Nursing home
The Manor of Farmington Hills
21017 Middlebelt Rd, Farmington Hills, MI 48336 · Map
For profit - Corporation · Part of Ciena Healthcare/Laurel Health Care (84 facilities) · 127 certified beds
The Manor of Farmington Hills is a Medicare-certified nursing home in Farmington Hills, Michigan. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.68 hours per resident per day, below the Michigan average of 4.03. Its most recent inspection on Nov 20, 2025 cited 17 deficiencies.
- 3 fines totaling $119,626In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Manor of Farmington Hills compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.68 | 4.03 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.95 | 2.38 | 2.34 | below avg |
| Nursing staff turnover | 63.0% | 44.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $119,626, 3 total penalties.
What inspectors found at The Manor of Farmington Hills
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · Nov 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 30, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 21017 Middlebelt Rd
Farmington Hills, MI 48336 - CMS certification #
- 235508
- Ownership
- For profit - Corporation
- Certified beds
- 127
- Avg residents/day
- 94.7
- Provider type
- Medicare and Medicaid
- First certified
- 1991-08-13
- Chain
- Ciena Healthcare/Laurel Health Care (84 facilities)
- Setting
- Urban
Part of Ciena Healthcare/Laurel Health Care
Ciena Healthcare/Laurel Health Care operates 84 nursing facilities across the United States. View all Ciena Healthcare/Laurel Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Manor of Farmington Hills using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, transportation, secured outdoor area
- Staff pay 1 federal wage case with violations found, since 2020
Full public records, with dates and sources
Care and services
From the community’s website
What The Manor of Farmington Hills says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care Services
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-Hour Nursing Care
(page, checked Oct 12, 2026) - Provides transportation.
Transportation for Medical Appointments
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Beautiful enclosed outdoor courtyard in the center of our one story building
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private and semi private rooms
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 7, 2020 to May 5, 2022. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: The Manor of Farmington Hills (Ciena Healthcare). Case 1959641.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Beaumont Hospital - Farmington Hills, Farmington Hills. 0.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Medilodge of Livonia, Livonia. 0.3 miles away, straight line.
- Nearest home health agency office
- Recovery Home Health, Livonia. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 48336 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Botsford Park, Livonia, 0.5 miles away, straight line (CMS rating 2 of 5 stars)
Dialysis Care Center Great Lakes West, Southfield, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Davita Riverwood Dialysis, Southfield, 3.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 45 Medicare hospices tell CMS they serve ZIP code 48336.
Gentiva I, office in Southfield, 3.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Assured Hospice Care, Inc, office in Southfield, 3.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Parrish Palliative And Hospice Care, LLC, office in Southfield, 3.5 miles away, straight line - Nearest geriatric medicine practice
- Regents Of The University Of Michigan, Livonia. 2.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Manor of Farmington Hills a good nursing home?
CMS gives The Manor of Farmington Hills an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Manor of Farmington Hills staffed?
The Manor of Farmington Hills reports 3.68 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has The Manor of Farmington Hills had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does The Manor of Farmington Hills have?
The Manor of Farmington Hills is certified for 127 beds.