Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wesley Village during CMS and state inspections, most recent first.
The facility failed to maintain consistent temperature logs for dishwashers, freezers, and refrigerators across four kitchens, potentially affecting 48 residents. Missing logs were noted in December 2024, January 2025, and February 2025, with the Food Service Advisor and Dietary Manager acknowledging the oversight.
The facility failed to ensure proper PPE usage for a COVID-19 positive resident and did not adhere to Enhanced Barrier Precautions for residents with indwelling devices or wounds. A CNA entered a COVID-19 positive resident's room with only a surgical mask, and staff did not use gowns during high-contact care activities for residents under Enhanced Barrier Precautions.
A facility failed to notify the state mental health authority for reevaluation of a resident with significant changes in mental status. The resident, with a history of dementia and psychosis, exhibited worsening behaviors and delusions. Despite these changes, no new referral or reevaluation was documented, which the DON acknowledged should have occurred.
A resident was prescribed Quetiapine for depression without a documented rationale or appropriate diagnosis for its use. The resident's medical record included diagnoses of dementia and major depressive disorder, but no mental health diagnosis justifying the antipsychotic. Observations showed no behaviors supporting its use, and the DON confirmed the lack of clinical rationale. The facility pharmacist had not reviewed the medications, contributing to the deficiency.
A facility failed to ensure hospice documentation and communication were accessible for a resident receiving hospice care. The resident's medical record lacked essential hospice documents, and staff were unaware of the hospice provider. Interviews revealed a lack of awareness and access to hospice documentation, with the DON indicating that hospice residents should have a binder with required information, which was not present.
Failure to Maintain Kitchen Temperature Logs
Penalty
Summary
The facility failed to ensure safe and sanitary kitchen conditions, which could potentially lead to foodborne illnesses affecting 48 residents. During a tour of the facility's four kitchens, it was observed that the required temperature logs for dishwashers, freezers, and refrigerators were not consistently maintained. Specifically, in Kitchen 1, temperature logs were missing for 15 days in December 2024 and 14 days in January 2025. Kitchen 2 had missing logs for 2 days in January 2025. Kitchen 3 had missing logs for 6 days in December 2024, 10 days in January 2025, and 10 days in February 2025. Kitchen 4 had missing logs for 5 days in December 2024 and 1 day in January 2025. The Food Service Advisor and Dietary Manager acknowledged that the logs should have been completed three times daily as per the facility's protocol, but this was not done.
Failure to Adhere to PPE Protocols and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that required Personal Protective Equipment (PPE) was donned prior to entering the room of a COVID-19 positive resident. A Certified Nurse Assistant (CNA) entered and exited the room of a resident who was both COVID-19 and Influenza A positive, wearing only a surgical-style mask instead of the required N95 respirator. This occurred despite clear signage on the resident's door indicating the need for an N95 mask and other PPE. The CNA stated that the same PPE was used for all isolation rooms, regardless of the specific infection present. Additionally, the facility did not adhere to Enhanced Barrier Precautions for residents requiring such measures. A Certified Nurse Aid performed catheter care for a resident with an indwelling catheter, using only gloves instead of the required gown and gloves. Similarly, a Registered Nurse conducted wound care for another resident under Enhanced Barrier Precautions, also using only gloves. Both staff members later confirmed that they should have worn gowns during these procedures. These failures in infection control practices were observed during a survey and involved multiple staff members not following established protocols for PPE usage. The deficiencies were noted in the context of managing residents with COVID-19, Influenza A, and those requiring Enhanced Barrier Precautions due to indwelling medical devices or chronic wounds.
Failure to Notify State Mental Health Authority for Reevaluation
Penalty
Summary
The facility failed to notify the state mental health authority to reevaluate a resident with a significant change in mental status. The Preadmission Screening and Resident Review (PASRR) policy, which was reviewed and updated annually, did not include guidance for reevaluation when a resident experienced a significant change in condition. This oversight led to a failure in compliance with CMS regulations and state-specific PASRR guidelines. The resident in question, admitted from another Skilled Nursing Facility, had a history of unspecified dementia and later developed unspecified psychosis and anxiety disorder. Over time, the resident exhibited worsening behaviors, including physical and verbal symptoms, delusions, and paranoid thoughts. Despite these significant changes, there was no documentation of a new referral or reevaluation by the state mental health authority. The Director of Nursing acknowledged that the resident should have been reevaluated due to the change in behavior.
Lack of Justification for Antipsychotic Use in Resident
Penalty
Summary
The facility failed to provide a documented rationale or appropriate diagnosis for the use of an antipsychotic medication for one resident, identified as R101, out of five residents reviewed for unnecessary medications. R101's medical record indicated diagnoses of dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and major depressive disorder, single episode. However, there was no documented mental health diagnosis justifying the use of Quetiapine, an antipsychotic medication, which was prescribed for depression. The resident was admitted with an order for Quetiapine 25 mg for depression, and the care plan included monitoring for side effects and effectiveness, with pharmacy reviews and recommendations to be conducted monthly. During observations conducted over several days, R101 exhibited no behaviors that would support the use of an antipsychotic medication. The resident was described as pleasant, cooperative, and denied having any psychological issues. The Director of Nursing confirmed that the diagnosis of depression was not a clinical rationale for the use of Quetiapine. Additionally, the facility pharmacist had not yet reviewed R101's medications, which contributed to the deficiency in ensuring appropriate use of psychotropic medications.
Lack of Hospice Documentation and Communication
Penalty
Summary
The facility failed to ensure that the hospice's coordinated communication and required documents were available and accessible to the facility staff, affecting one resident reviewed for hospice care management. The nursing facility's contract with the hospice provider outlined specific documentation that should be provided to the facility upon admission and ongoing, including the hospice plan of care, election form, physician certification of terminal illness, medication information, physician orders, clinical notes, and contact information for hospice personnel. However, the medical record of the resident admitted to hospice services lacked these essential documents, and there was no hospice sticker or tab in the resident's chart to indicate hospice care. Interviews with facility staff revealed a lack of awareness and access to hospice documentation. A registered nurse confirmed the absence of hospice documentation in the resident's medical record and was unaware of the hospice company providing care. Another nurse stated that the facility does not keep hospice documentation. The Director of Nursing indicated that hospice residents should have a binder with all required information available on the unit, but this was not the case for the resident in question. The deficiency highlights a breakdown in communication and documentation processes between the facility and the hospice provider.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 23 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Macomb
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elms, The | 0.3 mi | — | 1 | 0 |
| Macomb Post Acute Care Center | 0.4 mi | — | 0 | 0 |
| Countryside Care Center | 1.1 mi | — | 18 | 0 |
| Goldwater Care Roseville | 15.2 mi | — | 4 | 1 |
| Rushville Nursing & Rehab Ctr | 23.3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Wesley Village.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.