5/5
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.
5/5
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.
Renaissance Gardens at Fox Run is a 200-bed skilled nursing and assisted living community at 41215 Fox Run Road in Novi, Oakland County, Michigan, operated by Fox Run Village, Inc., a non-profit continuing care retirement community. Medicare and private pay are accepted, with most residents coming for short-term stays averaging 51 days.
The facility is graded 4 stars by CMS, 12.7 percent above Michigan average, with staffing as the defining strength: nurse hours reach 5h 42m per resident per day, 34 percent above state average and ranked 7th out of 133 Michigan skilled nursing facilities. Across 4 inspections since 2023, the facility totaled 23 citations, all moderate in severity with no critical or serious findings, and six small federal fines totaling $14,000 issued in September 2023, with no payment denials. Recurring deficiencies in tuberculosis screening compliance and medication documentation have been noted across multiple inspection cycles. The community currently has substantial availability at 14 percent occupancy, well below Michigan average.
A fitness center, aquatics center, landscaped walking paths, and on-site dining are among the amenities. Offerings include rehabilitation services, respite care, and memory care.
With staffing levels among the highest in Michigan, Renaissance Gardens at Fox Run is built for short-term Medicare rehabilitation and assisted living within a full-continuum CCRC community in Novi.
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 8th out of 142 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.
| 1h 17m per day | ▲ 69% 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 34m per day | ▲ 77% 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 58m per day | ▲ 27% State avg: 2h 20m 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.
| 5h 3m per day | ▲ 44% State avg: 3h 31m per day · National avg: 3h 27m 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.
| 16m per day | ▲ 290% 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.
| 36m per day | ▲ 22% State avg: 29m per day · National avg: 29m per day |
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.
| 8 | 8 | This facility has total deficiencies in line with the Michigan average (8 vs. MI avg 8).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 0.5 | 0.5 | This facility has deficiencies per year in line with the Michigan average (0.5 vs. MI avg 0.5).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Michigan average 6.5
Last Health inspection on Mar 2025
Michigan average 33.5
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 23 citations resulted from standard inspections; and 3 of 23 resulted from complaint investigations.
100% better than Michigan averageMichigan average: 0.3
100% better than Michigan averageMichigan average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
136% more staff per resident than Michigan average
13% worse 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 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursAssists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
All 32 CNA Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
24 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 0 | 32 | 9,163 | 92 | 100% | 7 |
| Licensed Practical Nurse | 24 | 0 | 24 | 5,669 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 2,415 | 85 | 92% | 7.9 |
| Registered Nurse | 8 | 0 | 8 | 1,801 | 91 | 99% | 6.6 |
| Medication Aide/Technician | 36 | 0 | 36 | 1,555 | 80 | 87% | 7 |
| Respiratory Therapy Technician | 12 | 0 | 12 | 971 | 83 | 90% | 4.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 899 | 79 | 86% | 7.8 |
| Physical Therapy Assistant | 9 | 0 | 9 | 863 | 79 | 86% | 5.4 |
| Mental Health Service Worker | 3 | 0 | 3 | 516 | 61 | 66% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Dietitian | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 426 | 53 | 58% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 240 | 50 | 54% | 4.6 |
| Speech Language Pathologist | 4 | 0 | 4 | 211 | 38 | 41% | 4.2 |
| Physical Therapy Aide | 2 | 0 | 2 | 58 | 14 | 15% | 3.9 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 24 | 42 | 46% | 0.6 |
| Medical Director | 1 | 0 | 1 | 20 | 8 | 9% | 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)
82% lower than Michigan averageMichigan average: $76K
197% 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.
0
100% fewer payment denials than Michigan averageMichigan average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 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 18, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 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.
9.8
16% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
78% worse than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
28.8%
131% worse than Michigan averageMichigan average: 12.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
39% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
20% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.8%
51% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
3.8%
125% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
3.7%
35% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
17.9%
20% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
In line with 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
89.9%
9% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
20% 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.
39% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Residents 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 Renaissance Gardens at Fox Run 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 #1 / 143Payroll — State benchmarkedThis home is ranked 1st 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 #122 / 143Payroll % — State benchmarkedThis home is ranked 122nd 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).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.2 miles from city center
Estimated distance in miles from Novi's city center to Renaissance Gardens at Fox Run's address, calculated via Google Maps.
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Renaissance Gardens at Fox Run is located in Novi, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Renaissance Gardens at Fox Run is legally operated by Fox Run Village, Inc..
Renaissance Gardens at Fox Run has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MI state health department records, Renaissance Gardens at Fox Run's license number is AH630306479.
According to MI state health department records, Renaissance Gardens at Fox Run's license expires on July 31, 2027.
Renaissance Gardens at Fox Run's occupancy is 97.5%.
Renaissance Gardens at Fox Run is registered as a non-profit in MI.
Renaissance Gardens at Fox Run has 200 beds.
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