The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
The Villa at Silverbell Estates
Orion, MI · Medicare-certified · 106 beds
Needs attention
For-profitChain member
1 of 5 overall
The Villa at Silverbell Estates in Orion, MI has a 1 out of 5 overall rating, with a 1-star health inspection rating and a 2-star staffing rating. It reports 3.38 nurse hours per resident per day versus the 4.1-hour federal benchmark, has had no fines in the last 24 months, and is flagged for the lowest overall rating.
Facility ratings
Health inspections
Staffing
3.375 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.375.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.04
- Weekend nursing
- 3.02
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 29%
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
18.8%12.1%Improving
Residents with a fall causing major injury
3.7%1.3%Improving
Residents with pressure ulcers (bedsores)
3.5%3.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%1.8%Improving
Residents whose ability to walk got worse
14.9%0%Improving
Long-stay residents on antianxiety or sleep medication
23.4%25%Worsening
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.5%8.1%Improving
Residents with depressive symptoms
76.8%98.6%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
—95.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—38%—
Short-stay residents given the pneumonia vaccine
86.8%95.5%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 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 enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — 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.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $62,739 in total fines · 1 payment denial.
- 32 days
Medicare/Medicaid payment denial
Jun 18, 2025
- $36,030
Federal fine
Apr 4, 2024
- $26,709
Federal fine
Jun 8, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of VILLA HEALTHCARE · 18 homes · 2.7 stars avg
- Occupancy
- 87.5 residents on an average day (83% of 106 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.