Special Focus Facility Abuse citation flag

Overview

Address
13990 Lakeside Circle, Sterling Heights, MI 48313
Phone
5864881400
Certified beds
66
Avg daily residents
58 (88% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2017-01-13
Setting
Urban
Rating not available

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.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

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
3.42 3.51 3.76 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.52 0.61 0.57 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.04 0.78 1.14
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.87 2.12 2.05
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.55
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.07

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)
2.95
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
3.25
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
56.0%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
3
last 12 months

Resident acuity

Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
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) 2025-08-06 12 10 4 76 1 76
Cycle 2/3 (prior) 2024-07-16 40 24 38 324 2 486
Total weighted health score
178.5
lower is better
Infection-control citations
4
last cycle

Deficiencies (59)

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).

58 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-08-06 2025-09-12
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 2025-08-06 2025-09-12
0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D 2025-08-06 2025-09-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-08-06 2025-09-12
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. D 2025-08-06 2025-09-12
0814 Dispose of garbage and refuse properly. F 2025-08-06 2025-09-12
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2025-08-06 2025-09-12
0880 Provide and implement an infection prevention and control program. D 2025-08-06 2025-09-12
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-08-06 2025-09-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-08-06 2025-09-12
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-03-03 2025-03-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-03 2025-03-28
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 2025-01-21 2025-02-07
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2024-09-19 2024-09-30
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-09-19 2024-09-30
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-07-16 2024-08-08
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2024-07-16 2024-08-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-07-16 2024-08-08
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-07-16 2024-08-08
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. F 2024-07-16 2024-09-06
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-07-16 2024-08-08
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-07-16 2024-08-08
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-07-16 2024-08-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-07-16 2024-08-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-07-16 2024-08-08
0679 Provide activities to meet all resident's needs. E 2024-07-16 2024-08-08
0680 Ensure the activities program is directed by a qualified professional. F 2024-07-16 2024-08-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-07-16 2024-08-08
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 2024-07-16 2024-08-08
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2024-07-16 2024-08-08
0732 Post nurse staffing information every day. F 2024-07-16 2024-08-08
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-07-16 2024-08-08
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. E 2024-07-16 2024-09-06
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F 2024-07-16 2024-09-06
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2024-07-16 2024-08-08
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F 2024-07-16 2024-08-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-07-16 2024-09-06
0880 Provide and implement an infection prevention and control program. F 2024-07-16 2024-08-08
0908 Keep all essential equipment working safely. E 2024-07-16 2024-08-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-29 2024-03-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-02-29 2024-03-18
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-10-09 2023-10-25
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-10-09 2023-10-25
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-06-28 2023-07-12
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 2023-06-28 2023-07-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-06-28 2023-07-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-06-28 2023-07-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-05-10 2023-06-16
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 2023-05-10 2023-06-16
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2023-05-10 2023-06-16

Showing 50 most recent of 59. See the All Data CSV for the full list.

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-07-16 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Operating performance

Operating Margin
-26.9%
Total Margin
-23.0%
Occupancy Rate
68.6%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$5.1M
Total Costs
$358K
Net Income
-$1.2M

Balance sheet

Total Assets
$1.2M
Total Liabilities
$6.0M
Fund Balance
-$4.8M
Current Ratio
0.20

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

Ownership & Corporate Structure

Chain: PIONEER HEALTHCARE MANAGEMENT

Chain ID
403
Facilities in chain
9
Legal business name
LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.5
Staffing
2.8
QM
3.5

Owner / manager individuals (2)

Name Role Association
UDDIN, FAHIM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/05/2011
UDDIN, FAHIM W-2 MANAGING EMPLOYEE since 11/15/2022

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
Special focus status
SFF
Abuse citation flag
Yes — last 2 cycles
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 ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 0.20 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 5.4% metrics.medicare_day_share
Cost Report Net Income ($) $-1,213,397 metrics.net_income
Cost Report Net Patient Revenue ($) $5,106,467 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 68.6% metrics.occupancy_rate
Cost Report Operating Margin (%) -26.9% metrics.operating_margin
Cost Report Total Assets ($) $1,198,808 metrics.total_assets
Cost Report Total Costs ($) $358,100 metrics.total_costs
Cost Report Total Fund Balances ($) $-4,828,821 metrics.fund_balance
Cost Report Total Liabilities ($) $6,027,629 metrics.total_liabilities
Cost Report Total Margin (%) -23.0% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.13955 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.05421 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.56698 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.76073 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.24536 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 58.0 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 0.77847 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.11571 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61360 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.50778 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.09174 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 403 Chain ID
Provider Information Chain Name PIONEER HEALTHCARE MANAGEMENT Chain Name
Provider Information City/Town Sterling Heights City/Town
Provider Information CMS Certification Number (CCN) 235719 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Macomb County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2017-01-13 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 42.6204 Latitude
Provider Information Legal Business Name LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC Legal Business Name
Provider Information Location 13990 Lakeside Circle,Sterling Heights,MI,48313 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -82.989 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 3 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 66 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 4 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 9 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.24265 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.90201 Nursing Case-Mix Index Ratio
Provider Information Overall Rating Overall Rating
Provider Information Overall Rating Footnote 18 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 13990 Lakeside Circle Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Lakeside Manor Nursing and Rehabilitation Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 490 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 76 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 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 76 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 24 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-16 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 324 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 162 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 38 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 486 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 40 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.24607 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.55043 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.03532 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.86632 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07323 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.51512 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 3.41675 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State MI State
Provider Information Telephone Number 5864881400 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 2.94851 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 56.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 178.500 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 48313 ZIP Code