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

Northville Manor

Northville, MI · 37 certified beds · Last Life Safety survey April 17, 2025

CMS Certification Number 235730 · first certified January 2022

Ownership

Operated by PIONEER HEALTHCARE MANAGEMENT · For profit - Limited Liability company

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

24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MI

24 citations — more than 81% 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

Improvingfewer 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 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was April 2025. 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

Get an email about Northville Manor

One email when it happens. No account; stop it any time with one click.

Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 24 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)

5 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 24 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • 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 facility24MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-07132024-0542025-04
Citations at each Life Safety survey
Survey dateCitations
July 26, 20237
May 31, 202413
April 17, 20254

Most-cited tags

Most-cited tags at this facility
K-02113K-03422K-09182K-07412K-02332K-09231K-03311E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32025-04-17
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.22024-05-31
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-04-17
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22024-05-31
K-0233Install resident room doors of proper design and width.22025-04-17
K-0923Have proper medical gas storage and administration areas.12024-05-31
K-0331Construct fire resistant interior walls.12024-05-31
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-05-31

What the citations cover

Citations by CMS category
  • Egress Deficiencies 7
  • Smoke Deficiencies 7
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Egress Deficiencies7
Smoke Deficiencies7
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies3

Every citation on file

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

April 17, 2025 — 4 citations

Citations issued on April 17, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted (May 17, 2025)
K-0233Install resident room doors of proper design and width.Waiver has been granted (May 17, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (May 17, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 17, 2025)

May 31, 2024 — 13 citations

Citations issued on May 31, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 5, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 5, 2024)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (July 5, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted (July 5, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 5, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Waiver has been granted (July 5, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 5, 2024)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (July 5, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (July 5, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 5, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (July 5, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 5, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 5, 2024)

July 26, 2023 — 7 citations

Citations issued on July 26, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 10, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 1, 2023)
K-0233Install resident room doors of proper design and width.Deficient, Provider has date of correction (September 1, 2023)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (September 1, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 1, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 1, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 1, 2023)

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