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 assisted living residence (96 vs. MI avg 8).↑ 1100% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 32 | 2.7 | This facility has 1085% more deficiencies per year than a typical Michigan assisted living residence (32 vs. MI avg 2.7).↑ 1085% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.4 | 1.6 | This facility has 300% more deficiencies per inspection than a typical Michigan assisted living residence (6.4 vs. MI avg 1.6).↑ 300% worse |
Inspections
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 5 | This facility has 200% more total inspections than a typical Michigan assisted living residence (15 vs. MI avg 5).↑ 200% worse |
State average N/A
Last Health inspection on Oct 2025
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
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 State averageState average: $76K
48% more fines than State averageState 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 State averageState 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 State averageState average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.7
52% worse than State averageState 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 State averageState average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
28.5%
86% worse than State averageState average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
In line with State averageState average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
35% worse than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.6%
66% worse than State averageState average: 5.7%
Percent of long-stay residents with a urinary tract infection
5.1%
204% worse than State averageState average: 1.7%
Percent of long-stay residents who lose too much weight
10.3%
82% worse than State averageState average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.8%
In line with State averageState average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.2%
22% worse than State averageState average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.3%
10% worse than State averageState average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.9%
23% worse than State averageState average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.45
17% better than State averageState average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
49% better than State averageState 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 State averageState average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
26% better than State averageState average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.7%
46% worse than State averageState average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.3%
12% better than State averageState average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.5%
35% better than State averageState average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
55% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.0%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.2%
15% better than State averageState 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.
Rank #15 / 143Payroll — State benchmarkedThis home is ranked 15th out of 143 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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 #62 / 143Payroll % — State benchmarkedThis home is ranked 62nd out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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).
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
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Chelsea Retirement Community | NH AL IL MC SNF | Chelsea | - | 172 | - | 13 | Studio / 1 Bed / 2 Bed / Cottage |
| Lourdes Senior Community | NH AL HOS IL MC SNF | Waterford Twp (Watkins-Pontiac Estates) | - | 80 | - | 8 | Studio / 1 Bed / 2 Bed |
| Iron County Medical Care Facility | NH AL MC SNF | Crystal Falls (Us 2) | - | 200 | A+ | 11 | Private Rooms |
| Canterbury-on-the-Lake | NH AL HOS IL MC SNF | Waterford Twp (Waterford Township) | - | 128 | A+ | 22 | Studio / 1 Bed / 2 Bed |
| Majestic Care of Flushing Assisted Living | NH AL | Flushing | - | 40 | A+ | 5 | Studio |
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 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.
Canterbury-on-the-Lake is located at 5601 Hatchery Rd, Waterford Twp, MI 48329.
(248) 674-9292 will put you in contact with the team at Canterbury-on-the-Lake.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
