01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-03 | 11 | 2026-06-03 | 1 |
| Cycle 2 | 2025-03-13 | 10 | 2025-03-13 | 4 |
| Cycle 3 | 2024-02-07 | 19 | 2024-02-07 | 7 |
CMS CCN 2352622026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
West Hickory Haven
3310 W Commerce Rd · Milford, MI 48380 · Oakland County
Certified beds101CMS provider file
Recent citation rows52current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
52 rows in the current release
6 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-03 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-132026-06-03 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-07-132026-06-03 · HEALTHF0881Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2026-07-132026-06-03 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-07-132026-03-09 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint2026-03-09 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint2026-01-20 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-01-12 · complaint2026-01-20 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Past Non-Compliance · 2025-09-05 · complaint2025-10-29 · HEALTHF0604Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-10-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-08-26 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint2025-08-26 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint2025-07-24 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint2025-03-13 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · HEALTHF0557Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · HEALTHF0678Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-13 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-04-152024-12-16 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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 limited.
Correction field: Deficient, Provider has date of correction · 2025-01-14 · complaint2024-12-16 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-01-14 · complaint2024-09-25 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-01 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-10-29 | Fine | $81,480 | 0 |
| 2024-04-10 | Fine | $15,593 | 0 |
| 2024-02-07 | Fine | $38,711 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ACKERMAN, AMYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- ACKERMAN, RICKYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- BAUMGARTEN, MICHAELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- BAUMGARTEN, THERESEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- PEPLINSKI, SHELIIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- PEPLINSKI, TODDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- SCHADE, JEFFERYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- SCHADE, TAMARAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- THOMPSON, BRIANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- THOMPSON, SHELLYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 01/01/2012
- PEPLINSKI, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- SCHADE, JEFFERYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- THOMPSON, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- ACKERMAN, RICKYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
- PEPLINSKI, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
- SCHADE, JEFFERYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
- THOMPSON, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
- ACKERMAN, RICKYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2012
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.97per resident day
RN hours0.56per resident day
Weekend nurse hours3.50per resident day
Staff turnover67.9%CMS reported field
06 / LOCAL RECORDS
Open the Milford ledger →