The Rivers Assisted Living
Nursing Home, Assisted Living, Independent Living & Memory Care · Grosse Pointe Woods, MI
CMS overall rating Info 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.

The Rivers Assisted Living

Nursing Home, Assisted Living, Independent Living & Memory Care · Grosse Pointe Woods, MI
CMS overall rating Info 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.
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The Rivers Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of The Rivers Assisted Living

The Rivers Assisted Living is a community on Cook Road in Grosse Pointe Woods, Michigan, near Detroit. The 100-bed community, owned by Heather Montpas, is in a very walkable neighborhood. Residents and visiting family can accomplish most errands on foot. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover short and longer stays.

Residents stay an average of 52 days, including those receiving rehabilitation and those receiving ongoing personal support. Nurse staffing averages about 4 hours and 11 minutes per resident each day. They are supported by registered nurses, licensed practical nurses, and nurse aides on staff. Physical rehabilitation is a key offering, so it is a great choice for patients recovering from surgery or other acute episodes.

Residents at the community can stay independent and connected. The community has fine dining, scheduled transportation for outings, an on-site fitness center, and weekly faith-based services. There are also well-maintained landscaped grounds. Residents can explore private patios, courtyards, a gazebo, and outdoor walking paths. Other amenities include a beauty and barber shop, housekeeping support, and on-site Wi-Fi.

State inspections indicate that the community generally meets regulatory requirements. However, safety and training protocols for equipment use are areas of focus. Families touring the facility should ask how resident safety and equipment supervision are managed in the home’s daily routines.

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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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.
4h 11m per day
Rank #54 / 142Nurse hours — State benchmarkedThis home is ranked 54th out of 142 homes in Michigan. Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 142 Michigan facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 22m per day
LPN / LVN Info 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 28m per day
Nurse Aide Info 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 55m per day
Weekend Total Nursing 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 15m per day
Physical Therapist Info 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
Weekend RN Info 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. 11m per day

Capacity and availability

Avg. Length of Stay
52 days
Bed community size
100-bed community Rank #132 / 435Bed count — State benchmarkedThis home is ranked 132nd out of 435 homes in Michigan. Shows this facility's certified or reported bed count compared to other Michigan facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 84 / 100 Rank #19 / 703Walk Score — State benchmarkedThis home is ranked 19th out of 703 homes in Michigan. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Michigan facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
23%
Rank #349 / 395Occupancy rate — State benchmarkedThis home is ranked 349th out of 395 homes in Michigan. Shows this facility's occupancy rate versus the Michigan average, with its Statewide rank out of 395. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Michigan average: 75.8%
Occupied beds
23 / 100
Average occupied beds in Michigan homes 84 beds

License Details

Facility TypeHomes For The Aged
StatusRegular
IssuanceAugust 1, 2025
ExpirationJuly 31, 2026
CountyWayne
License NumberAH820338800
CMS Certification Number235709

Ownership & Operating Entity

Owner NameThe Rivers Assisted Living LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Amenities & Lifestyle

Scheduled Transportation
Fitness Center
On-Site Wi-Fi
Weekly Faith-Based Services
Beauty/Barber Shop
Maintenance And Housekeeping Services
Landscaped Grounds With Private Patios
Courtyards
Gazebo
Outdoor Path
Specific ProgramsPhysical Rehabilitation, Fine Dining
Touring HoursMon-Fri 8:30 am - 8:00 pm, Sat-Sun 8:30 am - 9:00 pm

Contact The Rivers Assisted Living

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.

Since 2015 · 11 years of data 1 deficiency

Inspection Scorecard Info 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 2015 vs. Michigan state average
Overall vs. MI average 0 Worse No metrics in this bucket. 2 Better Metrics better than Michigan average:
• Total deficiencies (88% below)
• Deficiencies per year (86% below)
Latest Inspection September 4, 2025 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMI Averagevs. MI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 18 This facility has 88% fewer total deficiencies than a typical Michigan assisted living residence (1 vs. MI avg 8).↓ 88% better
Deficiencies per year Info Average deficiencies per year since 2015. 0.10.7 This facility has 86% fewer deficiencies per year than a typical Michigan assisted living residence (0.1 vs. MI avg 0.7).↓ 86% better

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

  • August 26, 2023 renewal inspection found the facility in substantial compliance and approved license renewal with no deficiencies.
  • September 4, 2025 inspection cited one deficiency for bed rail assist devices posing entrapment risks, lacking physician orders, staff training, and manufacturer guidelines.
  • The 2025 deficiency indicates ongoing safety and supervision issues despite prior full compliance in 2023.

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A


Last Health inspection on Aug 2025

Total health citations
21 Rank #47 / 144Health citations — State benchmarkedThis home is ranked 47th out of 144 homes in Michigan. Shows this facility's total health deficiency citations benchmarked to the Michigan State average, with a ranking across all 144 MI facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
4.2 Rank #49 / 144Citations per inspection — State benchmarkedThis home is ranked 49th out of 144 homes in Michigan. Shows average deficiency citations per CMS inspection for this facility versus the Michigan mean across 144 facilities with citation data. Lower is better.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.

State average N/A


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

8 of 21 citations resulted from standard inspections; 3 of 21 resulted from complaint investigations; and 10 of 21 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Environmental moderate citation Aug 20, 2025
Corrected

Nursing Services moderate citation Aug 20, 2025
Corrected

Pharmacy moderate citation Aug 20, 2025
Corrected

Pharmacy moderate citation Aug 20, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 132
Employees 115
Contractors 17
Staff to resident ratio 1.71 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 48
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 35,602

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 37 LPN Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 55 CNA Staff are full-time employees. No contractors work on this role. 55
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.9%

3,173 contractor hours this quarter

Physical Therapy Aide: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Medical Director: 1 Other Physician: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5505514,60092100%8.6
Licensed Practical Nurse370379,86192100%8.5
Other Dietary Services Staff5051,4818997%6.7
Clinical Nurse Specialist3031,3567379%8
RN Director of Nursing3031,3177480%7.5
Physical Therapy Aide0338987784%6.9
Registered Nurse6068656368%8.9
Physical Therapy Assistant0338486571%7
Speech Language Pathologist0226796874%5.5
Occupational Therapy Aide1015827885%7.5
Dietitian1015366672%8.1
Administrator1015286672%8
Nurse Practitioner1015286672%8
Mental Health Service Worker1014685964%7.9
Respiratory Therapy Technician0334136267%6.5
Dental Services Staff1013084246%7.3
Qualified Social Worker0332435257%4.7
Other Physician011512628%2
Occupational Therapy Assistant0112767%4.5
Medical Director011141415%1
55 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 97%
3 Clinical Nurse Specialist
% of Days 79%
3 RN Director of Nursing
% of Days 80%
3 Physical Therapy Aide
% of Days 84%
6 Registered Nurse
% of Days 68%
3 Physical Therapy Assistant
% of Days 71%
2 Speech Language Pathologist
% of Days 74%
1 Occupational Therapy Aide
% of Days 85%
1 Dietitian
% of Days 72%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
1 Mental Health Service Worker
% of Days 64%
3 Respiratory Therapy Technician
% of Days 67%
1 Dental Services Staff
% of Days 46%
3 Qualified Social Worker
% of Days 57%
1 Other Physician
% of Days 28%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 15%

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

No penalties in the past 3 years

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

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. 10.0
18% worse than State average

State average: 8.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.1
7% better than State average

State 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 14.0%
12% worse than State average

State average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.9%
In line with State average

State 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 15.5%
26% better than State average

State average: 21.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.3%
5% worse than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.1%
58% worse than State average

State average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.2%
267% worse than State average

State average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
32% worse than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.5%
30% worse than State average

State average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
In line with State average

State average: 94.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
In line with State average

State average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.2%
8% better than State average

State average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
7% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.4%
6% better than State average

State average: 79.5%

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

54% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 77
Medicare
21
27.3% of residents
Medicaid
49
63.6% of residents
Private pay or other
7
9.1% 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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$9.4M
Net patient income Info 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."
-$244.2K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$9.4M Rank #118 / 143Revenue — State benchmarkedThis home is ranked 118th out of 143 homes in Michigan. Shows this facility's annual revenue compared to the Michigan average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$244.2K
Other income Info 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.
$277.0K
Payroll costs Info 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 #106 / 143Payroll — State benchmarkedThis home is ranked 106th 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.
$5.0M 52.5% of net patient revenue Info 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 #57 / 143Payroll % — State benchmarkedThis home is ranked 57th 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.
Other operating costs Info 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).
$4.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.7M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
466 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 54%
Medicaid 6%
Discharges
461 total

Coverage residents most often leave under.

Medicare 38%
Private pay 54%
Medicaid 8%

Living Spaces & Floor Plans for The Rivers Assisted Living

Places of interest near The Rivers Assisted Living

Address 0.0 miles from city center Info Estimated distance in miles from Grosse Pointe Woods's city center to The Rivers Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to The Rivers Assisted Living

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Address

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Frequently Asked Questions about The Rivers Assisted Living

Is The Rivers Assisted Living in a walkable area?

The Rivers Assisted Living has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of The Rivers Assisted Living?

According to MI state health department records, The Rivers Assisted Living's license number is AH820338800.

When does The Rivers Assisted Living's license expire?

According to MI state health department records, The Rivers Assisted Living's license expires on July 31, 2026.

What is the occupancy rate at The Rivers Assisted Living?

The Rivers Assisted Living's occupancy is 23%.

Does The Rivers Assisted Living have different floorplan options?

Yes — see the floorplan options available at The Rivers Assisted Living on this page.

Does The Rivers Assisted Living operate as a for-profit or non-profit?

The Rivers Assisted Living is registered as a for-profit in MI.

How many beds does The Rivers Assisted Living have?

The Rivers Assisted Living has 100 beds.

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