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

ShorePointe Nursing Center

St. Clair Shores, MI · 200 certified beds · Last Life Safety survey April 16, 2025

CMS Certification Number 235443 · first certified October 1985

Ownership

Operated by OPTALIS HEALTH & REHABILITATION · For profit - Limited Liability company

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

36
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
20
Inspection & testing records
Of the citations on file

Position within MI

36 citations — more than 96% 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 14 citations; the earlier surveys in the window averaged 11. 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

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Which alerts

6 inspection-and-testing tags have 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

3 of the 36 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)

6 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 36 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility36MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility36
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
142022-1282024-03142025-04
Citations at each Life Safety survey
Survey dateCitations
December 9, 202214
March 14, 20248
April 16, 202514

Most-cited tags

Most-cited tags at this facility
K-07113K-03533K-09183K-05113K-02222K-07122K-09232K-05212
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0711Provide a written emergency evacuation plan.32025-04-16
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-04-16
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-04-16
K-0511Have properly installed electrical wiring and gas equipment.32025-04-16
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.22025-04-16
K-0712Have simulated fire drills held at unexpected times.22025-04-16
K-0923Have proper medical gas storage and administration areas.22025-04-16
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-04-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Miscellaneous Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Services Deficiencies 6
  • Other 9
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Miscellaneous Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies6
Services Deficiencies6
Egress Deficiencies6
Emergency Preparedness Deficiencies3

Every citation on file

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

April 16, 2025 — 14 citations

Citations issued on April 16, 2025
TagWhat the surveyor checksStatus
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 (May 13, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (May 13, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 13, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 13, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 13, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 13, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 13, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 13, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 13, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 13, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (May 13, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 13, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 13, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 13, 2025)

March 14, 2024 — 8 citations

Citations issued on March 14, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 22, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 22, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 22, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (April 22, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 22, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 22, 2024)

December 9, 2022 — 14 citations

Citations issued on December 9, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 17, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 17, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 22, 2023)
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 (January 17, 2023)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (January 17, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 22, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 22, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 17, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 17, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 17, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 17, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (January 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 17, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 17, 2023)

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