Deficiency Index

Novi Lakes Health Campus

Novi, Michigan · CCN 235718

16 surveys since 2018, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
16
Harm or worse
4
Immediate jeopardy
0
The record, 2018–2026
’18’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
54
Ownership
For profit - Corporation
Chain
TRILOGY HEALTH SERVICES
County
Oakland
Medicare-certified since
2016

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 71 for-profit facilities with fewer than 66 beds in Michigan.

Last survey on record

Jul 29, 2026

103 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.183.86
Registered-nurse hours per resident day1.12—
Annual nurse turnover38.8%45.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG27.1%H—I—
No harm, potential for more than minimalD1760.7%E621.4%F310.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

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

  • F7612×

    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.

  • F8122×

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

  • F8422×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

In the surveyor’s words

From the most serious findings on record at Novi Lakes Health Campus, in the surveyor’s own words.

  • Actual harm, isolatedF686Jul 29, 2026

    This citation pertains to intake: 3073158.Based on interviews and record reviews the facility failed to timely implement appropriate treatment and interventions for pressure wounds and failed to identify and timely respond to the worsening of the wound for one (R201) of one resident reviewed for wounds. This resulted in the prompting of the family to insist on the transfer of the resident to a higher level of care and subsequently required multiple debridements and multiple Intravenous antibiotics therapy to treat the infected decubitus ulcer with an associated abscess and fat necrosis of the buttock wound and pain.Findings include:A review of a complaint submitted to the State Agency (SA) reported concerns of the facility failure to promptly treat a wound infection and transferring to a… […]

  • Actual harm, isolatedF684May 4, 2023

    Based on observation, interview, and record review, the facility failed to identify and assess/monitor a change in condition timely for one (R99) of two resident reviewed for diarrhea/condition change, resulting in a resident who exhibited increased fatigue, decreased participation in therapy, loose stools, and increased confusion to be transferred to the hospital initiated by a family member and the resident being admitted to the hospital with critically low sodium levels. Findings include: On 5/2/23 at 9:35 AM, R99 was observed lying in bed. At that time, R99 was asked about the care in the facility. R99 reported they had not been feeling well lately and they had diarrhea that was causing bad pain in their stomach. R99 began moaning in pain and stated, Hold on. I have to go again. […]

  • Actual harm, isolatedF686Sep 22, 2021

    This citation pertains to Intake Numbers: MI 674 and MI 812 Based on interview and record review, the facility failed to 1) prevent the development of pressure ulcers, 2) ensure accurate wound assessments and coordination of care with outside consultants, and 3) implement treatments timely for one (R603) of three residents reviewed for pressure ulcers, resulting in the development of multiple facility acquired pressure ulcers. Findings include: A complaint was filed with the State Agency that alleged in part, .they reported that she had a deep tissue injury (DTI - intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration due to damage of underlying soft tissue) to her right heel . […]

  • No harm, potential for more than minimal, widespreadF880Jul 8, 2026

    Based on interview and record review, the facility failed to implement key elements of an effective water management plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility . Findings include:On 7/7/2026 at 9:45 AM reviewed Water Management Program (WMP) documents with the Director of Plant Operations (DPO) N. Review of the document titled Legionella Water Management Plan (undated, 6 pages) identified the Water Management Team (WMT) as: Executive Director, Director of Plant Operations, Director of Health Services, and Director of Environmental Services. […]

  • No harm, potential for more than minimal, widespreadF812May 8, 2025

    Based on observation, interview and record review, the facility failed to store food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen. Findings include: On [DATE] during an initial observation of the kitchen between 7:10 AM-7:40 AM, the following items were observed with the Dining Services Assistant (Staff 'B'): The top loading/reach-in ice cream cooler did not have an internal thermometer and had visible thick build-up of ice around the top perimeter of the inside wall (near the top sliding doors about 8 inches in depth. […]

Read 23 findings in full →The most serious and the most recent: 23 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 29, 2026Complaint2 findings · 1 harm
  • Jul 8, 2026Standard6 findings
  • Jun 18, 2025Complaint1 finding
  • May 8, 2025Standard5 findings
  • Apr 17, 2024Standard7 findings
  • Jan 30, 2024Complaint1 finding
  • Nov 15, 2023Complaint2 findings
  • May 4, 2023Standard4 findings · 1 harm
Show the 8 earlier surveys
  • Feb 24, 2022Standard5 findings
  • Sep 22, 2021Complaint1 finding · 1 harm
  • Dec 15, 2020Infection control1 finding
  • Oct 8, 2020Standard and complaint4 findings · 1 harm
  • Sep 24, 2019Complaint2 findings
  • Jan 23, 2019Standard7 findings
  • Mar 1, 2018Standard12 findings
  • Jan 4, 2018Complaint2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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