D61

West Hickory Haven

Grade D 61/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

101

Ownership

For profit - Limited Liability company

Total Fines

$88,504

Last Survey

N/A

3310 W Commerce Rd, Milford, MI 48380
2486851400

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.73h
LPN
0.66h
CNA
3.11h
Total
4.50h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PEPLINKSI HOLDINGS, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2012

100%

ACKERMAN, AMY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

ACKERMAN, RICKY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

BAUMGARTEN, MICHAEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

BAUMGARTEN, THERESE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

PEPLINSKI, SHELI

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

PEPLINSKI, TODD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

SCHADE, JEFFERY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

SCHADE, TAMARA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

THOMPSON, BRIAN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

THOMPSON, SHELLY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2012

10%

ACKERMAN, RICKY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2012

MUSZALL, JENNIFER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

SAMLUK, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2017

SCHADE, JEFFERY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2012

THOMPSON, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2012

WINKELS, KATHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2016

PEPLINSKI, TODD

IndividualCORPORATE DIRECTORSince Jan 2012

SCHADE, JEFFERY

IndividualCORPORATE DIRECTORSince Jan 2012

THOMPSON, BRIAN

IndividualCORPORATE DIRECTORSince Jan 2012

ACKERMAN, RICKY

IndividualCORPORATE OFFICERSince Jan 2012

PEPLINSKI, TODD

IndividualCORPORATE OFFICERSince Jan 2012

SCHADE, JEFFERY

IndividualCORPORATE OFFICERSince Jan 2012

THOMPSON, BRIAN

IndividualCORPORATE OFFICERSince Jan 2012

Penalties & Fines (4)

$88,504total fines
DateTypeDescriptionAmount
Apr 10, 2024Fine$15,593
Feb 7, 2024Fine$38,711
Mar 9, 2023Fine$34,200
Mar 9, 2023Payment Denial

Health Inspection Deficiencies (46)

October 29, 2025Health2 deficiencies1 severe
0604GActual harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 25, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 25, 2025
August 26, 2025Health2 deficiencies1 severe
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Sep 12, 2025
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 12, 2025
July 24, 2025Health1 deficiency
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Aug 29, 2025
March 13, 2025Health4 deficiencies
0557EMinimal harm, Pattern

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Apr 15, 2025
0678EMinimal harm, Pattern

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Apr 15, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 15, 2025
0849DMinimal harm, Isolated

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Administration Deficiencies

Corrected Apr 15, 2025
December 16, 2024Health2 deficiencies
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jan 14, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 14, 2025
September 25, 2024Health3 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 1, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 1, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 1, 2024
April 10, 2024Health3 deficiencies1 severe
0585DMinimal harm, Isolated

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Apr 30, 2024
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 30, 2024
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Apr 30, 2024
February 7, 2024Health14 deficiencies1 severe
0557DMinimal harm, Isolated

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Mar 5, 2024
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Mar 5, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 5, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Mar 5, 2024
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 5, 2024
0761EMinimal harm, Pattern

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Mar 5, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 5, 2024
0912BNo harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Mar 5, 2024
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 5, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 5, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 5, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 5, 2024
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 5, 2024
0806DMinimal harm, Isolated

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Mar 5, 2024
August 29, 2023Health2 deficiencies1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 27, 2023
0740EMinimal harm, Pattern

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected Sep 27, 2023
July 12, 2023Health4 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 16, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Aug 16, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 16, 2023
0726EMinimal harm, Pattern

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Aug 16, 2023
March 9, 2023Health9 deficiencies2 severe
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 29, 2023
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Apr 6, 2023
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Apr 6, 2023
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 6, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 29, 2023
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 29, 2023
0725FMinimal harm, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Apr 6, 2023
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Apr 6, 2023
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Apr 29, 2023

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Frequently Asked Questions

What is the CareGrader rating for West Hickory Haven?

West Hickory Haven in Milford, Michigan has a CareGrader grade of D (Below Average), with a composite score of 60.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for West Hickory Haven?

West Hickory Haven has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does West Hickory Haven have?

West Hickory Haven has 46 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has West Hickory Haven been fined?

Yes. West Hickory Haven has $88,504 in total fines from CMS enforcement actions across 4 penalties.

How many beds does West Hickory Haven have?

West Hickory Haven has 101 certified beds with approximately 66 current residents (65% occupancy). The facility is located at 3310 W Commerce Rd, Milford, Michigan 48380. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.