Southfield Wellness Community

Certification

Medicare-certified.

Ratings

Inspection history (58)

Records from November 2023 to February 2026.

• November 6, 2023

  Tag F0698

  Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0689

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

  Severity G: isolated, actual harm. Corrected November 29, 2023.

• November 6, 2023

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0692

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0688

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0812

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0677

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0943

  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 29, 2023.

• November 6, 2023

  Tag F0757

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0865

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

• November 6, 2023

  Tag F0686

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

  Severity G: isolated, actual harm. Corrected November 29, 2023.

• November 6, 2023

  Tag F0625

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.

Penalties (3)

Total fines: $71,897

• July 27, 2026 · Fine

  CMS recorded a civil money penalty of $16,355 against this nursing home on July 27, 2026.

• December 4, 2024 · Fine

  CMS recorded a civil money penalty of $33,540 against this nursing home on December 4, 2024.

• November 6, 2023 · Fine

  CMS recorded a civil money penalty of $38,357 against this nursing home on November 6, 2023.

Staffing

3.67 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Legacy Healthcare Financial Services LLC