Symphony Linden

Nursing Home, Assisted Living, Memory Care & Respite Care · Linden, MI

CMS overall rating

Symphony Linden

Nursing Home, Assisted Living, Memory Care & Respite Care · Linden, MI

CMS overall rating

202 S Bridge St, Linden, MI 48451 View map

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Symphony Linden accepts Medicare, Medicaid, and private pay.

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Symphony Linden accepts Medicare, Medicaid, and private pay.

Overview of Symphony Linden

Symphony Linden in Linden, MI, is an outstanding senior living community, offering innovative assisted living and post-acute care services. Committed to delivering unparalleled care to residents in a homelike environment, the community features a highly dedicated team that works 24/7 to provide a harmonious approach to care to address every resident’s unique needs. Here, residents are provided with a carefully crafted personalized rehabilitation program to offer the most complete possible recovery.

Dedicated to helping its residents continue living life to the fullest extent possible while maintaining their independence and peace of mind, the community offers a variety of top-notch amenities and services, including family visits anytime, recreational activities, and delicious meals. Explore the community’s picturesque courtyards and meet new companions along the way. Symphony Linden strives to deliver the highest quality of service and care so residents could focus on making new memories.

Facility Direct Line (810) 735-9400

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 38m per day

vs avg

2 of 6 metrics below state avg

Standout metric LPN / LVN is +19% above state avg

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.	52m per day	▲ 12% 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 3m per day	▲ 19% 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 15m per day	▼ 6% State avg: 2h 23m 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.	3h 29m per day	■ Avg 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.	3m per day	▼ 18% 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.	32m per day	▲ 10% State avg: 29m per day · National avg: 29m per day

Capacity and availability

53 days

20-bed community

A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.

Walk Score: 52 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

100%

Higher than the Michigan average: 75.8%

Occupied beds

20 / 20

Average occupied beds in Michigan homes 84 beds

Facility TypeAdult Large Group Home (capacity 13-20)

StatusRegular

IssuanceAugust 8, 2025

ExpirationAugust 7, 2027

CountyGenesee

License NumberAL250281713

Symphony Linden is legally operated by Symphony of Linden Health Care Center, LLC.

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2008 · 18 years of data 72 deficiencies 5 inspections

Inspection Scorecard 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.

Since 2008 vs. Michigan state average

Overall vs. MI average

Latest Inspection September 9, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MI Average	vs. MI Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	72	8	This facility has 800% more total deficiencies than a typical Michigan assisted living residence (72 vs. MI avg 8).↑ 800% worse
Deficiencies per year Average deficiencies per year since 2008.	4	0.4	This facility has 900% more deficiencies per year than a typical Michigan assisted living residence (4 vs. MI avg 0.4).↑ 900% worse
Deficiencies per inspection Average deficiencies per inspection.	14.4	1.6	This facility has 800% more deficiencies per inspection than a typical Michigan assisted living residence (14.4 vs. MI avg 1.6).↑ 800% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MI Average	vs. MI Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	5	5	This facility has total inspections in line with the Michigan average (5 vs. MI avg 5).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 9, 2025 inspection found 15 deficiencies including failure to treat residents with dignity, incomplete care plans, infection control lapses, medication mismanagement, and unsafe water backflow prevention.
Multiple complaint investigations in 2024 documented ongoing issues with resident dignity, abuse protection failures, medication errors, pressure ulcer care, and unsafe, unsanitary environment conditions.
May 29, 2025 renewal inspection cited three maintenance and fire drill documentation deficiencies but no resident care or safety violations.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

11.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

35 of 68 citations resulted from standard inspections; 16 of 68 resulted from complaint investigations; and 17 of 68 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

66 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Environmental moderate citation Sep 09, 2025

Corrected

Infection Control moderate citation Sep 09, 2025

Corrected

Infection Control moderate citation Sep 09, 2025

Corrected

Infection Control moderate citation Sep 09, 2025

Corrected

Top deficiency categories

Quality of Life & Care 16 deficiencies (24%)

Resident Rights 13 deficiencies (19%)

Pharmacy Services 10 deficiencies (15%)

Infection Control 6 deficiencies (9%)

Environmental 4 deficiencies (6%)

Abuse, Neglect & Exploitation 2 deficiencies (3%)

Administration 1 deficiency (1%)

Total staff 110

Employees 90

Contractors 20

Staff to resident ratio 1.83 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37

Average shift 8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,234

Nursing staff breakdown

9.4 hours

9.2 hours

8.8 hours

Contractor staffing

2,353 contractor hours this quarter

Physical Therapy Assistant: 5 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Occupational Therapy Aide: 2 Qualified Social Worker: 2 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	44	0	44	11,961	92	100%	8.8
Licensed Practical Nurse	19	0	19	5,070	92	100%	9.2
Registered Nurse	8	0	8	2,838	92	100%	9.4
Other Dietary Services Staff	7	0	7	1,744	92	100%	7
Clinical Nurse Specialist	5	0	5	1,250	65	71%	7.8
Physical Therapy Assistant	0	5	5	980	74	80%	5.4
Speech Language Pathologist	0	4	4	505	65	71%	4.1
RN Director of Nursing	1	0	1	504	63	68%	8
Nurse Practitioner	1	0	1	496	62	67%	8
Dental Services Staff	1	0	1	452	57	62%	7.9
Qualified Social Worker	0	2	2	313	58	63%	5.4
Administrator	2	0	2	304	38	41%	8
Respiratory Therapy Technician	0	4	4	293	62	67%	4.5
Dietitian	2	0	2	264	33	36%	8
Physical Therapy Aide	0	1	1	104	27	29%	3.8
Occupational Therapy Aide	0	2	2	98	14	15%	6.5
Occupational Therapy Assistant	0	1	1	31	33	36%	0.9
Medical Director	0	1	1	30	3	3%	10

44 Certified Nursing Assistant

% of Days 100%

19 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 100%

7 Other Dietary Services Staff

% of Days 100%

5 Clinical Nurse Specialist

% of Days 71%

5 Physical Therapy Assistant

% of Days 80%

4 Speech Language Pathologist

% of Days 71%

1 RN Director of Nursing

% of Days 68%

1 Nurse Practitioner

% of Days 67%

1 Dental Services Staff

% of Days 62%

2 Qualified Social Worker

% of Days 63%

2 Administrator

% of Days 41%

4 Respiratory Therapy Technician

% of Days 67%

2 Dietitian

% of Days 36%

1 Physical Therapy Aide

% of Days 29%

2 Occupational Therapy Aide

% of Days 15%

1 Occupational Therapy Assistant

% of Days 36%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $10K

87% lower than State average

State average: $76K

Number of fines 1

51% fewer fines than State average

State average: 2.0

Payment Denials 0

100% fewer payment denials than State average

State average: 0.8

Fines amount comparison

This facility $10K

State average $76K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.5

11% better than State average

State average: 8.4

Functional decline score 12.7

22% better than State average

State average: 16.3

Long-stay resident measures

Significantly above average State avg: 4.1

Need for Help with Daily Activities Increased 11.1%

11% better than State average

State average: 12.5%

Walking Ability Worsened 6.7%

56% better than State average

State average: 15.3%

Low Risk Residents with Bowel/Bladder Incontinence 20.2%

In line with State average

State average: 21.0%

Falls with Major Injury 0.7%

78% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers 10.6%

85% worse than State average

State average: 5.7%

Urinary Tract Infection 0.0%

100% better than State average

State average: 1.7%

Lost Too Much Weight 8.1%

44% worse than State average

State average: 5.7%

Depressive Symptoms 3.9%

In line with State average

State average: 3.9%

Antipsychotic Use 16.3%

9% worse than State average

State average: 15.0%

Pneumococcal Vaccine 99.3%

5% better than State average

State average: 94.9%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.0%

Short-stay resident measures

Above average State avg: 3.3

Pneumococcal Vaccine 99.2%

20% better than State average

State average: 82.5%

Antipsychotic medication increase 0.3%

83% better than State average

State average: 1.4%

Influenza Vaccine 96.3%

21% better than State average

State average: 79.5%

Re-hospitalized after SNF stay 30.2%

25% worse than State average

State average: 24.2%

Emergency department visits 6.8%

41% better than State average

State average: 11.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 30.7%

43% worse than State average

State average: 53.7%

Successful return to home or community 51.5%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

72% of new residents, often for short stays.

Typical stay 3 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 60

Medicare

33.3% of residents

Medicaid

66.7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Symphony Linden from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 504.8% ↑ 435.3pp vs 2022

Net Patient Income -$3.1M ↓ ~$792.0K vs 2022

Payroll Costs $5.3M ↓ ~$58.4K vs 2022

Operating Margin -31.5% ↓ 9.6pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	85.3%	90.6%	87.6%	90.3%	83.8%	77.8%	74.9%	65.4%	70.1%	72.3%	70.3%	69.5%	504.8%
Beds	120	120	120	120	156	156	156	156	160	160	160	160	20
Net Income	$2,371,884	$1,939,162	$2,270,603	$1,024,141	$918,893	-$160,459	-$230,110	-$215,488	-$19,627	$3,299	-$59,732	$68,585	-$2,181,415
Gross Revenue	$11,920,566	$13,105,301	$13,350,459	$13,766,842	$15,633,046	$13,590,098	$11,842,185	$10,069,333	$10,827,752	$12,407,638	$12,574,745	$12,537,517	$12,072,807
Operating Expenses	$10,374,500	$11,027,946	$10,975,455	$12,164,169	$13,961,532	$12,933,424	$11,473,029	$10,601,813	$10,323,021	$10,781,013	$10,819,908	$13,027,964	$13,084,538
Net Patient Income	$2,366,124	$1,922,488	$2,253,111	$1,004,489	$895,578	-$180,350	-$244,522	-$1,155,282	$20,508	-$353,835	-$279,625	-$2,340,937	-$3,132,976
Net Patient Revenue	$12,740,624	$12,950,434	$13,228,566	$13,168,658	$14,857,110	$12,753,074	$11,228,507	$9,446,531	$10,343,529	$10,427,178	$10,540,283	$10,687,027	$9,951,562
Payroll Costs	$2,573,887	$2,848,348	$3,091,416	$3,938,654	$4,670,362	$4,605,078	$4,084,024	$3,718,813	$3,857,360	$4,611,074	$4,859,568	$5,320,594	$5,262,178
Operating Margin %	18.6%	14.8%	17.0%	7.6%	6.0%	-1.4%	-2.2%	-12.2%	0.2%	-3.4%	-2.7%	-21.9%	-31.5%
Medicare %	28.3%	28.8%	26.1%	28.0%	22.9%	16.8%	13.2%	10.7%	9.0%	6.6%	7.4%	6.1%	6.4%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	7.3%	21.9%	26.4%	28.9%	26.2%
Private %	71.7%	71.2%	73.9%	72.0%	77.1%	83.2%	86.8%	89.3%	83.7%	71.5%	66.2%	64.9%	67.4%
Net Patient Revenue/Day	$341	$326	$345	$333	$311	$287	$263	$254	$253	$246	$257	$264	$270
Cost/Day	$278	$277	$286	$307	$293	$291	$269	$285	$252	$255	$264	$321	$355
Avg Length of Stay	22.7 days	37.0 days	38.2 days	36.2 days	33.6 days	26.5 days	21.6 days	21.4 days	27.0 days	49.2 days	53.7 days	60.5 days	52.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.0M

Net patient income

-$3.1M

For-profit Corporation

Net patient revenue

$10.0M

Net patient income

-$3.1M

Other income

$951.6K

Payroll costs

$5.3M 52.9% of net patient revenue

Other operating costs

$7.8M

Total costs

$13.1M

What does this home offer?

Housing Options: Studio / Private / Companion Suites

Building Type: Single-story

Fitness and Recreation

Three Meals Per Day

Movie Theater

Parking Available

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (72% of admissions), and a typical private pay stay runs around 3 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 72%

Medicaid 4%

Coverage residents most often leave under.

Medicare 18%

Private pay 72%

Medicaid 10%

0.5 miles from city center Estimated distance in miles from Linden's city center to Symphony Linden's address, calculated via Google Maps.

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The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).


Symphony Linden	NH AL MC RC	Linden	-	20	-	52	Studio / Private / Companion Suites
Iron County Medical Care Facility	NH AL MC	Crystal Falls (Us 2)	-	200	A+	11	Private Rooms
Majestic Care of Flushing Assisted Living	NH AL	Flushing	-	40	A+	5	Studio
Canterbury-on-the-Lake	NH AL HC IL MC NC	Waterford Twp (Waterford Township)	-	128	A+	22	Studio / 1 Bed / 2 Bed
Chelsea Retirement Community	NH AL IL MC	Chelsea	-	172	-	13	Studio / 1 Bed / 2 Bed / Cottage

Nursing Home Explorer

Who is the owner of Symphony Linden?

Symphony Linden is legally operated by Symphony of Linden Health Care Center, LLC.

Is Symphony Linden in a walkable area?

Symphony Linden has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Symphony Linden?

According to MI state health department records, Symphony Linden's license number is AL250281713.

When does Symphony Linden's license expire?

According to MI state health department records, Symphony Linden's license expires on August 7, 2027.

What is the occupancy rate at Symphony Linden?

Symphony Linden's occupancy is 100%.

Does Symphony Linden operate as a for-profit or non-profit?

Symphony Linden is registered as a for-profit in MI.

How many beds does Symphony Linden have?

Symphony Linden has 20 beds.

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Symphony Linden

Overview of Symphony Linden

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Symphony Linden

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

44 Certified Nursing Assistant

19 Licensed Practical Nurse

8 Registered Nurse

7 Other Dietary Services Staff

5 Clinical Nurse Specialist

5 Physical Therapy Assistant

4 Speech Language Pathologist

1 RN Director of Nursing

1 Nurse Practitioner

1 Dental Services Staff

2 Qualified Social Worker

2 Administrator

4 Respiratory Therapy Technician

2 Dietitian

1 Physical Therapy Aide

2 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Symphony Linden

Calculate Travel Distance to Symphony Linden

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