Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Westlake Health Campus

Commerce, MI · 61 certified beds · Last Life Safety survey January 7, 2026

CMS Certification Number 235642 · first certified November 2008

Ownership

Operated by TRILOGY HEALTH SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within MI

6 citations — more than 14% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility6MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0902024-1042026-01
Citations at each Life Safety survey
Survey dateCitations
September 14, 20232
October 9, 20240
January 7, 20264

Most-cited tags

Most-cited tags at this facility
E-00151K-07111E-00391K-02111K-03411K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0015Address subsistence needs for staff and patients.12026-01-07
K-0711Provide a written emergency evacuation plan.12026-01-07
E-0039Conduct testing and exercise requirements.12023-09-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-09-14
K-0341Install a fire alarm system that can be heard throughout the facility.12026-01-07
K-0363Install corridor and hallway doors that block smoke.12026-01-07

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 2
  • Smoke Deficiencies 2
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies2
Smoke Deficiencies2
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 7, 2026 — 4 citations

Citations issued on January 7, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 6, 2026)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 6, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 6, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 6, 2026)

September 14, 2023 — 2 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 18, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 18, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.