The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Ambassador, A Villa Center
Detroit, MI · Medicare-certified · 176 beds
In good standing
For-profitChain member
5 of 5 overall
5-star overall facility with strong quality and health inspection ratings, but low staffing: 2 of 5 stars and 3.79 nurse hours per resident per day versus the 4.1-hour federal benchmark. No fines were reported in the last 24 months, and recent inspection citations included accident hazards, food handling, and facility safety/cleanliness issues.
Facility ratings
Health inspections
Staffing
3.7885 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7885.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 1.29
- Nurse aides
- 2.26
- Weekend nursing
- 3.36
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.7%11.6%Worsening
Residents with a fall causing major injury
0.7%1.4%Worsening
Residents with pressure ulcers (bedsores)
3.7%5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.8%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0.7%3%Worsening
Residents whose ability to walk got worse
5.1%4.6%Improving
Long-stay residents on antianxiety or sleep medication
5.5%5%No change
Short-stay residents newly given an antipsychotic
6.2%3.2%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.7%4.3%Improving
Residents with depressive symptoms
6.6%2.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—84.3%—
Long-stay residents given the pneumonia vaccine
89.3%98.6%Improving
Short-stay residents given the seasonal flu vaccine
—38.2%—
Short-stay residents given the pneumonia vaccine
63.2%33.1%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2023 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of VILLA HEALTHCARE · 18 homes · 2.7 stars avg
- Occupancy
- 161.1 residents on an average day (92% of 176 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.