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.
Regency Manor, located in Sterling Heights, Michigan, operates as a 39-bed nursing home. The facility accepts Medicare, Medicaid, and private-pay residents and currently houses 73 residents, with 89% covered by Medicaid and an average length of stay of 280 days. It holds a 1-star overall CMS rating.
Registered nurses provide 1 hour 37 minutes of care per resident daily; 83% above Michigan’s 53-minute average and an exceptionally high RN presence. Licensed practical nurses, by contrast, deliver only 6 minutes per resident per day, 88% below the state average of 49 minutes. Certified nursing aides average 2 hours 30 minutes daily, marginally below the state average. Weekend nursing dips to 2 hours 44 minutes per day, 28% below the state standard of 3 hours 47 minutes.
The facility’s staff-to-resident ratio of 1.04:1 underperforms the Michigan average of 1.70:1 by 39 percentage points, despite operating 76 full-time and part-time staff.
Falls with major injury occurred in 0.0% of short-stay residents versus the state average of 0.8%. At discharge, 61.5% of residents achieved or surpassed expected self-care ability, compared to the state average of 53.7%. Successful return to home or community was documented at 59.1%, outperforming the state average of 50.6%. Preventive metrics are strong: zero urinary tract infections, pneumococcal vaccination at 95.2%, and influenza vaccination at 87.5%.
Emergency department visits average 2.53 per 1,000 resident days; 68% worse than the Michigan average of 1.51.
Hospitalization rates of 1.68 per 1,000 days exceed the state average of 1.38 by 22 percent. Antipsychotic medication use reaches 18.8%, substantially exceeding the state average of 7.9%.
Functional decline composite scores are 20.7, 29% above the Michigan average of 16.0.
Increased need for daily activity assistance was documented in 24.3% of long-stay residents, double the state average of 16.2%.
Regulatory history includes one $9,000 civil money penalty in September 2023 and one payment denial; a serious action halting Medicare and Medicaid admissions for a period.
Occupancy dropped 6.4 percentage points year-over-year to 55.2%, below the Michigan average of 75.8%.
The facility operates at a loss of $380.1K, with payroll representing 44.7% of revenue, below the 51–63% range sustainable operations typically require.
Regency Manor serves primarily long-term Medicaid residents and shows measurable strengths in short-term rehabilitation outcomes, particularly discharge self-care ability and successful community return.
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.
This home is ranked 128th out of 296 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.
| 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.
| 14m per day | ▼ 74% State avg: 53m 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.
| 38m per day | ▼ 22% State avg: 49m 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.
| 1h 50m per day | ▼ 32% State avg: 2h 41m per day · National avg: 2h 21m 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.
| 2h 28m per day | ▼ 35% State avg: 3h 47m 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.
| 4m per day | ▼ 23% State avg: 5m 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.
| 10m per day | ▼ 74% State avg: 38m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
39% fewer staff per resident than Michigan average
14% better than 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 2 RN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
81 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 10,589 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,300 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,757 | 91 | 99% | 10.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,394 | 67 | 73% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 906 | 67 | 73% | 7.4 |
| Dietitian | 2 | 0 | 2 | 730 | 66 | 72% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 729 | 69 | 75% | 7.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 566 | 71 | 77% | 8 |
| Registered Nurse | 2 | 0 | 2 | 566 | 64 | 70% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 522 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 503 | 61 | 66% | 8.2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 465 | 61 | 66% | 7.6 |
| Physical Therapy Assistant | 1 | 0 | 1 | 463 | 62 | 67% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 312 | 41 | 45% | 7.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 174 | 24 | 26% | 7.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 51 | 15 | 16% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 12 | 13% | 2.5 |
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)
In line with Michigan averageMichigan average: $80K
21% more fines than Michigan averageMichigan average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Michigan averageMichigan average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 23, 2023 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 23, 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.
10.5
21% worse than Michigan averageMichigan average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
29% worse than Michigan averageMichigan average: 16.0
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
24.3%
50% worse than Michigan averageMichigan average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
16.6%
In line with Michigan averageMichigan average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
35% worse than Michigan averageMichigan average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
9% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.9%
10% worse than Michigan averageMichigan average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percent of long-stay residents who lose too much weight
3.0%
14% better than Michigan averageMichigan average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.0%
30% better than Michigan averageMichigan average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
18.8%
139% worse than Michigan averageMichigan average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Michigan averageMichigan average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with Michigan averageMichigan average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.68
22% worse than Michigan averageMichigan average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.53
68% worse than Michigan averageMichigan average: 1.51
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
95.2%
5% better than Michigan averageMichigan average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
123% worse than Michigan averageMichigan average: 1.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.0%
10% better than Michigan averageMichigan average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.4%
17% worse than Michigan averageMichigan average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
61.5%
15% better than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.1%
17% 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.
29% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73Residents 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 Regency Manor from 2011–2023, based on CMS SNF Cost Reports.
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 #266 / 304Payroll — State benchmarkedThis home is ranked 266th out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas 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 Texas 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 #179 / 304Payroll % — State benchmarkedThis home is ranked 179th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas 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).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (40% of admissions), and a typical Medicaid stay runs around 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Regency Manor is located in Sterling Heights, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Regency Manor has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Regency Manor's occupancy is 55.2%.
Regency Manor is registered as a for-profit.
Yes — there are 11 photos of Regency Manor in the photo gallery on this page.
(509) 682-2551 will put you in contact with the team at Regency Manor.
Yes — Regency Manor is a CMS-certified provider of Medicare and Medicaid.
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