Wayne County, Michigan · Nursing home
Hartford Nursing & Rehabilitation Center
3 of 5 overall from CMS
6700 W Outer Dr, Detroit, MI 48235
At a glance
- Overall rating 3 of 5 Below the state average of 3.1
- Nurse time per resident, per day 4.04 hours Above the state average of 3.99
- Nursing staff who left in a year 42.5% Below the state average of 44.1%
- Health citations, last 3 inspection cycles 31 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 90.5% of 188 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hartford Nursing & Rehabilitation Center is a 188-bed nursing home in Detroit, Michigan (Wayne County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.04 nurse staffing hours per resident per day, above the Michigan average of 3.99. CMS lists no fines in the past three years.
- Certified beds
- 188
- Residents per day (average)
- 170.1
- Certified since
- 1969 (57 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Ciena Healthcare/laurel Health Care (81 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Hartford Nursing & Rehabilitation Center
Chosen from this home's public data.
- CMS counts 17 health deficiencies in the latest inspection cycle (the standard inspection on Jan 29, 2026 plus complaint and infection-control inspections); the Michigan average is 9.9. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.57 hours per resident on weekends against 4.04 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.25 hours per resident per day; the Michigan average is 0.78. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Michigan average 3.1
- Health inspections 2 of 5 Michigan average 2.8
- Staffing 3 of 5 Michigan average 3.6
- Quality measures 5 of 5 Michigan average 3.9
The vertical line marks the Michigan average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.04 h Michigan average 3.99
- Nurse aides 2.34 h Michigan average 2.33
- Licensed practical nurses 1.46 h Michigan average 0.88
- Registered nurses 0.25 h Michigan average 0.78
- All staff, weekends 3.57 h Michigan average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Michigan average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover42.5%
- Michigan average44.1%
- Registered nurse turnover54.5%
- Michigan average39.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Michigan and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.4% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% | 95.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.5% | 12.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.5% | 19.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.4% | 5.1% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.5% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.7% | 14.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.18 | 1.84 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.00 | 1.64 | 1.78 |
Short-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.6% | 83.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.0% | 79.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.2% | 24.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% | 11.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 31 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 10 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 31, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 29, 2026 | 17 | 7 |
| Nov 22, 2024 | 9 | 1 |
| Sep 21, 2023 | 5 | 5 |
Michigan homes averaged 9.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (31)
-
DPotential for more than minimal harm, isolated
Provide or arrange emergency care by a doctor 24 hours a day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 24, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 3, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 3, 2026)
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Mar 3, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Mar 3, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 21, 2025)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 26, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 26, 2024)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 3, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 3, 2023)
Showing the 30 most recent of 31.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Michigan homes averaged 0.7 fines and $29,376 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Michigan
- Size25 of 422 by certified beds
- Michigan average residents per day85.9
- ChainCiena Healthcare/laurel Health Care
- Chain average overall rating2.8 of 5
- Resident or family councilResident
- Homes in Detroit23
- Homes in Wayne County63
Common questions
What is the CMS star rating for Hartford Nursing & Rehabilitation Center?
Hartford Nursing & Rehabilitation Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 5.
How many beds does Hartford Nursing & Rehabilitation Center have?
Hartford Nursing & Rehabilitation Center has 188 certified beds. It averages 170.1 residents per day, about 90.5% of its certified beds.
How much nursing care do residents get at Hartford Nursing & Rehabilitation Center?
The home reports 4.04 hours of nurse staffing per resident per day, including 0.25 hours from registered nurses. The Michigan average is 3.99 hours and 0.78 hours from registered nurses.
Has Hartford Nursing & Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
Does Hartford Nursing & Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 The Orchards at Northwest 154beds 75.2%in use 3.62nurse hours a day
- 3 of 5 Westwood Nursing Center 108beds 98.4%in use 3.44nurse hours a day
- 5 of 5 Oakpointe Senior Care and Rehab Center 106beds 105.7%in use 3.00nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Wayne County
Who to call in Michigan
These offices serve residents of every nursing home in Michigan.
- Long-term care ombudsman Michigan Long Term Care Ombudsman Program (MLTCOP) 1-866-485-9393 (Toll-free line to reach a local ombudsman. Program office: 517-827-8040; email MLTCOP@meji.org.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 800-882-6006 (Toll-free Complaint Hotline. Complaints can also be filed with the online form (https://apps.lara.state.mi.us/BscComplaintIntakeForm) or by mail: LARA, Bureau of Survey and Certification-Complaint Intake Section, PO Box 30838, Lansing, MI 48909.) The state agency that inspects nursing homes.
Michigan staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 235177. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.