Medilodge of Alpena
301 Long Rapids Road, Alpena, MI 49707 · For profit - Individual · 132 certified beds · (989) 356-2194 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has 2 actual-harm citations
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.7% | 10.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.1% | 5.4% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.7% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 1.9% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 5.1% | 3.0% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 13.3% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 18.7% | 19.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 95.4% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.0% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 28.0% | 20.0% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.8% | 14.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 70.7% | 79.5% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 25.6% | 24.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 13.9% | 11.7% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.38 | 1.84 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 2.18 | 1.64 | 1.80 | worse |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
55.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 63.6% 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 55 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 55.5%CMS range 48.8–62.2 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.6%CMS range 7.0–12.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 63.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 47.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 50.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 84.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 92.9% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.5%CMS range 5.9–13.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.98 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 132 beds and averages 119.9 residents a day — about 91% occupied, or roughly 12 beds typically open. It runs fairly full. 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 3.86 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 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 3.23 hrs/resident/day on weekends vs 4.12 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.97 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 1 administrator has left in the past year.
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.
21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · Gcited before2024-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 recognize a change in condition for one Resident (R70) out of 23 residents reviewed for quality of care. This deficient practice resulted in hospitalization and death. Findings include: Resident #70 (R70) Review of the admission record for R70, revealed an original admission to the facility on 3/11/24, with medical diagnoses including congestive heart failure (heart does not pump or fill adequately), chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), morbid obesity, and muscle weakness. Review of progress note, dated 3/11/24 at 11:08 AM, read in part, .Resident admits to SNF (skilled nursing facility) for short term rehab . Review of physician progress note, dated 3/11/24 at 12:30 PM, read in part, .His goal is to rehab and discharge to home . Review of medication administration record (MAR), dated 7/1/24 through 7/10/24, revealed the following lab orders: a.) 7/3/24 - Lab to draw…
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.
- Actual harm · G2024-08-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 prevent the development of pressure wound for two Residents (R33 & R70) out of three residents reviewed for pressure ulcer care. This deficient practice resulted in deterioration of pressure wound, sepsis, and hospitalization, requiring wound debridement for R70. Findings include: Resident #70 (R70) Review of the admission record for R70, revealed an original admission to the facility on 3/11/24, with medical diagnoses including congestive heart failure (heart does not pump or fill adequately), chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), morbid obesity, and muscle weakness. Review of R70's progress note, dated 3/11/24 at 11:08 AM, read in part, .Resident admits to SNF (skilled nursing facility) for short term rehab . Review of R70's physician progress note, dated 3/11/24 at 12:30 PM, read in part, .His goal is to rehab and discharge to home . Review of R70's…
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.
- Potential for harm · Dcited before2026-01-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 # 2712549.Based on interview and record review the facility failed to provide bed mobility in a safe manner for one Resident (Resident #2) out of three residents reviewed for accidents, hazards, and supervision.Findings include:Resident #2 (R2)Review of R2's face sheet, dated 1/21/26, revealed an original admission to the facility on [DATE] with medical diagnoses including wedge compression fractures of third, fifth, and sixth thoracic vertebra, multiple fractures of the left ribs, left clavicle fracture, depression, and obesity. R2 also admitted into rehab services at the facility.A complaint dated 1/6/26 submitted to the State Agency (SA), read in part .On 1/1/26, (R2) was being rolled over for a bed check on to see if there was any waste in his pants. Staff member, (Certified Nurse Aide [CNA] F), was assigned to do the bed check. During the bed check, (R2) was manhandled, slammed into the bedrails and his shoulder was hurt.R2's minimum data set (MDS), dated [DATE], indicated a…
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.
- Potential for harm · E2025-08-21 · tag F0628 — patternProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide written bed hold notifications to residents and/or responsible parties for eight Residents (#2, #7, #9, #10, #11, #27, #59, & #87) of nine residents reviewed for hospitalizations. Findings include:Resident #87 (R87) was transferred to the hospital Emergency Department (ED) on 3/13/25. There was no documentation in the Electronic Medical Record (EMR) indicating the resident/responsible party were provided a bed hold notice. Resident #10 (R10) Review of a “Transfer Notice,” dated 6/4/2025 from R10's EMR, revealed the R10 was transferred to the emergency department on 6/4/2025 due to lethargy and decreased alertness. Further review of R10's EMR revealed the Resident was hospitalized following the transfer with return to the facility on 6/9/2025. In review of the EMR, it was noted there was no documentation or signed document indicating the Resident or the Resident's representative was provided with the facility bed hold policy at the time of transfer or thereafter. Resident #11 (R11) Review of a “Transfer Notice,”…
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.
- Potential for harm · Ecited before2025-08-21 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 safe storage of medications and labeling for three of three medication carts reviewed for medication storage. Findings include: On [DATE] at 9:30 AM, the A-hall medication cart was observed for medication storage and was found to have five insulin pens without an expiration date. One insulin pen had an opened date of [DATE] and would have been expired on [DATE] and remained in the active medication supply. On [DATE] at 9:40 AM, an interview was conducted with Licensed Practical Nurse (LPN) D, who was asked how long the insulins in her cart were good to use and replied, I don't know. I would have to ask the unit manager. LPN D was asked if she was unsure how long the insulin pens were good for how would she know when to discard them and replied, I guess I better find out. On [DATE] at 2:15 PM, the E-hall medication cart was observed for medication storage and was found to have 13 insulin pens and two insulin vials without 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.
- Potential for harm · Dcited before2025-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 Based on observation, interview, and record review the facility failed to supply appropriate devices to ensure resident safety while smoking for one Resident (#104) of one resident reviewed for safe smoking. Findings include:Resident #104 (R104)On 8/19/2025 at 3:08 PM, R104 was observed in the hallway on her way to the smoking area outside. The smoking times listed for the facility were every two hours on odd hours of the clock. On 8/20/2025 at 1:17 PM, three resident smokers were observed in the outdoor pavilion smoking area accompanied by Certified Nursing Aide (CNA) A and one visitor. R104 was smoking a cigarette and was not wearing a smoking apron for protection against burns. Several ashtrays were on the table with one ashtray positioned directly in front of R104. While R104 was smoking, she backed her wheelchair away from the table and was observed not using the ashtray and flicking ashes from her burning cigarette into the air. The ashes were drifting in the air and not controlled. When questioned, R104…
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.
- Potential for harm · Dcited before2025-08-21 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure a medication error rate less than 5 percent, with 3 errors identified, out of 25 medication administration opportunities observed. This deficient practice resulted in a medication error rate of 11.54 percent, and the potential for the administration of non-therapeutic doses of medication, and preparation of medication not according to manufacturer's instructions. Findings include: Error 1 and 2. Resident #94 (R94) - During observation of preparation of oral medications for R94 on 8/20/25 at 7:50 AM, Licensed Practical Nurse (LPN) D dispensed cyanocobalamin 500 micrograms (mcg), one tablet into a medication cup prepared for R94. LPN D completed her preparation for morning medication pass for R94 which included 0700 (7:00 AM) and 0800 (8:00 AM) medications. LPN D was asked how much cyanocobalamin was dispensed and replied, One. That's what the order says. LPN D was asked to check her dose of cyanocobalamin that was stored in her medication cart and replied, It is only 500 mcg. I need to give her two I…
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.
- Potential for harm · D2025-08-21 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 observation, interview and record review, the facility failed to ensure current infection control practices were maintained for two Residents (#10 & #126) of 24 residents reviewed for infection control practices related to medication administration and reusable oxygen tubing.Findings include:Resident #10 (R10) Review of the Minimum Data Set (MDS) assessment, dated 6/17/2025, revealed R10 was admitted to the facility on [DATE] with diagnoses including heart failure, chronic respiratory failure, diabetes and dementia. Further review of the MDS assessment revealed R10 had moderate cognitive impairment, required substantial/maximal assistance with personal hygiene and was dependent on staff for transfers and mobility. Review of R10's active physician's orders revealed the following: Oxygen: Run [at] 3 L/Min [liters per minute] via NC [nasal cannula] 24 hours per day continuous. Every day and night shift. Start Date: 6/09/2025. Upon entering R10's room on 8/19/2025 at 12:50 PM, a portable oxygen concentrator…
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.
- Potential for harm · Dcited before2025-02-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 quality of care was provided for two Residents (R8, and R9) of nine residents reviewed for quality of care by failing to: 1. provide diabetic foot care and 2. perform proper assessments and charting for new admissions. Findings include: This citation pertains to intake: MI00149326. Resident #8 (R8) Review of R8's MDS assessment dated [DATE], revealed admission to the facility on 4/10/24, with active diagnoses that included: heart failure, depression, diabetes mellitus, and hypertension. R8 scored a 15 of 15 on the BIMS assessment reflective of intact cognition. On 2/5/25 at 9:10 AM, an observation was made of R8 in her room sitting up on the side of her bed leaning over her bedside table. R8 was not wearing any socks or shoes. R8 was asked how she was doing and why her toenails were so long and replied, I know they are long and ugly. R8 was observed to have bilateral great toenails to be an inch long, her left foot second through…
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.
- Potential for harm · D2025-02-06 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 medications were dispensed and destroyed per standards of practice and per facility policy for two Residents (#1 and #4) of nine residents reviewed for pharmacy services. Findings include: This citation pertains to intake: MI00149326. Resident #1 (R1) Review of R1's Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on [DATE], with active diagnoses that included: heart failure, asthma, diabetes mellitus, and anxiety. R1 scored a 15 of 15 on the Brief Interview of Mental Status (BIMS) assessment reflective of intact cognition. On [DATE] at 8:45 AM, R1 was observed in her room, finishing breakfast at her bedside table. An empty disposable medication cup labeled with R1's last name was observed next to her breakfast tray. R1 stated the floor nurse had recently dropped off her morning medications. When asked if the nurse ensured R1 had taken their medication before leaving the room, R1 replied, No, she…
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.
- Potential for harm · D2025-02-06 · tag F0776 — isolatedProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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: MI00149326. Based on interview and record review, the facility failed to ensure radiology exams were obtained as ordered for one Resident (#7) of 9 residents reviewed for radiology services. Findings include: Resident #7 (R7) Review of R7's Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on 3/8/24, with active diagnoses that included: hypertension, depression, diabetes mellitus, and gout. R7 scored a 15 of 15 on the Brief Interview of Mental Status (BIMS) assessment reflective of intact cognition. On 2/5/25 at 11:20 AM, an interview was conducted with Medical Doctor (MD) E who stated he was displeased with the nursing staff at the facility because he ordered a bilateral [both side] foot x-ray for R7 on 1/20/25 and when he returned to the facility on 1/23/25 his x-ray was never ordered. On 2/26/25 at 2:45 PM, an interview was conducted with R7 in his room who was asked about his toes being run over by another female resident and replied, Yes, it…
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.
- Potential for harm · E2024-08-01 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to provide food in a manner that was a palatable (preferable) temperature for 19 of 23 residents interviewed. This deficient practice resulted in frustration with meals and the potential for weight loss and inadequate nutrition. Findings include: During an interview on 7/30/24 at 7:08 a.m., Confidential Resident C8 stated, the food is always cold, it doesn't matter what meal it is .the food is cold. During an observation on 7/30/24 at approximately 7:15 a.m., Confidential Residents C10 and C11 were talking to each other at a table in the dining room. C10 stated the food is going to be cold . C11 stated the food is always cold. During an interview on 7/30/24 at 8:16 a.m., Confidential Resident C12 stated the food is warm for the first time ever. During an interview on 7/30/24 at 8:44 a.m., Confidential Resident C13 stated the food is ok, but not that warm. During a confidential group interview on 7/30/24 at 10:30 a.m., 5 (C7, C14, C15, C16, C17) of 12 residents agreed the food is not palatable due to cold…
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.
Show the remaining 9 citations
- Potential for harm · Dcited before2024-08-01 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure a medication administration error rate of less than five percent, with three errors identified out of 25 opportunities, affecting one Resident (R10) of four residents observed for medication administration, resulting in a medication error rate of 8.00 percent. Findings include: On 7/30/24 at 11:55 AM, medication administration was observed with Registered Nurse (RN) J for R10. RN J was observed dispensing 2.5 milliliters (ml) of metoclopramide oral solution with a concentration of 5 milligrams (mg) / 5 ml. RN J was asked to verify the order and then the medication concentration. After order and medication concentration were verified, RN J replied, I need to give 2.5 ml more. I always give 2.5 ml. The order must have been changed. RN J then drew up another 2.5 ml of metoclopramide to be administered. Review of R10's physician order, dated 1/16/24, revealed the current order for metoclopramide was to give 5 ml via G-tube, three times a day for GERD (gastroesophageal reflux disease/acid reflux). 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.
- Potential for harm · Fcited before2023-08-10 · tag F0761 — failed to label and store drugs safely — widespreadEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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: 1.) Remove expired IV (intravenous) medications and supplies. 2.) Remove expired needles and syringes. 3.) Remove expired wound vac tubing. 4.) Remove expired respiratory suctioning and nebulizer supplies. from medication storage rooms; 5.) Remove expired healthcare disinfectant wipes. 6.) Maintain a clean medication cart free of loose pills. 7.) Properly date multi-use inhalers when opened for two of two medications, and two of three medication carts reviewed for medication storage. This deficient practice had the potential for expired IV medications/supplies to be utilized/administered, missed medication doses, medication misappropriation, reduced efficacy of healthcare disinfectant used for cleaning multi-use medical supplies, and had the potential to affect the entire resident population. Findings include: On 8/9/23 at 8:42 AM, an observation of the medication cart on B-Hall was conducted with Licensed Practical Nurse (LPN) K. There…
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.
- Potential for harm · F2023-08-10 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to ensure two staff persons washed their hands after being potentially contaminated. 2. Failing to ensure the ventilation system in the kitchen and dish washing rooms was properly balanced to exhaust the steam being generated by the high temperature dish machine. 3. Failing to ensure beverage containers being used by employees were stored in a manner which could not contaminate food contact surfaces. These deficient practices have the potential to result in food borne illness among any and all 109 residents of the facility. Findings include: 1. On 8/09/23 at approximately 7:45 AM observations were made with kitchen manager (KM) A, in the kitchen, during the morning meal preparation and service. At this time Dietary Aide (DA) C was observed pulling a yellow garbage can out from under a counter, removing the lid, disposing of trash, replacing the lid and pushing the container…
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.
- Potential for harm · E2023-08-10 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure meal menus were reviewed and approved by the facility dietitian or other qualified nutrition professional to ensure the menus and production recipes were followed to ensure nutritional requirements of the residents were met. This deficient practice had the potential to result in malnutrition to nutritionally at-risk residents. Findings include: On 8/9/23 at approximately 10:20 AM, observations were made during the preparation of the noon meal. A review of the menu for the meal was conducted and revealed the following was to be served: Canned fruit plate/cottage cheese; banana muffin; margarine, cookies, sugar, salt, pepper, parsley sprig. An interview was conducted with [NAME] E at this same time. [NAME] E asked about the amount of cottage cheese to be served, as she was not clear to the amount needed to provide a nutritional meal. The vendor production recipe Canned Fruit plate/cottage cheese 3 oz (0000025569) was reviewed with [NAME] E and Kitchen Manager A. The recipe was not consistent with 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.
- Potential for harm · E2023-08-10 · tag F0806 — failed to honor food preferences — patternEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 provide food preference accommodations based on the preferences of six Residents (R26 and five confidential residents) of ten residents reviewed for food preferences. This deficient practice resulted in food dissatisfaction, decreased food consumption and potential weight loss when food preferences were not provided as requested. Findings include: A confidential group interview was conducted on 8/9/23 at 3:30 p.m. During this time, the discussion of food preferences was brought forth to the group of nine residents and the following comments were made: R800 stated, The food can be cold, and a lot of times you get things that you don't want. I told them my likes and dislikes and have been to the office several times to ask why they keep sending me these items. They said they would fix it, and I continue to get the things I don't want. R802 stated, It's always cold (the food) Sometimes I get things on my tray that I have requested not to…
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.
- Potential for harm · D2023-08-10 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to check for peg tube residual and properly clean a glucometer according to accepted nursing standards of practice, for two Residents (#9 and #39) reviewed for professional standards of practice. This deficient practice resulted in the potential for adverse effects related to tube feeding administration and the spread of blood borne pathogens. Findings include: Resident #39 (R39) On 8/9/23, at 11:39 AM, an observation was made on C-Hall. Registered Nurse (RN) H was performing a finger stick blood glucose on R39. RN H was observed not wearing any protective gloves and proceeded to prick the end of R39's fingers on her right hand. RN H then took the reading and pulled out the blood contaminated strip with an bare hand and threw it in the medication cart sharps container. RN H then placed the dirty glucometer back in her medication cart in the top drawer with the testing strips bottle, and then closed the draw without sanitizing the glucometer. RN H failed to sanitize her hands post blood glucose finger stick check…
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.
- Potential for harm · Dcited before2023-08-10 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 follow up was performed for a laboratory urine culture and sensitivity for one Resident (#58) of 20 residents reviewed for quality of care. This deficient practice resulted in the delay of treatment, potential for worsening of infection and lack of monitoring for a urinary tract infection. Findings include: Resident #58 (R58) Review of R58's admission record, date printed 8/10/23, revealed, R58 was originally admitted to the facility on [DATE] with diagnoses including dementia, hypertension (elevated blood pressure), stage 4 chronic kidney disease, and history of urinary tract infections. Review of R58's progress note, dated 7/31/23 at 10:31 AM, read in part, .resident voiced that she had been having increased difficulty with urination, was experiencing nocturia (frequent nighttime urination), frequency, and burning with urination. Order procured for UCIF (urine culture if indicated) to r/o (rule out) UTI (urinary tract infection). Charge nurse…
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.
- Potential for harm · D2023-08-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 provide oxygen services per standards of practice and per physician orders for one Resident (#67) of one resident reviewed for oxygen services. This deficient practice resulted in the potential for the development of respiratory complications, including infections. Findings include: Resident #67 (R67) Review of the Electronic Medical Record (EMR) revealed R67 admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, venous insufficiency, anxiety disorder, hypertension, and asthma. Review of the 7/18/23 Minimum Data Set (MDS) assessment showed R67 scored a 3/15 on the Brief Interview for Mental Status (BIMS) assessment, which indicated R67 had severe cognitive impairment. R67 was marked as not receiving oxygen therapy in the MDS assessment. On 8/8/23 at 12:43 p.m., during an attempted interview, R67 could not be located in her room. R67 was having lunch in…
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.
- Potential for harm · D2023-08-10 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide dining adaptive equipment for two Residents (R4 and R46) of three residents reviewed for dining assistive devices. This deficient practice resulted in increased difficulty with food consumption and decreased independence with eating, as well as the potential for decreased food/fluid intake and risk for weight loss. Findings include: Resident 4 (R4) On 8/9/23 at 12:23 PM, R4 was observed in the main dining room eating lunch with the assistance of Certified Nurse Aide (CNA) R. The meal card for R4 included instructions of Adap Equip (Adaptive Equipment), w/lid (with lid), plate guard, small utensils. R4 had been served: - 4 ounces of a strawberry health shake in a tumbler without a lid and - 8 ounces of milk (nectar thick) in a tumbler without a lid. CNA R was asked about the beverages and meal card and exclaimed, Oh, she (R4) should have two-handled cups with lids. CNA R then left the table to request two-handled covered mugs and after obtaining them, she poured the milk and health shake into 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to MEDILODGE — 53 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.1 | +1.9 vs chain |
| Health inspection | 4 of 5 | 2.7 | +1.3 vs chain |
| Staffing | 4 of 5 | 3.7 | +0.3 vs chain |
| Quality measures | 5 of 5 | 4.0 | +1.0 vs chain |
The other 52 homes this chain runs (chain average 3.1★, per CMS)
Showing 40 of 52; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| EVEREST OPCO GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 02/01/2018 |
| B&Y HEALTHCARE S CORP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/01/2018 |
| B&Y TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/01/2018 |
| CODY HEALTHCARE S CORP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/01/2018 |
| CRAIG FLASHNER 2007 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/01/2018 |
| NORCROSS, ROBERT | Individual | CONTRACTED MANAGING EMPLOYEE | — | since 02/01/2018 |
| ROGERS, STACEY | Individual | CONTRACTED MANAGING EMPLOYEE | — | since 02/01/2018 |
| KIRK, KRISTINE | Individual | W-2 MANAGING EMPLOYEE | — | since 02/01/2018 |
| FLASHNER, CRAIG | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 02/01/2018 |
| PERLSTEIN, YITZCHOK | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 02/01/2018 |
| BLOSSOM HEALTHCARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 02/01/2018 |
| PRESTIGE ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2016 |
CMS files one row per role, so the 14 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.
7 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 $733K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235280. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.