Lahser Hills Care Centre

25300 Lahser Rd · Southfield, MI · 48034 · 2483543222

127 certified beds For profit - Limited Liability company Chain: Nexcare Health Systems

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 76
Staffing 20% 70
Federal penalties 15% 38
Trend 10% 81
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: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.993.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day3.53≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $14,898

Inspection citations (35 in the current record)

  • Actual harm · G June 5, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

    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 June 30, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 5, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · E June 5, 2025

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

    Corrected February 4, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected June 30, 2025 · Pharmacy Service

  • Potential for harm · E June 5, 2025

    Implement a program that monitors antibiotic use.

    Corrected June 30, 2025 · Infection Control

  • Potential for harm · D March 26, 2025 · found via complaint

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

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025 · found via complaint

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

    Corrected April 14, 2025 · Quality of Life and Care

  • Actual harm · G December 30, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 31, 2025 · Quality of Life and Care

  • Potential for harm · D December 30, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 16, 2025 · Infection Control

  • Potential for harm · D May 1, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 1, 2024

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

    Corrected May 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 1, 2024

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

    Corrected May 20, 2024 · Quality of Life and Care

  • Potential for harm · D May 1, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 20, 2024 · Pharmacy Service

  • Potential for harm · D May 1, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 20, 2024 · Pharmacy Service

  • Potential for harm · D May 1, 2024

    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.

    Corrected May 20, 2024 · Pharmacy Service

  • Potential for harm · D May 1, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 20, 2024 · Pharmacy Service

  • Potential for harm · E May 1, 2024

    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 May 20, 2024 · Pharmacy Service

  • Potential for harm · F May 1, 2024

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

    Corrected May 20, 2024 · Nutrition and Dietary

  • Potential for harm · D May 1, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 20, 2024 · Resident Rights

  • Actual harm · G September 7, 2023 · found via complaint

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

    Corrected October 19, 2023 · Quality of Life and Care

  • Potential for harm · D September 7, 2023 · found via complaint

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

    Corrected September 26, 2023 · Quality of Life and Care

  • Potential for harm · E September 7, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 26, 2023 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
December 30, 2024Payment Denial6 days
September 7, 2023Fine$14,898
September 7, 2023Payment Denial16 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235320 · certified since November 18, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.