The home failed to provide enough food and fluids to keep residents healthy. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: J
Nursing home report
Symphony Applewood
Registered name: Applewood Nursing Center, Inc
Woodhaven, MI · Medicare-certified · 150 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Symphony Applewood in Woodhaven, MI has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating. It has a recent federal penalty, $35,136 in fines over the last 24 months, and reported nurse staffing of 3.52 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.5241 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $35,136recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5241.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.15
- Nurse aides
- 1.99
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 9%
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
19%24.1%Worsening
Residents with a fall causing major injury
2.6%1.7%Improving
Residents with pressure ulcers (bedsores)
3.9%6.4%Worsening
Residents with a urinary tract infection
0%2.7%Worsening
Residents who lost too much weight
4.5%6.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.9%8.1%Worsening
Residents whose ability to walk got worse
5.1%8%Worsening
Long-stay residents on antianxiety or sleep medication
30.9%25.7%Improving
Short-stay residents newly given an antipsychotic
3.8%1.1%Improving
Residents with a long-term catheter
0.7%0.7%No change
Residents with new or worsening incontinence
17.4%32.5%Worsening
Residents with depressive symptoms
2.8%3.7%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $35,136 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $63,665 in total fines.
- $35,136
Federal fine
Apr 17, 2025
- $28,529
Federal fine
Sep 19, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SYMPHONY CARE NETWORK · 7 homes · 1.7 stars avg
- Occupancy
- 133.4 residents on an average day (89% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.