Overview

Address
1255 West Silverbell Road, Orion, MI 48359
Phone
2483910900
Certified beds
106
Avg daily residents
87 (82% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-02-01
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.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 2/5

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
3.53 4.19 3.26 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.42 0.73 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.96 0.93 0.88
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.16 2.53 1.99
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.38
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

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)
3.00
hrs / resident / day
RN (weekend)
0.24
hrs / resident / day
Total nurse (adjusted, weekend)
2.77
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
52.2%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.08
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) 2025-06-18 14 11 5 120 2 180
Cycle 2/3 (prior) 2024-05-08 32 15 19 260 1 260
Total weighted health score
200.0
lower is better

Deficiencies (53)

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).

46 D/E/F Actual harm — potential for minor
7 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-12-17 2025-11-21
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-09-03 2025-10-01
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-09-03 2025-10-01
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-06-18 2025-07-15
0610 Respond appropriately to all alleged violations. D 2025-06-18 2025-07-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-06-18 2025-07-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-06-18 2025-07-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-06-18 2025-07-15
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-06-18 2025-07-15
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2025-06-18 2025-07-15
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2025-06-18 2025-07-15
0880 Provide and implement an infection prevention and control program. D 2025-06-18 2025-07-15
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-06-18 2025-07-15
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 2025-06-18 2025-08-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-10-09 2024-10-23
0880 Provide and implement an infection prevention and control program. D 2024-08-14 2024-09-03
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-07-23 2024-08-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-05-08 2024-06-12
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-05-08 2024-06-12
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2024-05-08 2024-06-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-05-08 2024-06-12
0685 Assist a resident in gaining access to vision and hearing services. D 2024-05-08 2024-06-12
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-05-08 2024-06-12
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-05-08 2024-06-12
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 2024-05-08 2024-06-12
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-05-08 2024-06-12
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. E 2024-05-08 2024-06-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-05-08 2024-06-12
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-05-08 2024-06-12
0880 Provide and implement an infection prevention and control program. E 2024-05-08 2024-06-12
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-05-08 2024-06-12
0759 Ensure medication error rates are not 5 percent or greater. D 2024-05-08 2024-06-12
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-04-04 2024-04-26
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-04-04 2024-04-26
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-04-04 2024-04-26
0777 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. D 2024-04-04 2024-04-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-06-08 2023-06-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-06-08 2023-06-20
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-06-08 2023-06-20
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 2023-06-08 2023-06-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-06-08 2023-06-20
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 2023-06-08 2023-06-20
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. F 2023-06-08 2023-06-20
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. E 2023-06-08 2023-06-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-06-08 2023-06-20
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-06-08 2023-06-20
0692 Provide enough food/fluids to maintain a resident's health. D 2023-06-08 2023-06-20
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-04-27 2023-05-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-04-27 2023-05-10
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-04-27 2023-05-25

Showing 50 most recent of 53. See the All Data CSV for the full list.

Penalties (5)

Fines issued
3
last 3 years
Total fines
$108,662
Payment denials
2
Date Type Fine amount
2023-06-08 Fine $26,709
2024-04-04 Fine $36,030
2023-04-27 Fine $45,923
2025-06-18 Payment Denial
2023-04-27 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.2% Medicaid 77.3% Other 19.5%

Operating performance

Operating Margin
-4.0%
Total Margin
7.8%
Occupancy Rate
78.8%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$9.9M
Total Costs
$680K
Net Income
$866K

Balance sheet

Total Assets
$7.4M
Total Liabilities
$5.9M
Fund Balance
$1.5M
Current Ratio
1.48

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

Ownership & Corporate Structure

Chain: VILLA HEALTHCARE

Chain ID
550
Facilities in chain
18
Legal business name
OAKLAND OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.2
Staffing
2.6
QM
4.5

Owner / manager organizations (4)

Organization Role Association
BERGER FAM TR UA 06252014 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2015
ISRAEL FAMILY INVESTMENT TRUST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2015
ISRAEL INVESTMENT TR 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2015
STERN FAMILY INVESTMENT TR 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2015

Owner / manager individuals (4)

Name Role Association
ISRAEL, BENJAMIN CORPORATE OFFICER since 07/01/2015
STERN, TODD CORPORATE OFFICER since 07/01/2015
ISRAEL, BENJAMIN W-2 MANAGING EMPLOYEE since 07/01/2015
STERN, TODD W-2 MANAGING EMPLOYEE since 07/01/2015

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 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 1.48 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 77.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.2% metrics.medicare_day_share
Cost Report Net Income ($) $866,317 metrics.net_income
Cost Report Net Patient Revenue ($) $9,857,555 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 78.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.0% metrics.operating_margin
Cost Report Total Assets ($) $7,394,601 metrics.total_assets
Cost Report Total Costs ($) $680,348 metrics.total_costs
Cost Report Total Fund Balances ($) $1,469,161 metrics.fund_balance
Cost Report Total Liabilities ($) $5,925,440 metrics.total_liabilities
Cost Report Total Margin (%) 7.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.88045 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.98783 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.38795 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.25622 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.76802 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 87.4 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 0.92977 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.52691 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73286 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.18954 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.69264 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 550 Chain ID
Provider Information Chain Name VILLA HEALTHCARE Chain Name
Provider Information City/Town Orion City/Town
Provider Information CMS Certification Number (CCN) 235396 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 1979-02-01 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 42.7225 Latitude
Provider Information Legal Business Name OAKLAND OPCO LLC Legal Business Name
Provider Information Location 1255 West Silverbell Road,Orion,MI,48359 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 -83.27 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 106 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 18 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.48417 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.07732 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 - Individual 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 1255 West Silverbell Road Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name The Villa at Silverbell Estates 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 120 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 60 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-18 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 180 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 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 2024-05-08 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 260 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 19 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 260 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 32 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.23619 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 42.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.37635 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.95538 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.15701 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02601 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42097 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 3.53336 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 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 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MI State
Provider Information Telephone Number 2483910900 Telephone Number
Provider Information Total Amount of Fines in Dollars 108662.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.00361 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 52.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 200.000 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 48359 ZIP Code