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Best Nursing Homes in Troy, MI

Why trust this guide? Our editorial team analyzed 4 nursing homes in Troy, MI using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MI
Reviewed by
Jordan Weiss, PhD
Last updated
We analyzed These are the facilities in Troy, MI our team has analyzed — not a count of every nursing home provider in Troy, MI.
4 homes
Other senior care options in Troy:
Assisted Living Memory Care Independent Living

Video Tour: Top-rated Nursing Homes facilities in Troy, Michigan.

Watch this Video to see Troy's Top-rated Senior Communities
Avg Overall CMS Rating: 1.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Troy, MI. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in Troy, MI. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 1.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Troy, MI. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Troy

Info below is compiled from CMS reports & the MI Licensing & Regulatory Affairs (LARA), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Michigan average is: 59.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Optalis Health & Rehabilitation of Troy ★ ★ ☆ ☆ ☆
NH
AL
IL
MC
RC
SNF
Troy
160
Facility 160
MI AVG 74
Rank #21 / 428
73.8%
Facility 73.8%
MI AVG 76.7
Rank #71 / 105
-4%
3.52
Facility 3.52
MI AVG 4.30
Rank #112 / 129
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -50%-18%
$389.0k
Facility $389.0k
MI AVG $87.6k
Rank #129 / 129
83
Facility 83
MI AVG 33.5
Rank #127 / 128
5.5
Facility 5.5
MI AVG 5.2
Rank #79 / 128
10118-
18
Facility 18
MI AVG 40
Rank #537 / 674
Luke Garrison$12.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.55.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.235626
Regency at Troy ★ ☆ ☆ ☆ ☆
NH
HOS
PC
RC
SNF
Troy
154
Facility 154
MI AVG 74
Rank #26 / 428
87.9%
Facility 87.9%
MI AVG 76.7
Rank #42 / 105
+15%
4.02
Facility 4.02
MI AVG 4.30
Rank #63 / 129
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -37%-6%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
29
Facility 29
MI AVG 33.5
Rank #63 / 128
4.8
Facility 4.8
MI AVG 5.2
Rank #63 / 128
1135-
57
Facility 57
MI AVG 40
Rank #156 / 674
----235733
Pomeroy Living Rochester Skilled Nursing & Rehabilitation Services ★ ☆ ☆ ☆ ☆
NH
AL
HOS
IL
MC
PC
RC
SNF
Rochester Hills
126
Facility 126
MI AVG 74
Rank #62 / 428
68.4%
Facility 68.4%
MI AVG 76.7
Rank #76 / 105
-11%
4.26
Facility 4.26
MI AVG 4.30
Rank #41 / 129
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -73%-1%
$115.4k
Facility $115.4k
MI AVG $87.6k
Rank #118 / 129
69
Facility 69
MI AVG 33.5
Rank #120 / 128
7.7
Facility 7.7
MI AVG 5.2
Rank #111 / 128
586-
4
Facility 4
MI AVG 40
Rank #648 / 674
Fifteeninone Corporate Group Inc
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
MI AVG $13.2M
Rank #107 / 120
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MI AVG $7.7M
Rank #111 / 120
52.5%Fiscal year ending 12/2023
Facility 52.5%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #79 / 120
235036

Rank badges are statewide: each community is ranked against every MI community we track that reports that metric, not just the 4 analyzed for Troy.

Nursing Home Explorer
Exterior view of Optalis Health & Rehabilitation building
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Overview of Optalis Health & Rehabilitation of Troy
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Optalis Health & Rehabilitation of Troy is a nursing home in Troy, MI, offering hospice care, rehabilitation, respite care, and skilled nursing. Promoting a nurturing and welcoming environment, the community ensures older adults have a comfortable stay. Well-balanced meals, housekeeping, and laundry services are also provided to help residents focus on their recovery. Through a person-centered approach to care, residents also receive the best possible care tailored to their unique needs and habits.

Bingo, chair exercises, and visits foster interactions and encourage residents to stay active. Cozy lounges, a state-of-the-art rehabilitation gym, and lively activity areas also ensure residents can relax and move around comfortably. Residents also experience a laid-back retirement, as it is conveniently located in the tree-lined residential area of Troy. As one of the trusted options for senior living in Michigan, this nursing home ensures older adults can thrive in retirement.

Phone: (248) 729-4400

Contact Optalis Health & Rehabilitation of Troy

Regency at Troy
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Overview of Regency at Troy

Regency at Troy is a nursing home in Troy, MI, offering rehabilitation and skilled nursing. Here, older adults experience the utmost comfort, especially with a nurturing, home-like setting. With restaurant-style dining, transportation, and comprehensive therapy programs, residents receive high-quality services dedicated to their recovery and wellness. Along with a multidisciplinary care team, personalized care plans are also provided to meet residents’ unique needs and preferences.

Stretching exercises, social events, and a happy hour ensure residents can explore interests and gain meaningful experiences. Top-notch rehabilitation equipment, spacious common areas, and a salon are among the many amenities that aim to help residents focus on their rehabilitation and relaxation. This nursing home has exceptional standards of care for older adults’ welfare, making it a good option for senior living in Michigan.

Phone: (248) 965-7900

Contact Regency at Troy

Front exterior of the nursing facility with flag and landscaping
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Overview of Pomeroy Living Rochester Skilled Nursing & Rehabilitation Services
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Pomeroy Living Rochester Skilled Nursing & Rehabilitation Services is a nursing home in Rochester Hills, MI, offering rehabilitation and skilled nursing. Promoting a comfortable and nurturing environment, the community ensures older adults are treated well throughout their stay. Exceptional services, including household services, nutritious meals, and therapies seven days a week, are also provided, so residents have a maintenance-free lifestyle. Through care plans tailored to residents’ unique needs and habits, the community doubles its efforts to help them return to their routines.

Light exercises, social events, and enrichment activities foster engagement and encourage residents to stay active. A bistro, spacious gathering areas, and cozy rooms also ensure residents can relax and connect with their surroundings. Residents also experience a laid-back retirement, as it is located in the tree-lined residential area of Rochester Hills. This nursing home is a trusted option for senior living in Michigan, especially with its high standards of care dedicated to older adults’ wellness.

Email: info@pomeroyliving.com
Phone: (248) 852-7800

Contact Pomeroy Living Rochester Skilled Nursing & Rehabilitation Services

Exterior view of Stratford House facility entrance
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Overview of Stratford House
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Tucked away in the peaceful setting of Troy, MI, Stratford House is a quaint and intimate senior living community that provides excellent assisted living and memory care services. The community guarantees a comfortable living environment to its residents with its advanced safety and security measures and professional care team available 24 hours a day and 7 days a week. Bright and spacious living spaces are offered to make sure residents enjoy their privacy and rest with utmost comfort and peace of mind.

Offering a strong commitment to the health and wellness of its residents, the community also offers a vibrant array of activities to keep residents engaged and happy. Residents also enjoy three wholesome meals with replenishing snacks in between to keep them energized throughout the day. At Stratford House, residents can comfortably enjoy their retirement within an environment that nurtures their whole well-being.

Phone: (586) 909-7600

Contact Stratford House

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Troy, MI

What's the difference between assisted living and a nursing home in Michigan?

Assisted living in Michigan is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Michigan Medicaid cover nursing home care?

Yes — Michigan Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 4 nursing homes in Troy, MI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Troy, MI?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Troy, MI, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Troy, MI?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

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