Information Legal Business Name CHELSEA HEALTH CENTER, LLC Legal Business Name
Provider Information Location 25300 Lahser Rd,Southfield,MI,48034 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -83.261 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 127 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.26270 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91656 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 25300 Lahser Rd Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Lahser Hills Care Centre 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 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 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 2 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 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-01 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 235 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 17 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 235 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 26 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.20767 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.61476 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.06762 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.36963 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08023 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.54714 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 3.98439 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 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 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MI State
Provider Information Telephone Number 2483543222 Telephone Number
Provider Information Total Amount of Fines in Dollars 47320.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.44879 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 54.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 106.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 48034 ZIP Code