Symphony Linden

Memory Care in Linden

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Symphony Linden

Memory Care in Linden

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

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.

(810) 735-9400

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5 ▼ 2.6 Michigan average: 3.6/5
Health Inspection Info 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.
1/5 ▼ 2.3 Michigan average: 3.3/5
Staffing Info 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.
3/5 ▼ 0.4 Michigan average: 3.4/5
Quality Measures Info 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.
4/5 ▲ 0.2 Michigan average: 3.8/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Michigan state averages

Total nursing care / resident Info This home is ranked 81st out of 103 homes in Michigan.

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.
3h 38m per day
Rank #81 / 103Nurse hours — state benchmarkedThis home is ranked 81st out of 103 homes in Michigan.Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 103 Michigan SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Michigan avg (4h 15m per day)
vs Michigan avg
-15%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info 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 31m per day

Capacity and availability

Avg. Length of Stay
53 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

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

Might be optimal for
Post-acute recovery Temporary care Transitional stays

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

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$13.0M
Operating loss
-$2.2M
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$13.0M Rank #75 / 106Revenue — state benchmarkedThis home is ranked 75th out of 106 homes in Michigan.Shows this facility's annual revenue compared to the Michigan SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$2.2M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #68 / 106Payroll — state benchmarkedThis home is ranked 68th out of 106 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.
$4.7M
35.7% of revenue Rank #53 / 106Payroll % — state benchmarkedThis home is ranked 53rd out of 106 homes in Michigan.Shows payroll as a percentage of revenue versus the Michigan average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.6M
Total costs $15.2M
Bed community size
20-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 52 / 100 Rank #22 / 79Walk Score — state benchmarkedThis home is ranked 22nd out of 79 homes in Michigan.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Michigan SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Population served

Aged

About this community

Occupancy

Occupancy rate
260%
Rank #87 / 107Occupancy rate — state benchmarkedThis home is ranked 87th out of 107 homes in Michigan.Shows this facility's occupancy rate versus the Michigan average, with its statewide rank out of 107. Higher occupancy signals strong local demand and financial stability.
Higher than the Michigan average: 75.8%
Occupied beds
52 / 20
Average residents 84 per day

License Details

Facility TypeAdult Large Group Home (capacity 13-20)
StatusRegular
IssuanceAugust 8, 2025
ExpirationJuly 8, 2027
CountyGenesee
License NumberAL250281713

Ownership & Operating Entity

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

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / Private / Companion Suites

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Dining services icon
Dining services icon

Three Meals Per Day

Movie Theater icon

Movie Theater

Parking Available icon

Parking Available

Types of Care at Symphony Linden

Assisted Living

Contact Symphony Linden

Inspection History

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.

5 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Michigan average: 5 visits/inspections

Latest inspection

Date September 9, 2025
Routine

72 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Michigan average: 8 deficiencies

14.4 deficiencies per inspection

Michigan average: 1.6 deficiencies per inspection

Inspection Report Summary for Symphony Linden

The most recent inspection on September 9, 2025, identified multiple deficiencies related to resident dignity, care planning, infection control, medication management, environmental cleanliness, vaccination documentation, and water system safety. Earlier inspections showed a pattern of similar issues, including concerns about resident dignity, incomplete care plans, infection prevention, medication errors, and environmental cleanliness. Complaint investigations substantiated problems with missing personal items, unclean environments, infection risks, and equipment maintenance affecting resident care. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges without clear improvement over time.

Health Inspection History

Inspections
Total health inspections 6

Michigan average 6.5


Last Health inspection on Sep 2025

Total health citations
68 Rank #100 / 105Health citations — state benchmarkedThis home is ranked 100th out of 105 homes in Michigan.Shows this facility's total health deficiency citations benchmarked to the Michigan state average, with a ranking across all 105 MI SNFs. Lower citation counts earn a better rank.

Michigan average 33.5

Citations per inspection
11.33

Michigan average 5.18


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 More info
0 Rank #1 / 67Severe citations — state benchmarkedThis home is ranked 1st out of 67 homes in Michigan.Shows citations where actual resident harm occurred, compared to the Michigan average and ranked across 67 SNFs statewide. Even a single severe citation is significant — lower is always better.
100% better than Michigan average

Michigan average: 0.3


Serious Health citations More info 1
47% better than Michigan average

Michigan average: 1.9

0 critical citations More info Michigan average: 0.3

1 serious citation More info Michigan average: 1.9

66 moderate citations More info Michigan average: 30.8

1 minor citation More info Michigan average: 0.5
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Sep 09, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 09, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 09, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 09, 2025
Corrected

Compare Memory Care around Linden The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).

Filter by care type
Atlas Healthcare Washington Township
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Sewell120Yes 26 Studio / Private / Companion Suites--00--
Charter Senior Living of Linden
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Linden (Amelia Earhart Drive)104No 15 Studio / Private / Companion Suites1-2105.0Linden Senior Partners, Llc
Symphony Linden
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Linden20No 52 Studio / Private / Companion Suites--57214.4Symphony Of Linden Health Care Center, Llc

Financial Assistance for
Memory Care in Michigan

Get Financial aid guidance

MI Choice Waiver

Michigan Medicaid MI Choice Waiver

Age 65+ or disabled
General Michigan resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MI

Delivered through regional waiver agents; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Adult day care ($65/day)

Home Help Program

Michigan Home Help

Age 65+ or disabled
General Michigan resident, Medicaid- eligible or low-income.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MI

Can hire family caregivers; less intensive than waiver.

Benefits
Personal care (up to 60 hours/month) Homemaker services Respite (varies)

Program of All-Inclusive Care for the Elderly (PACE)

Michigan PACE

Age 55+
General Michigan resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple).
MI

16 PACE centers (e.g., Ingham, Wayne counties); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

Medicare Savings Program (MSP)

Michigan Medicare Savings Program

Age 65+ or disabled
General Michigan resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MI

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Michigan NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Michigan resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MI

16 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training

Senior Community Service Employment Program (SCSEP)

Michigan SCSEP

Age 55+
General unemployed, low-income, Michigan resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MI

Priority for veterans, rural residents; Operation ABLE partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Michigan VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Michigan resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MI

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Places of interest near Symphony Linden

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

Calculate Travel Distance to Symphony Linden

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 139
Employees 84
Contractors 55
Staff to resident ratio 2.32:1
32% better than Michigan average

Michigan average ratio: 1.75:1

Avg staff/day 36
Average shift 8.2 hours
0% compared with Michigan average

Michigan average: 7.9 hours

Total staff hours (quarter) 26,741
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

13.6%

3,640 contractor hours this quarter

Certified Nursing Assistant: 23 Registered Nurse: 7 Licensed Practical Nurse: 7 Physical Therapy Assistant: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 2 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant38236110,88191100%8.8
Licensed Practical Nurse207275,70691100%9.3
Registered Nurse107172,38191100%9.2
Other Dietary Services Staff6061,5519099%6.7
Clinical Nurse Specialist3031,2086470%8
Physical Therapy Assistant0441,1388088%5.8
Speech Language Pathologist0446566774%5.1
Administrator1015126470%8
Dietitian1015126470%8
Dental Services Staff1015046369%8
Respiratory Therapy Technician0223816268%6.1
Qualified Social Worker0223656571%5.5
Nurse Practitioner2023043842%8
Physical Therapy Aide0222945763%4.6
RN Director of Nursing2021813134%5.8
Occupational Therapy Aide022991415%7.1
Occupational Therapy Assistant011393741%1.1
Medical Director0113033%10
61 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 99%
3 Clinical Nurse Specialist
% of Days 70%
4 Physical Therapy Assistant
% of Days 88%
4 Speech Language Pathologist
% of Days 74%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 70%
1 Dental Services Staff
% of Days 69%
2 Respiratory Therapy Technician
% of Days 68%
2 Qualified Social Worker
% of Days 71%
2 Nurse Practitioner
% of Days 42%
2 Physical Therapy Aide
% of Days 63%
2 RN Director of Nursing
% of Days 34%
2 Occupational Therapy Aide
% of Days 15%
1 Occupational Therapy Assistant
% of Days 41%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 60
Medicare
20
33.3% of residents
Medicaid
40
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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.5
11% better than Michigan average

Michigan average: 8.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.7
22% better than Michigan average

Michigan average: 16.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.1%
11% better than Michigan average

Michigan average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.7%
56% better than Michigan average

Michigan average: 15.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.2%
In line with Michigan average

Michigan average: 21.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.7%
78% better than Michigan average

Michigan average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.6%
85% worse than Michigan average

Michigan average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Michigan average

Michigan average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.1%
44% worse than Michigan average

Michigan average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.9%
In line with Michigan average

Michigan average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.3%
9% worse than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
5% better than Michigan average

Michigan average: 94.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Michigan average

Michigan average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
20% better than Michigan average

Michigan average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
83% better than Michigan average

Michigan average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
21% better than Michigan average

Michigan average: 79.5%

Penalties and fines

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)

Total fines amount $10K
87% lower than Michigan average

Michigan average: $76K

Number of fines 1 Rank #1 / 47Federal fines — state benchmarkedThis home is ranked 1st out of 47 homes in Michigan.Shows this facility's CMS fine count alongside the Michigan average, and where it ranks among all 47 skilled nursing facilities in the state. Fewer fines mean a better rank.
51% fewer fines than Michigan average

Michigan average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Michigan average

Michigan average: 0.8

Fines amount comparison
Fines amount comparison
This facility $10K
Michigan average $76K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 24, 2023
$10K

Last updated: Jan 2026

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