At a glance
Official CMS profileCMS overall rating
4 / 5
Certified beds
96
Residents / day
90.3
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Wayne
- Certified beds
- 96
- Average residents per day
- 90.3
- First certified
- April 10, 1988
CMS quality ratings
- Overall
- 4 / 5
- Health inspections
- 4 / 5
- Staffing
- 4 / 5
- Quality measures
- 3 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Wayne, Michigan. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 4.00 | 3.15 (n=62) | 3.16 |
| Nurse hours / resident / day | 3.53 | 3.70 (n=61) | 4.03 (n=417) |
| Weekend nurse hours / resident / day | 3.20 | 3.23 (n=61) | 3.51 (n=417) |
| Nursing staff turnover (%) | 42.90 | 45.07 (n=55) | 44.56 (n=394) |
CMS overall rating / 5
- This home
- 4.00
- County peers
- 3.15
- n=62
- State peers
- 3.16
Nurse hours / resident / day
- This home
- 3.53
- County peers
- 3.70
- n=61
- State peers
- 4.03
- n=417
Weekend nurse hours / resident / day
- This home
- 3.20
- County peers
- 3.23
- n=61
- State peers
- 3.51
- n=417
Nursing staff turnover (%)
- This home
- 42.90
- County peers
- 45.07
- n=55
- State peers
- 44.56
- n=394
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 9.5% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 42.9% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 18
- Health citations
- 20
- Resident measures
- 17
- Ownership records
- 13
- Penalties
- 1
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.53197
- Reported RN Staffing Hours per Resident per Day
- 0.60580
- Reported LPN Staffing Hours per Resident per Day
- 0.74848
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.17769
- Total number of nurse staff hours per resident per day on the weekend
- 3.19736
- Registered Nurse hours per resident per day on the weekend
- 0.38771
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.05489
- Total nursing staff turnover
- 42.9
- Registered Nurse turnover
- 47.1
- Number of administrators who have left the nursing home
- 0
- Chain Name
- NEXCARE HEALTH SYSTEMS
- Number of Facilities in Chain
- 20
- Chain Average Overall 5-star Rating
- 4.0
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- MI
- Urban
- Y
- Chain ID
- 369
- Latitude
- 42.355
- Location
- 28349 Joy Rd,Westland,MI,48185
- ZIP Code
- 48185
- City/Town
- Westland
- Longitude
- -83.321
- QM Rating
- 3
- Abuse Icon
- N
- Chain Name
- NEXCARE HEALTH SYSTEMS
- County/Parish
- Wayne
- Provider Name
- Four Chaplains Nursing Care Center
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 4
- Ownership Type
- For profit - Corporation
- Number of Fines
- 1
- Processing Date
- 2026-10-01
- Staffing Rating
- 4
- Provider Address
- 28349 Joy Rd
- Telephone Number
- 7342619500
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- CHAPLAINS, INC.
- Long-Stay QM Rating
- 4
- High Performing Icon
- N
- Short-Stay QM Rating
- 2
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.25477
- Chain Average QM Rating
- 4.4
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 4
- Number of Certified Beds
- 96
- Provider SSA County Code
- 810
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 47.1
- Total Number of Penalties
- 1
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 0.88975
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 42.9
- Chain Average Staffing Rating
- 3.8
- Number of Facilities in Chain
- 20
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 235467
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 45126.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 12
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 41.500
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 90.3
- Chain Average Overall 5-star Rating
- 4.0
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 130
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 3.4
- Rating Cycle 1 Health Deficiency Score
- 12
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 130
- Rating Cycle 1 Standard Survey Health Date
- 2026-02-13
- Rating Cycle 2 Standard Health Survey Date
- 2024-12-05
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.67553
- Case-Mix RN Staffing Hours per Resident per Day
- 0.61539
- Reported RN Staffing Hours per Resident per Day
- 0.60580
- Adjusted LPN Staffing Hours per Resident per Day
- 0.83462
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.76684
- Reported LPN Staffing Hours per Resident per Day
- 0.74848
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 3
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 16
- Rating Cycle 1 Number of Standard Health Deficiencies
- 3
- Rating Cycle 2 Number of Standard Health Deficiencies
- 6
- Reported Licensed Staffing Hours per Resident per Day
- 1.35428
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 0
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.42832
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.08856
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.17769
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 3.93847
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.47079
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 16
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.53197
- Registered Nurse hours per resident per day on the weekend
- 0.38771
- Date First Approved to Provide Medicare and Medicaid Services
- 1988-04-10
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.05489
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 3.56535
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.05454
- Total number of nurse staff hours per resident per day on the weekend
- 3.19736
COMMUNITY EXPERIENCE
Reviews of Four Chaplains Nursing Care Center
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No published community reviews yet.
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Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026