The Villa At The Park
The Villa at the Park in Highland Park, MI — inspection on September 17, 2025.
Found 8 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During the meeting, nine residents spoke of dissatisfaction with the AD saying . they don't know what they are doing . they talk to us mean . talk to us inappropriate .we don't have activities for our age. We need better games . the activities can be better, and we can have more fun.
During the meeting, residents also stated they have notified the administrator, and nothing has been done. On 9/17/25 while touring the facility, a resident who wished to remain confidential stated they had a problem with the AD.
The resident stated, I don't like the AD, their attitude is bold, and they talk to us crazy when we go out and smoke, and they have discussed other residents' business with other residents. On 9/17/25 at 12:50 PM, an interview was held with a certified nursing assistant (CNA) who wished to remain confidential, said they had witnessed the AD to withhold cigarettes or not provide activities on both floors and speak rudely to residents. On 9/17/25 at 2:00 PM an interview was held with the AD to discuss concerns.
The AD revealed they were new to the position at the building and had been working there since March.
Their experience included having worked as an activity assistant at several other buildings.
The AD stated the building and some of the residents are challenging, and they (the residents) were used to the prior director and now they are adjusting to changes. On 09/17/25 at 2:25 PM, the Director of Nursing (DON) was queried about the resident's concerns with the AD and indicated they were not aware of any pertinent concerns, but the Regional Director was. On 09/17/25 at 3:00 PM, the Regional Director was queried about the resident's concerns with the AD and stated that changes were coming. A review of the facility policy titled Dignity revealed the following: It is the policy of this facility to assure residents are treated in a manner that preserves the resident's dignity and promotes a quality life experience. PROCEDURE: 1.
All residents will be treated with respect. 2.
Resident's preferences will be taken into consideration for all aspects of care and honored to the extent practicable.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-09-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0742 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-17.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-21.
Federal health inspectors cited The Villa at the Park in Highland Park, MI for a deficiency under regulatory tag F-F0912 during a standard health inspection conducted on 2025-09-17.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of The Villa at the Park.
Correction Status: Deficient, Provider has no plan of correction.