SNF
Regency at Livonia
CCN: 235479 · Livonia, MI 48154 · Wayne County
CCRC
Overview
- Address
- 14900 Middlebelt Road, Livonia, MI 48154
- Phone
- 7344254200
- Certified beds
- 128
- Avg daily residents
- 111 (87% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-01-06
- Setting
- Urban
3 /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 | 3.44 | 3.64 | 3.65 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.36 | 0.64 | 0.38 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.22 | 0.81 | 1.29 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.87 | 2.19 | 1.98 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.57 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
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)
2.91
hrs / resident / day
RN (weekend)
0.21
hrs / resident / day
Total nurse (adjusted, weekend)
3.09
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
52.4%
annual
RN turnover
60.0%
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) | 2024-12-19 | 9 | 7 | 2 | 64 | 1 | 64 |
| Cycle 2/3 (prior) | 2023-10-11 | 17 | 12 | 11 | 92 | 1 | 92 |
Total weighted health score
71.0
lower is better
Deficiencies (35)
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).
34 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 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 | 2026-01-27 | 2026-02-17 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-07 | 2025-06-04 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-12-19 | 2025-01-16 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-19 | 2025-01-16 |
| 0679 | Provide activities to meet all resident's needs. | D | 2024-12-19 | 2025-01-16 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-19 | 2025-01-16 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-12-19 | 2025-01-16 |
| 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 | 2024-12-19 | 2025-01-16 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-12-19 | 2025-01-16 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-29 | 2024-09-30 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-06-20 | 2024-07-18 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-06-20 | 2024-07-18 |
| 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 | 2024-04-30 | 2024-05-21 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-11 | 2023-11-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-11 | 2023-11-20 |
| 0687 | Provide appropriate foot care. | D | 2023-10-11 | 2023-11-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-11 | 2023-11-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-11 | 2023-11-20 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-11 | 2023-11-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-11 | 2023-11-20 |
| 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 | 2023-10-11 | 2023-11-20 |
| 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. | D | 2023-10-11 | 2023-11-20 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-10-11 | 2023-11-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-10-11 | 2023-11-20 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-10-11 | 2023-11-20 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-03-07 | 2023-03-28 |
| 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 | 2022-08-11 | 2022-09-08 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-08-11 | 2022-09-08 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-08-11 | 2022-09-08 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-08-11 | 2022-09-08 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-08-11 | 2022-09-08 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-11 | 2022-09-08 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-08-11 | 2022-09-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-08-11 | 2022-09-08 |
| 0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2022-08-11 | 2022-09-08 |
Financial Health (FY 2023)
Operating performance
Operating Margin
-4.7%
Total Margin
5.0%
Occupancy Rate
76.5%
Cost per Resident Day
$32
Revenue & costs
Net Patient Revenue
$13.5M
Total Costs
$1.2M
Net Income
$736K
Balance sheet
Total Assets
$9.9M
Total Liabilities
$8.8M
Fund Balance
$1.1M
Current Ratio
1.65
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CIENA HEALTHCARE/LAUREL HEALTH CARE
- Chain ID
144- Facilities in chain
- 84
- Legal business name
- MIDDLEBELT-HOPE ACQUISITION COMPANY, INC.
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.6
Staffing
3.2
QM
3.8
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| CIENA HEALTHCARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | since 11/13/2009 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| QAZI, MOHAMMAD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/02/2000 |
| KHAN, ANIS | OPERATIONAL/MANAGERIAL CONTROL | since 08/02/2000 |
| QAZI, MOHAMMAD | CORPORATE DIRECTOR | since 08/02/2000 |
| QAZI, MOHAMMAD | CORPORATE OFFICER | since 08/02/2000 |
| KIMELI, DAVID | CONTRACTED MANAGING EMPLOYEE | since 06/28/2022 |
| QAZI, MOHAMMAD | W-2 MANAGING EMPLOYEE | since 08/02/2000 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.65 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 6.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $736,445 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,510,424 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 76.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -4.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,867,347 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,153,497 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,054,919 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $8,812,428 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.29106 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.98238 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.37744 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.65088 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.08521 | 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 | 110.8 | 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 | 0.80745 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.19446 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63644 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.63835 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.20682 | 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 | Livonia | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235479 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Wayne | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1989-01-06 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.3935 | Latitude |
| Provider Information | Legal Business Name | MIDDLEBELT-HOPE ACQUISITION COMPANY, INC. | Legal Business Name |
| Provider Information | Location | 14900 Middlebelt Road,Livonia,MI,48154 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -83.334 | 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 | 128 | 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 | 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 | 1.28890 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.93558 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | 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 | 14900 Middlebelt Road | 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 Livonia | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 810 | 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 | 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 | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-19 | 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 | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 12 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-10-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 92 | 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 | 11 | 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 | 92 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 17 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.20652 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 60.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.57231 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.21663 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.86810 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08579 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.35568 | 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 | 3.44041 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 7344254200 | 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 | 2.90735 | 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 | 52.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 71.000 | 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 | 48154 | ZIP Code |