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C
Below Standard

The Villa at Silverbell Estates

1255 West Silverbell Road · Orion, MI 48359

2483910900 · For profit - Individual

106 beds87.4 residents125 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

The Villa at Silverbell Estates receives an overall staffing grade of C (Below Standard). With 3.5361 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4206 HPRD, below the recommended 0.75. It is 0.36 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.75% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4206 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5361hrs/resident/day▼ 0.36
CMS benchmark: 3.48
RN HPRD
0.4206hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
19.75%
3.7451 weekday → 3.0055 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1588hrs/resident/day
Direct care aides
LPN HPRD
0.9567hrs/resident/day
Licensed practical nurses
Consistency
0.4476std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Oakland County Average-0.56 HPRD
4.10
03.54 HPRD
vs. Michigan State Average-0.49 HPRD
4.03
03.54 HPRD
vs. National Average-0.36 HPRD
3.90
03.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
The Villa at Silverbell Estates ★
Orion · This facility
—
C
3.53610.4206★☆☆☆☆
Regency at Waterford
Waterford
5.1 mi
B
4.2270.7115★☆☆☆☆
Lourdes Rehabilitation and Healthcare Center
Waterford
5.9 mi
B
3.95020.7141★★★★★
The Springs at Rochester Hills Rehab and Nursing C
Rochester Hills
6.2 mi
C
3.62290.5012★☆☆☆☆
Optalis Health & Rehabilitation of Bloomfield Hill
Bloomfield Hills
10.6 mi
C
3.95250.5465★☆☆☆☆
Mission Point Nursing & Physical Rehabilitation Ce
Clawson
14.2 mi
B
3.94660.6435★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
53
Total Deficiencies
$108,662
Fines Assessed
Dec 17, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 3, 2025Health
2 deficiencies cited
▼
Jun 18, 2025Health
11 deficiencies cited· Includes actual harm
▼
Oct 9, 2024Health
1 deficiency cited
▼
Aug 14, 2024Health
1 deficiency cited
▼
Jul 23, 2024Health
1 deficiency cited
▼
May 8, 2024Health
15 deficiencies cited
▼
Apr 4, 2024Health
4 deficiencies cited· Includes actual harm
▼
Jun 8, 2023Health
11 deficiencies cited· Includes actual harm
▼
Apr 27, 2023Health
6 deficiencies cited· Includes actual harm
▼

Penalty History

Jun 18, 2025Payment Denial
Apr 4, 2024Fine
$36,030
Jun 8, 2023Fine
$26,709
Apr 27, 2023Fine
$45,923
Apr 27, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.