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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.
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.
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.
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 111th out of 133 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.
| 47m per day | ■ Avg 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 10m per day | ▲ 32% 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 21m per day | ■ Avg 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 31m 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.
| 4m per day | ■ Avg 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.
| 34m per day | ▲ 17% State avg: 29m per day · National avg: 29m per day |
Higher than the Michigan average: 75.8%Symphony Linden is legally operated by Symphony of Linden Health Care Center, LLC.
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, citation, 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.
| 72 | 8 | This facility has 800% more total deficiencies than a typical Michigan nursing home (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 nursing home (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 nursing home (14.4 vs. MI avg 1.6).↑ 800% worse |
Inspections
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Michigan average 6.5
Last Health inspection on Sep 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.
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).
100% better than Michigan averageMichigan average: 0.3
47% 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.
8% more staff per resident than Michigan average
0% compared with 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.
9.4 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 44 CNA Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,353 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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)
87% lower than Michigan averageMichigan average: $76K
51% fewer 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
7.5
11% better than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.7
22% better than Michigan averageMichigan 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
11.1%
11% better than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
6.7%
56% better than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
In line with Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
78% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
10.6%
85% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
8.1%
44% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.9%
In line with Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
16.3%
9% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than 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%
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
99.2%
20% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
83% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
21% better than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.2%
25% worse than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.8%
41% better than Michigan averageMichigan average: 11.5%
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.
30.7%
43% worse than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.5%
In line with Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents 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 Symphony Linden based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #75 / 134Payroll — State benchmarkedThis home is ranked 75th out of 134 homes in Michigan for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / Private / Companion Suites
Building Type: Single-story
Fitness and Recreation
Three Meals Per Day
Movie Theater
Parking Available
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.5 miles from city center
Estimated distance in miles from Linden's city center to Symphony Linden's address, calculated via Google Maps.
Add your location
Symphony Linden is located in Linden, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The legal owner and operator of Symphony Linden is Symphony of Linden Health Care Center, LLC.
Symphony Linden has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MI state health department records, Symphony Linden's license number is AL250281713.
According to MI state health department records, Symphony Linden's license expires on August 7, 2027.
Symphony Linden's occupancy is 100%.
Symphony Linden has 20 beds.
Yes — there are 4 photos of Symphony Linden in the photo gallery on this page.
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