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Nursing HomeMedicaid

The Villa at City Center

Strong Medicare quality ratings; families often praise clean environment. Still worth an in-person visit.

11700 East Ten Mile Road, Warren, MI 48089152 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
1.6/5

based on 5 Google reviews

5
4
3
2
1
The Villa at City Center Nursing Home in Warren, MI — Street View
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What this means for your family

The recent reports of staff neglect and physical roughness during end-of-life care are deeply concerning and should be investigated immediately. If you consider this facility, you must ask for specific details regarding night shift supervision and protocols for patient dignity.

Google Reviews

Google Reviews

5 reviews on Google
Families should exercise extreme caution as recent reviews report severe issues with staff professionalism and patient dignity, specifically regarding night shift neglect and physical roughness. While one reviewer noted the facility is clean and walkable, multiple others describe unacceptable levels of care and poor nutrition.

Quality Themes

Tap a score for details
Food1.0Staff1.0Clean4.0ActivitiesN/AMeds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Clean environment
  • Walkable location

Concerns

  • Unprofessional and neglectful night staff
  • Poor food quality and nutrition
  • Lack of respect and dignity in patient handling

Rating Trends

Tap a year to see what changed

2344.02025(1)1.02026(4)

Distribution · 5 analyzed

5
0
4
1
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1What specific steps has the facility taken recently to improve staffing levels and ensure consistent care for the residents?
  • 2How do you manage medical emergencies or sudden changes in health during the overnight hours?
  • 3Can you tell me more about the types of daily activities or social outings organized to keep residents engaged with the local community?
  • 4With the recent focus on improving health inspection outcomes, what new protocols have been implemented to address previous state violations?
  • 5How does the team work together to ensure that the care plan is followed accurately and consistently throughout every shift?
  • 6What is the process for families to communicate feedback or concerns to the administration to ensure they are addressed promptly?

Personalized based on this facility's data


Key Review Excerpts

One night nurse in specific poked at my actively dying mother until she "woke up" to give her morphine that nobody else woke her for. Then picked up my mom's arm and slammed it down on the bed and made her cry.

Hospice patient's family · 2026☆☆☆☆

The employees treat the patients horrible. The place needs to be shut down! Nobody going to get better there because they are not getting any type of good nutrition the food is the worst food possible.

Patient's family member · 2026☆☆☆☆

Extremely clean and walkable

Local Guide · 2025★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
3.55hrs
87%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
22%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
14.4%
MI
11.2%
Macomb
11.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.0%
Worse than Avg
Here
23.0%
US
15.4%
MI
15.0%
Macomb
16.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
19.4%
MI
20.2%
Macomb
20.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.6%
Mixed vs Avgs
Here
8.6%
US
12.1%
MI
4.2%
Macomb
3.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
MI
95.2%
Macomb
95.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
95.5%
MI
95.0%
Macomb
93.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.9%
Better than Avg
Here
81.9%
US
79.7%
MI
79.5%
Macomb
77.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.8%
Worse than Avg
Here
79.8%
US
81.8%
MI
83.0%
Macomb
80.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
MI
1.2%
Macomb
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
5penalties
Near state avg (9.8)
12 complaint-triggered
$8,454 in fines

This facility shows concerning patterns with multiple families filing reports that triggered inspections, revealing recurring issues with resident rights, care quality, and dietary services. Key problems include failures to properly notify families of resident changes, inadequate wound care, and persistent food safety violations appearing across multiple surveys from 2022 through 2025. While all deficiencies show correction dates, the repeat violations suggest ongoing systemic challenges that warrant careful consideration before placement.

Mar 12, 2026Routine
7
0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jan 8, 2025Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

Aug 15, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 31, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 25, 2023Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 25, 2023Complaint
8
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Federal Penalties

Fine

Nov 20, 2023

$2,117

Fine

Nov 13, 2023

$1,764

Fine

Nov 6, 2023

$1,411

Fine

Oct 30, 2023

$1,764

Fine

Oct 10, 2023

$1,398

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Villa at City Center

Organization Type

for profit

Chain Affiliation

Chain Name

Villa Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.6/5 · Rank 6 of 18

Ownership & Management

Owners

Omnia Opco Holdings LLC

Owner · Organization

100%

Berger, Menachem

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Israel, Benjamin

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kroll, Gabriel

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Nagel, Steven

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Stern, Todd

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Aaron, JonathanOfficer / DirectorAaron, JonathanManagerBaumol, YehoshuaManagerGraf, MarcellaManagerOwusu-Ansah, KwadwoManager
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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