4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Beaumont Commons – Farmington Hills, located at 21450 Archwood Circle in Farmington Hills, Oakland County, Michigan, is a 179-bed community operated by nonprofit Botsford General Hospital. The 33-acre setting provides independent living, assisted living, and skilled nursing services to a mixed census spanning both short-term Medicare rehabilitation (typical 26-day stay) and long-term Medicaid placements (averaging two years). Medicare and Medicaid certified.
Nursing personnel deliver 4 hours 24 minutes of care per resident daily, marginally above the Michigan average and ranked 38th among 133 state facilities. The nursing roster comprises 20 registered nurses, 38 licensed practical nurses, and 75 certified nursing assistants. A 2.0-to-1 overall staff-to-resident ratio outperforms the Michigan average by 18%, reflecting the nonprofit commitment to direct-care staffing: payroll consumes 78% of revenue, the third-highest proportion in the state.
Health inspection performance runs 29.3% below Michigan average; the weaker component of the overall rating, which stands 4.4% below state average. Quality measures rank 33% above state average, and staffing rates 14.4% above. In 2023, CMS imposed a single $16,000 civil money penalty for regulatory violation; zero payment denials have been assessed.
High-risk clinical events score 4.7, 44% better than Michigan average; and functional decline score 8.4, 49% better than state baseline. Residents record below-average rates of falls with injury, pressure ulcers, weight loss, and depression. Infection control and antipsychotic restraint show less favorable profiles. Vaccination rates are generally strong, though pneumococcal vaccine uptake lags state average.
Current occupancy is 40.8% and substantially below the Michigan average of 75.8%; housing 87 of 179 licensed beds. Resident census breaks down as 57.5% Medicaid, 31% Medicare, 11.5% private pay. The facility has operated at a significant operating deficit since 2020.
Beaumont Commons serves long-term nursing care candidates, particularly Medicaid-eligible residents. Strong clinical and functional preservation metrics offset lower census and recent federal penalty, though financial pressures and health inspection concerns temper the overall profile.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Michigan averages
Total nursing care
This home is ranked 32nd out of 126 homes in Michigan for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 24m
At state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
All 6 underlying metrics are above the state average
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
18% more staff per resident than Michigan average
0% compared with Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 19 full-time employees and 1 contractor.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 38 LPN Staff are full-time employees. No contractors work on this role.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
75 total: 60 full-time employees and 15 contractors.
75
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,512 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 15 | 75 | 22,789 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 38 | 0 | 38 | 9,771 | 92 | 100% | 8.3 |
| Registered Nurse | 19 | 1 | 20 | 6,431 | 92 | 100% | 8.5 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,953 | 80 | 87% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,602 | 88 | 96% | 8.4 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 1,566 | 76 | 83% | 5.9 |
| Mental Health Service Worker | 2 | 2 | 4 | 1,295 | 69 | 75% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,047 | 66 | 72% | 8.7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 869 | 73 | 79% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 525 | 73 | 79% | 5.9 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Dietitian | 1 | 0 | 1 | 452 | 57 | 62% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 440 | 55 | 60% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 56 | 6 | 7% | 9.4 |
| Qualified Social Worker | 0 | 1 | 1 | 50 | 13 | 14% | 3.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 44 | 15 | 16% | 2.9 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
80% lower than Michigan averageMichigan average: $76K
51% fewer fines than Michigan averageMichigan average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Michigan averageMichigan average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 24, 2023 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 24, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
44% better than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.4
49% better than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
5.8%
54% better than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
4.9%
68% better than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.5%
31% better than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
64% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.9%
15% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
3.6%
110% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
6.7%
19% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.2%
68% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
21.5%
44% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
8% worse than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
In line with Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
41% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
14% better than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Beaumont Commons – Farmington Hills from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #36 / 120Payroll costs — State benchmarkedThis home is ranked 36th out of 120 homes in Michigan. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Michigan average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #7 / 120Payroll % of net patient revenue — State benchmarkedThis home is ranked 7th out of 120 homes in Michigan. Shows payroll as a percentage of net patient revenue versus the Michigan average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Housekeeping Services
Social and Recreational Activities
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.4 miles from city center
Estimated distance in miles from Farmington Hills's city center to Beaumont Commons – Farmington Hills's address, calculated via Google Maps.
Add your location
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.
| Chelsea Retirement Community | NH AL IL MC SNF | Chelsea | 172
Facility
172
MI AVG
74
Rank
#18 / 429 |
48.3%
Facility
48.3%
MI AVG
74.4
Rank
#103 / 117 | -35% | 4.49
Facility
4.49
MI AVG
4.30
Rank
#29 / 126 | -12% | +5% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 129 | 14
Facility
14
MI AVG
33.5
Rank
#20 / 128 | 3.5
Facility
3.5
MI AVG
5.2
Rank
#33 / 128 | - | 83 | - |
13
Facility
13
MI AVG
40
Rank
#578 / 676 | Umrcph, Inc | $36.6MFiscal year ending 06/2024
Facility
$36.6MFiscal year ending 06/2024
MI AVG
$13.2M
Rank
#1 / 120 | $19.8MFiscal year ending 06/2024
Facility
$19.8MFiscal year ending 06/2024
MI AVG
$7.7M
Rank
#2 / 120 | 54.3%Fiscal year ending 06/2024
Facility
54.3%Fiscal year ending 06/2024
MI AVG
59.2%
Rank
#68 / 120 | 235021 | ||||
| Lourdes Senior Community | NH AL HOS IL MC SNF | Waterford Twp (Watkins-Pontiac Estates) | 80
Facility
80
MI AVG
74
Rank
#176 / 429 |
88.0%
Facility
88.0%
MI AVG
74.4
Rank
#45 / 117 | +18% | 4.06
Facility
4.06
MI AVG
4.30
Rank
#50 / 126 | +37% | -5% | $15.6k
Facility
$15.6k
MI AVG
$87.6k
Rank
#81 / 129 | 11
Facility
11
MI AVG
33.5
Rank
#15 / 128 | 3.7
Facility
3.7
MI AVG
5.2
Rank
#36 / 128 | 1 | 70 | - |
8
Facility
8
MI AVG
40
Rank
#617 / 676 | Richard Acho | $10.9MFiscal year ending 12/2023
Facility
$10.9MFiscal year ending 12/2023
MI AVG
$13.2M
Rank
#67 / 120 | $5.6MFiscal year ending 12/2023
Facility
$5.6MFiscal year ending 12/2023
MI AVG
$7.7M
Rank
#82 / 120 | 51.7%Fiscal year ending 12/2023
Facility
51.7%Fiscal year ending 12/2023
MI AVG
59.2%
Rank
#86 / 120 | 235252 | ||||
| Michigan Masonic Home | NH AL IL MC PC RC SNF | Alma | 124
Facility
124
MI AVG
74
Rank
#66 / 429 |
51.6%
Facility
51.6%
MI AVG
74.4
Rank
#98 / 117 | -31% | 3.86
Facility
3.86
MI AVG
4.30
Rank
#67 / 126 | +123% | -10% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 129 | 9
Facility
9
MI AVG
33.5
Rank
#10 / 128 | 3.0
Facility
3.0
MI AVG
5.2
Rank
#16 / 128 | - | 64 | A+ |
67
Facility
67
MI AVG
40
Rank
#88 / 676 | Michigan Masonic Home | $21.6MFiscal year ending 03/2024
Facility
$21.6MFiscal year ending 03/2024
MI AVG
$13.2M
Rank
#15 / 120 | $14.8MFiscal year ending 03/2024
Facility
$14.8MFiscal year ending 03/2024
MI AVG
$7.7M
Rank
#8 / 120 | 68.4%Fiscal year ending 03/2024
Facility
68.4%Fiscal year ending 03/2024
MI AVG
59.2%
Rank
#17 / 120 | 235020 | ||||
| The Willows at Howell | NH ADC AL IL MC SNF | Howell | 39
Facility
39
MI AVG
74
Rank
#293 / 429 | - | - | 3.73
Facility
3.73
MI AVG
4.30
Rank
#96 / 126 | +87% | -13% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 129 | 20
Facility
20
MI AVG
33.5
Rank
#37 / 128 | 4.0
Facility
4.0
MI AVG
5.2
Rank
#40 / 128 | - | 55 | - |
78
Facility
78
MI AVG
40
Rank
#36 / 676 | Jamie Scott | $13.1MFiscal year ending 12/2023
Facility
$13.1MFiscal year ending 12/2023
MI AVG
$13.2M
Rank
#46 / 120 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
MI AVG
$7.7M
Rank
#54 / 120 | 53.3%Fiscal year ending 12/2023
Facility
53.3%Fiscal year ending 12/2023
MI AVG
59.2%
Rank
#72 / 120 | 235707 | ||||
| Beaumont Commons – Farmington Hills | NH IL SNF | Farmington Hills (Botsford Commons Senior Community) | 179
Facility
179
MI AVG
74
Rank
#15 / 429 |
56.1%
Facility
56.1%
MI AVG
74.4
Rank
#92 / 117 | -25% | 4.40
Facility
4.40
MI AVG
4.30
Rank
#32 / 126 | +13% | +2% | $15.6k
Facility
$15.6k
MI AVG
$87.6k
Rank
#81 / 129 | 54
Facility
54
MI AVG
33.5
Rank
#106 / 128 | 7.7
Facility
7.7
MI AVG
5.2
Rank
#111 / 128 | 3 | 101 | - |
24
Facility
24
MI AVG
40
Rank
#484 / 676 | Botsford General Hospital | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
MI AVG
$13.2M
Rank
#77 / 120 | $9.0MFiscal year ending 12/2023
Facility
$9.0MFiscal year ending 12/2023
MI AVG
$7.7M
Rank
#36 / 120 | 88.8%Fiscal year ending 12/2023
Facility
88.8%Fiscal year ending 12/2023
MI AVG
59.2%
Rank
#7 / 120 | 235462 |
Beaumont Commons – Farmington Hills is in the Botsford Commons Senior Community neighborhood.
Beaumont Commons – Farmington Hills has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Beaumont Commons – Farmington Hills's occupancy is 40.8%.
Yes, Beaumont Commons – Farmington Hills allows residents to bring their pets.
Beaumont Commons – Farmington Hills is registered as a non-profit.
Yes — there are 4 photos of Beaumont Commons – Farmington Hills in the photo gallery on this page.
Beaumont Commons – Farmington Hills is located at 21450 Archwood Cir, Farmington Hills, MI 48336.
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