The Villa at Silverbell Estates
1255 West Silverbell Road · Orion, MI · 48359 · 2483910900
106 certified beds For profit - Individual Chain: Villa Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
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
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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $36,030 |
Inspection citations (48 in the current record)
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Potential for harm · D February 18, 2026 · found via complaint
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 February 2, 2026 · Resident Rights
-
Actual harm · G December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2025 · Quality of Life and Care
-
Potential for harm · D September 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 1, 2025 · Quality of Life and Care
-
Actual harm · G June 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2025 · Quality of Life and Care
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Actual harm · G June 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2025 · Quality of Life and Care
-
Potential for harm · D June 18, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2025
Respond appropriately to all alleged violations.
Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · F June 18, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 15, 2025 · Nursing and Physician Services
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Potential for harm · D June 18, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected July 15, 2025 · Administration
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Potential for harm · D June 18, 2025
Provide and implement an infection prevention and control program.
Corrected July 15, 2025 · Infection Control
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Potential for harm · D June 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 18, 2025 · 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 August 18, 2025 · Pharmacy Service
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Potential for harm · D October 9, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 23, 2024 · Pharmacy Service
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Potential for harm · D August 14, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 3, 2024 · Infection Control
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Potential for harm · E July 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · E May 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 12, 2024 · Resident Rights
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Potential for harm · D May 8, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 12, 2024 · Resident Rights
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Potential for harm · D May 8, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected June 12, 2024 · Resident Rights
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Potential for harm · D May 8, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 12, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected June 12, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 12, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 12, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Payment Denial | 32 days |
| April 4, 2024 | Fine | $36,030 |
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 235396 · certified since February 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.