1/5
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.
1/5
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.
Set on 40 acres of lush and wooded area in Oakland County, Waterford, MI, Canterbury-On-The-Lake is a thriving senior living community that offers various living options, including independent living, assisted living, memory care, and skilled nursing. The community offers a wide variety of beautifully designed residential options with bright, sunny interiors, fully equipped kitchen, and other modern conveniences. Residents receive the extra help they need – when they need it with a dedicated team available to lend a helping hand 24/7.
Residents live a vibrant and fulfilling life, thanks to the community’s wide variety of life-enriching activities, events, and classes. The community also offers a broad array of convenient amenities, including an art studio, business center, outdoor entertainment spaces, and beautiful gardens, walking paths, and a covered lakeside pavilion with seating for a peaceful alone time. Here, residents enjoy delicious, fresh, healthy, restaurant-style meals with multiple menu options in the beautifully appointed Orchid Dining Room, guaranteeing residents eat healthy and always feel energized to lead an active lifestyle.
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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 21m per day | ▼ 55% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 21m per day | ▲ 52% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 5m per day | ▼ 13% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 15m per day | ▼ 7% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 9m per day | ▲ 127% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 12m per day | ▼ 57% State avg: 29m per day · National avg: 28m per day |
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.
Key information about the people who lead and staff this community.
In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 96 | 8 | This facility has 1100% more total deficiencies than a typical Michigan nursing home (96 vs. MI avg 8).↑ 1100% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.4 | 1.6 | This facility has 300% more deficiencies per inspection than a typical Michigan nursing home (6.4 vs. MI avg 1.6).↑ 300% worse |
Inspections
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 15 | 5 | This facility has had 200% more total inspections than the Michigan average (15 vs. MI avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↑ 200% more |
State average 6.5
Last Health inspection on Oct 2025
State average 33.5
State average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 78 citations resulted from standard inspections; 27 of 78 resulted from complaint investigations; and 16 of 78 came from combined inspections (standard and complaint).
100% better than State averageState average: 0.3
216% worse than State averageState average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with 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.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
63 total: 39 full-time employees and 24 contractors.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 76 CNA Staff are full-time employees. No contractors work on this role.
76
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
725 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 76 | 0 | 76 | 20,649 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 39 | 24 | 63 | 12,678 | 92 | 100% | 9.6 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,278 | 84 | 91% | 7.7 |
| Clinical Nurse Specialist | 6 | 2 | 8 | 1,617 | 74 | 80% | 7.9 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 1,498 | 87 | 95% | 7 |
| Physical Therapy Assistant | 9 | 0 | 9 | 1,410 | 91 | 99% | 6.3 |
| Registered Nurse | 9 | 0 | 9 | 992 | 67 | 73% | 10.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 892 | 65 | 71% | 7.7 |
| Nurse Practitioner | 2 | 1 | 3 | 848 | 66 | 72% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 764 | 75 | 82% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 649 | 62 | 67% | 7.8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 496 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Dietitian | 1 | 0 | 1 | 455 | 58 | 63% | 7.8 |
| Qualified Social Worker | 4 | 0 | 4 | 193 | 63 | 68% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 3 | 3% | 10.3 |
| Medical Director | 0 | 1 | 1 | 14 | 14 | 15% | 1 |
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)
65% higher than Michigan averageMichigan average: $76K
48% more fines than Michigan averageMichigan average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
137% more payment denials than Michigan averageMichigan average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 7, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 7, 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.
15.5
85% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.7
52% worse than Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.1%
101% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
28.5%
86% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
In line with Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
35% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.6%
66% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
5.1%
204% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
10.3%
82% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.8%
In line with Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.2%
22% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.3%
10% worse than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.9%
23% worse than Michigan averageMichigan average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.45
17% better than Michigan averageMichigan average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
49% better than Michigan averageMichigan average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
63.0%
24% worse than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
26% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.7%
46% worse than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.3%
12% better than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.5%
35% better than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
55% worse than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.0%
In line with Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.2%
15% better than Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
116Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Canterbury-on-the-Lake from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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.
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.
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: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
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 (53% of admissions), and a typical private pay stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Waterford Twp's city center to Canterbury-on-the-Lake'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 / 430 |
48.3%
Facility
48.3%
MI AVG
74
Rank
#104 / 119 | -35% | 4.49 | -12% | +5% | $0 | 14 | 3.5 | - | 83 | - |
13
Facility
13
MI AVG
39
Rank
#582 / 703 | Umrcph, Inc | $36.6MFiscal year ending 06/2024 | $19.8MFiscal year ending 06/2024 | 54.3%Fiscal year ending 06/2024 | 235021 | ||||
| Lourdes Senior Community | NH AL HOS IL MC SNF | Waterford Twp (Watkins-Pontiac Estates) | 80
Facility
80
MI AVG
74
Rank
#176 / 430 |
88.0%
Facility
88.0%
MI AVG
74
Rank
#46 / 119 | +19% | 4.06 | +37% | -5% | $15.6k | 11 | 3.7 | 1 | 70 | - |
8
Facility
8
MI AVG
39
Rank
#621 / 703 | Richard Acho | $10.9MFiscal year ending 12/2023 | $5.6MFiscal year ending 12/2023 | 51.7%Fiscal year ending 12/2023 | 235252 | ||||
| Michigan Masonic Home | NH AL IL MC PC RC SNF | Alma | 124
Facility
124
MI AVG
74
Rank
#66 / 430 |
51.6%
Facility
51.6%
MI AVG
74
Rank
#99 / 119 | -30% | 3.86 | +123% | -10% | $0 | 9 | 3.0 | - | 64 | A+ |
67
Facility
67
MI AVG
39
Rank
#88 / 703 | Michigan Masonic Home | $21.6MFiscal year ending 03/2024 | $14.8MFiscal year ending 03/2024 | 68.4%Fiscal year ending 03/2024 | 235020 | ||||
| Bay Bluffs Emmet County Medical Care Facility | NH HOS MC SNF | Harbor Springs | 120
Facility
120
MI AVG
74
Rank
#71 / 430 |
59.5%
Facility
59.5%
MI AVG
74
Rank
#91 / 119 | -20% | 6.16 | +72% | +43% | $0 | 12 | 3.0 | - | 71 | - |
29
Facility
29
MI AVG
39
Rank
#438 / 703 | County Of Emmet | $9.2MFiscal year ending 12/2023 | $9.4MFiscal year ending 12/2023 | 102.2%Fiscal year ending 12/2023 | 235033 | ||||
| Canterbury-on-the-Lake | NH AL HOS IL MC SNF | Waterford Twp (Waterford Township) | 128
Facility
128
MI AVG
74
Rank
#59 / 430 | - | - | 3.97 | -57% | -8% | $97.9k | 78 | 5.6 | 6 | 16 | A+ |
22
Facility
22
MI AVG
39
Rank
#508 / 703 | Leigh Mcleod | $20.8MFiscal year ending 06/2024 | $11.2MFiscal year ending 06/2024 | 53.9%Fiscal year ending 06/2024 | 235555 |
Canterbury-on-the-Lake is in the Waterford Township neighborhood of Waterford Twp.
Canterbury-on-the-Lake has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
Canterbury-on-the-Lake's occupancy is 77.9%.
Canterbury-on-the-Lake has been operating for approximately 31 years, based on available licensing and registration records.
Yes, Canterbury-on-the-Lake allows residents to bring their pets.
Canterbury-on-the-Lake is registered as a for-profit in MI.
Yes — there are 18 photos of Canterbury-on-the-Lake in the photo gallery on this page.
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