Lenawee Medical Care Facility

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 161 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 33 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 113 beds and averages 111.0 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.69 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.65 hrs/resident/day on weekends vs 5.60 on weekdays — 17% thinner on weekends. RN hours go from 0.63 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 15 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2026-05-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 2997912.Based on observations/interviews and record review, the facility failed to protect the resident's right to be free from of physical and mental abuse perpetrated by staff for one resident (Resident #2) of three reviewed. Resulting in R2 being abused by staff. Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and received hospice care. Review of R2's behavior care plan that was in place on 4/18/26, dated 01/02/26 identified R2 was resistant to care and could be combative with caregivers. R2's behavior care plan interventions in place on 4/18/26 included: approach slowly and identify yourself prior to initiating care, provide calming sensory interventions such as music, hand fidget,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-05-14 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 2997912.Based on observation, interview and record review the facility failed to ensure one resident (resident #2) was free from physical restraints, resulting in anger frustration. Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and received hospice care. Review of R2's behavior care plan that was in place on 4/18/26, dated 01/02/26 identified R2 was resistant to care and could be combative with caregivers. R2's behavior care plan interventions in place on 4/18/26 included: approach slowly and identify yourself prior to initiating care, provide calming sensory interventions such as music, hand fidget, comfort items. Use calm, respectful and reassuring communication. Use non-verbal cues…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-06-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00153332. Based on observation, interview and record review, the facility failed to ensure a transfer was performed according to the plan of care for one (R3) of three reviewed, resulting in R3 being lowered to the floor and sustaining a fracture. Findings include: Review of the medical record reflected R3 was admitted to the facility on [DATE] and readmitted [DATE], with diagnoses that included fracture of unspecified part of neck of right femur and Multiple Sclerosis. The Significant Change in Status/Medicare 5 day Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 5/12/25, reflected R3 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool), did not walk and was dependent for transfers. On 6/25/25 at 11:23 AM, R3 was observed seated in a wheelchair, with a mechanical lift sling beneath them. R3's legs were resting on a heel elevation cushion, which was positioned on the footrests of the wheelchair.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-11-16 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure staff had proper certification for Cardiopulmonary Resuscitation (CPR- medical interventions used to restore circulatory and/or respiratory function that has ceased), including 2 (Nurses K and I) of 6 reviewed for CPR certification, resulting in the likelihood of residents not receiving adequate life sustaining treatments in the event of a sudden change in condition, potentially affecting all residents choosing to receive CPR. Review of the medical record reflected Resident #111 (R111) was admitted to the facility on [DATE], with diagnoses that included essential hypertension, Type 2 diabetes with diabetic neuropathy, sleep apnea, and acute respiratory failure. The Minimum Data Set (MDS) history reflected R111 died in the facility on 10/19/23. Review of a Nurses Note dated 10/20/2023 at 02:14 AM revealed Staff was in doing care with resident prior to bed when residents legs became weak and buckled while staff was assisting resident transferring…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intakes MI00136626 and MI00140194. Based on observation, interview, and record review the facility failed to protect the residents' right to be free from sexual abuse by a resident for two residents (Resident #6 and Resident #3) of six reviewed, resulting in Resident #6 being sexually abused by Resident #5 which caused increased tearfulness, anxiety, and emotional distress and Resident #3 being sexually abused by Resident #4. Findings include: Resident #5 (R5) and Resident #6 (R6) Review of the medical record revealed R5 admitted to the facility on [DATE] with diagnoses that included diabetes, anxiety disorder, and major depressive disorder. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/11/23 revealed R5 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the medical record revealed R6 admitted to the facility on [DATE] with diagnoses that included Alzheimer's Disease,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 2997912.Based on observations/interviews and record review, the facility failed to preserve the dignity and right to make choices including the refusal of care for one resident (Resident #2) of three reviewed. Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and was receiving hospice care. Review of R2's behavior care plan that was in place on 4/18/26, dated 01/02/26 identified R2 was resistant to care and could be combative with caregivers. R2's behavior care plan interventions in place on 4/18/26 included: approach slowly and identify yourself prior to initiating care, provide calming sensory interventions such as music, hand fidget, comfort items. Use calm, respectful and reassuring…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 2997912.Based on observations, interviews and record review, the facility failed to develop and or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act.for one resident (Resident #2) of three reviewed.Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and received hospice care. Thus, the reasonable person standard will be used for this citation. Review of the facility reported incident dated 4/18/26 at 06:50 pm, revealed that Licensed Practical Nurse (LPN) I notified Quality Assurance Manager (QAM) D via phone about an allegation of abuse that occurred at 10:40 am that day. It was reported that Certified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 2997912Based on observation, interview and record review, the facility failed to ensure the protection of residents from abuse for one (Resident #2) of three residents reviewed, resulting in the potential for continued abuse. Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and received hospice care. Thus, the reasonable person standard will be used for this citation. Review of the facility reported incident dated 4/18/26 at 06:50 pm, revealed that Licensed Practical Nurse (LPN) I notified Quality Assurance Manager (QAM) D via phone about an allegation of abuse that occurred at 10:40 am that day. It was reported that Certified Nursing Assistant (CNA) G was in training was in paired with CNA…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-19 · tag F0948 — pattern
  Ensure that paid feeding assistants have the training they need.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to maintain record of successful completion of a State-approved paid feeding assistant training course for 6 of 12 paid feeding assistants. Review of the lists provided by the facility, the facility had 12 staff who were Paid Feeding Assistants and 9 residents who were approved for the Paid Feeding Assistant program. In an interview on 03/19/26 at 12:55 PM, Director of Nursing (DON) B reported the facility was only able to locate the documentation of completion of a State-approved paid feeding assistant training course for 6 of the 12 staff who worked as Paid Feeding Assistants. DON B reported Life Enrichment Coordinator W, Dining Room Assistant (DRA) X, DRA Y, DRA Z, DRA AA, and DRA BB all completed the Paid Feeding Assistant training and had assisted with feeding, however the facility was unable to locate the documentation that the training had been completed.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review the facility failed to assess one resident (R121) out of three to self-administer her medications safely and independently.Findings IncludeResident 121 (R121)Review of the medical record reflected that R121 was admitted to the facility on [DATE]. Diagnoses of Chronic Obstructive Pulmonary Disease, pain in her right and left shoulders, Heart Failure, Acute Kidney Failure, Anxiety, Depression and shortness of breath.The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R121 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R121 needed minimum assistance with showering, personal care, getting dressed and putting on footwear, however, this portion was not completed at this time.During an observation and interview on 03/18/2026 at 8:25 AM, Registered Nurses (RN) I was pulling the medications out of the medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-19 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to protect personal, private and confidential information for one resident (R121) of three resident's protected information.Findings Include:Resident #121 (R121)Review of the medical record reflected that R121 was admitted to the facility on [DATE]. Diagnoses of Chronic Obstructive Pulmonary Disease, pain in her right and left shoulders, Heart Failure, Acute Kidney Failure, Anxiety, Depression and shortness of breath.The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R121 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R121 needed minimum assistance with showering, personal care, getting dressed and putting on footwear, however, was not completed at this time.During an observation and interview on 03/18/2026 at 8:25 AM, Registered Nurses (RN) I was pulling the medications out of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) Assessment timely for one (R13) of 23 reviewed.Findings include: Review of the medical record reflected R13 admitted to the facility on [DATE] and readmitted [DATE], with diagnoses that included Multiple Sclerosis. The Significant Change in Status MDS, with an Assessment Reference Date (ARD) of 2/5/26, reflected R13 scored 11 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool) and received hospice services. The MDS was completed on 2/19/26. On 03/17/2026 at 10:21 AM, R13 was observed seated in a high-back wheelchair, watching TV, in their room. A Progress Note for 1/30/26 reflected R13 admitted to hospice services. In a phone interview on 03/19/2026 at 11:33 AM, MDS Nurse V reported the significant change in status occurred on 1/30/26, when R13 was enrolled in hospice services. In a follow-up phone interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0688 — failed to keep residents mobile / prevent decline — 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement a restorative maintenance program for one (R3) of one reviewed. Findings include: Review of the medical record reflected R3 admitted to the facility on [DATE], with diagnoses that included non-pressure chronic ulcer of the left thigh with necrosis of muscle, displaced intertrochanteric fracture of the left femur and presence of a left artificial knee joint. The admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 2/1/26, reflected R3 scored eight out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool) and had lower extremity impairment on one side that interfered with daily functions or placed them at risk of injury in the last 7 days. On 03/17/2026 at 11:06 AM, R3 was observed seated in a wheelchair, in their room, watching TV. The footrests of the wheelchair were elevated, to approximately seat level height. R3's legs were extended on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure the medication rate was less than 5% when two medication errors were observed form a total of 30 opportunities for one resident (#121) of three reviewed for medication administration, resulting in a mediation error rate of 6.67 %.Findings IncludeResident #121 (R121)Review of the medical record reflected that R121 was admitted to the facility on [DATE]. Diagnoses of Chronic Obstructive Pulmonary Disease, pain in her right and left shoulders, Heart Failure, Acute Kidney Failure, Anxiety, Depression and shortness of breath.The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R121 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R121 needed minimum assistance with showering, personal care, getting dressed and putting on footwear, however, was not completed at this time.During an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations during medication administration the facility failed to provide hand hygiene for one resident (R121) out of three residents observed during medication administration.Findings IncludeResident #121 (R121)Review of the medical record reflected that R121 was admitted to the facility on [DATE]. Diagnoses of Chronic Obstructive Pulmonary Disease, pain in her right and left shoulders, Heart Failure, Acute Kidney Failure, Anxiety, Depression and shortness of breath.The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R121 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R121 needed minimum assistance with showering, personal care, getting dressed and putting on footwear, however, was not completed at this time.During an observation and interview on 03/18/2026 at 8:25 AM, Registered Nurses (RN) I was pulling the medications out of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$15,593 in federal fines across 1 penalty.

• $15,593 — penalty dated 2023-11-16

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $147K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI