Hartford Nursing & Rehabilitation Center

6700 W Outer Dr · Detroit, MI · 48235 · 3138361700

188 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 94
Staffing 20% 63
Federal penalties 15% 100
Trend 10% 43
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.103.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day3.59≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D January 29, 2026

    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.

    Corrected March 3, 2026 · Resident Rights

  • Potential for harm · D January 29, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected March 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 3, 2026 · Quality of Life and Care

  • Potential for harm · D January 29, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 3, 2026 · Quality of Life and Care

  • Potential for harm · D January 29, 2026

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected March 3, 2026 · Quality of Life and Care

  • Potential for harm · D January 29, 2026

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected March 3, 2026 · Nutrition and Dietary

  • Potential for harm · F January 29, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 3, 2026 · Nutrition and Dietary

  • Potential for harm · F January 29, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 3, 2026 · Infection Control

  • Potential for harm · D January 29, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 3, 2026 · Infection Control

  • Potential for harm · D January 29, 2026

    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.

    Corrected March 3, 2026 · Infection Control

  • Potential for harm · F January 29, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 3, 2026 · Environmental

  • Potential for harm · E January 29, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 3, 2026 · Quality of Life and Care

  • Potential for harm · E January 29, 2026 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 3, 2026 · Nutrition and Dietary

  • Potential for harm · E August 4, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 28, 2025 · Quality of Life and Care

  • Actual harm · G March 31, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 21, 2025 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    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.

    Corrected December 27, 2024 · Resident Rights

  • Potential for harm · D November 22, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected December 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 22, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    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.

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · E November 22, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 27, 2024 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235177 · certified since June 23, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.