Four Chaplains Nursing Care Center
28349 Joy Rd · Westland, MI · 48185 · 7342619500
96 certified beds For profit - Corporation Chain: Nexcare Health Systems
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $45,126 |
Inspection citations (20 in the current record)
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Potential for harm · D February 13, 2026
Ensure each resident receives an accurate assessment.
Corrected March 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 2, 2026 · Pharmacy Service
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Potential for harm · D December 5, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024 · found via complaint
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024 · found via complaint
Provide appropriate foot care.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · E December 5, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 27, 2024 · Nutrition and Dietary
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Potential for harm · F December 5, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 27, 2024 · Nutrition and Dietary
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Potential for harm · D September 5, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · D June 26, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 8, 2024 · Quality of Life and Care
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Immediate jeopardy · J January 25, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 26, 2024 · Nutrition and Dietary
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Potential for harm · D January 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2023 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · D October 18, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · E October 18, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · D October 18, 2023 · found via complaint
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.
Corrected November 8, 2023 · Pharmacy Service
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Potential for harm · D October 18, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 8, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2024 | Fine | $45,126 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235467 · certified since April 10, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.