The Villa at Rose City
517 West Page Street · Rose City, MI · 48654 · 9896852442
102 certified beds For profit - Corporation Chain: Villa Healthcare
Why this verdict
- 4 citations involved actual harm to residents.
- 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 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$50,895 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | 1 · $50,895 |
Inspection citations (33 in the current record)
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Potential for harm · D March 6, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 6, 2025
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 April 15, 2025 · Pharmacy Service
-
Potential for harm · E March 6, 2025
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 April 15, 2025 · Pharmacy Service
-
Potential for harm · F March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 15, 2025 · Nutrition and Dietary
-
Actual harm · G October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2024 · Quality of Life and Care
-
Actual harm · G March 25, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 25, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2024 · Quality of Life and Care
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Actual harm · G March 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 25, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 25, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2024
Ensure each resident receives an accurate assessment.
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected April 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 25, 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 April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 25, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 18, 2024 · Quality of Life and Care
-
Potential for harm · D March 25, 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 April 18, 2024 · Pharmacy Service
-
Potential for harm · E March 25, 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 April 18, 2024 · Pharmacy Service
-
Potential for harm · F March 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 18, 2024 · Nutrition and Dietary
-
Potential for harm · E March 25, 2024
Provide and implement an infection prevention and control program.
Corrected April 18, 2024 · Infection Control
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Potential for harm · F March 25, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 18, 2024 · Environmental
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Potential for harm · D March 14, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 14, 2023 · Resident Rights
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Potential for harm · D March 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 14, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 24, 2024 | Fine | $50,895 |
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 235380 · certified since January 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.