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.

Get the Safety Report

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

Inspection record 30% of score 60
Serious harm & abuse 20% 94
Staffing 20% 68
Federal penalties 15% 66
Trend 10% 92
Context 5% 100

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-day3.603.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.30≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $45,126

Inspection citations (20 in the current record)

  • Potential for harm · D February 13, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 2, 2026 · Resident Assessment and Care Planning

  • 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

  • Potential for harm · D February 13, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 2, 2026 · Pharmacy Service

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D December 5, 2024 · found via complaint

    Provide appropriate foot care.

    Corrected December 27, 2024 · Quality of Life and Care

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
January 9, 2024Fine$45,126

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

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.