Nursing homeActive
Four Chaplains Nursing Care Center
28349 Joy Rd, Westland, MI 48185734261950096 certified beds · 89 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
20
● 0● 19● 1
Penalties · 3 yrs
$45,126
1 fine
Last survey
2026-02-13
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-13 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-09-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-25 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-01-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-18 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-02Record 235467-20260213-F641
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-02Record 235467-20260213-F686
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-02Record 235467-20260213-F759
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F641
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F646
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F686
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F687
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 235467-20241205-F812
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 235467-20240905-F558
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-08Record 235467-20240626-F686
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-26Record 235467-20240125-F803
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-22Record 235467-20240109-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F656
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F691
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F693
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F697
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 235467-20231018-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-01-09 | Civil money penalty | $45,126 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.62
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day3.53
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.25
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover47%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover50%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.7% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.6% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 9.0% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.7% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.7% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Branscum, James Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | — | — |
| Robin Eisenberg 2014 Family Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | — | — |
| Wronski, Frank Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | — | — |
| Nexcare Health Systems, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Perry, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Branscum, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Branscum, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Eisenberg, Leo Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Eisenberg, Leo Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mallet, Deborah Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Sangster, Todd Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wronski, Frank Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wronski, Frank Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Nexcare Health Systems — 20 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Wayne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Fountain Bleu Health and Rehabilitation Center Livonia | 1.1 mi | 2025-12-03 | 082 |
| Optalis Health and Rehabilitation of Dearborn Heig Dearborn Heights | 2.4 mi | 2026-04-30 | 0313 |
| Regency at Livonia Livonia | 2.7 mi | 2026-03-03 | 0301 |
| Majestic Care of Livonia Livonia | 3.7 mi | 2026-02-26 | 1404 |
| The Orchards at Redford Redford | 4.9 mi | 2026-04-09 | 0370 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |