Hampton Nursing and Rehabilitation
800 Mulholland Road, Bay City, MI 48708 · For profit - Corporation · 51 certified beds · (989) 895-8539 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- 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 number of inspection citations overall (26) — 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) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 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 | 4 of 5 |
| Long-stay residentspeople who live here | 4 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 3 to 4 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 | 14.8% | 10.8% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.8% | 5.4% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.8% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 4.2% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.0% | 3.0% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 12.9% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 25.2% | 19.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.2% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 17.7% | 20.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 1.1% | 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 | 94.9% | 79.5% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.0% | 24.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 9.8% | 11.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.18 | 1.84 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.82 | 1.64 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ 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.
52.5% 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 87 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 46.0% 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 37 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 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% 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 | 52.5%CMS range 41.4–62.6 | 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 | 10.0%CMS range 6.7–14.8 | 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 | 46.0% | 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 | 64.9% | 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 | 35.1% | 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 | 100.0% | 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 | 100.0% | 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 | 0.0% | 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 | 7.8%CMS range 4.4–12.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.09 | 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 51 beds and averages 45.9 residents a day — about 90% occupied, or roughly 5 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 3.00 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.60 is below 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 2.66 hrs/resident/day on weekends vs 3.13 on weekdays — 15% thinner on weekends. RN hours go from 1.16 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 43% 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.
26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.
- Potential for harm · F2025-06-26 · tag F0725 — failed to have enough nursing staff — widespreadProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 adequate nursing staff to ensure that the needs of the residents were met, resulting in insufficient and unmet resident care needs, and residents' feelings of frustration. Findings include: Record review of the facility submitted 'PBJ Staffing 2 Quarter 2025 ([DATE]-March 31) identified low weekend staffing for the first quarter 2025. Record review of the facility 'Staffing, Sufficient and Competent Nursing' Policy Statement revealed that the facility provides sufficient numbers of nursing staff with the appropriate skills and competency necessary to provide nursing and related care and services for all residents in accordance with resident care plans and the facility assessment. Record review of 'Staffing, Sufficient and Competent Nursing' Policy Statement revealed the facility provides sufficient numbers of nursing staff with the appropriate skills and competency necessary to provide nursing and related care and services for all residents 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 · Dcited before2025-06-26 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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
Based on observation, interview and record review, the facility failed to ensure that residents were treated with dignity and had their needs met timely for a private group of residents and Resident #10, Resident #39 and Resident #41, resulting in complaints of being talked down to, feelings of sadness , diminished self-worth and not having their needs met as they wished. Findings include: Resident #39: On 6/24/25, at 11:12 AM, Resident #39 was resting in their bed. They complained their needs were met half of the time. Resident #39 used a writing board for communication. Resident #39 wrote on their communication board when Aide H answers my light she says do it on your own. On 6/25/25, at 10:15 AM, During Resident council task, the Residents were asked if they get care when they need it and unanimously all residents stated, No. The following complaints were voiced regarding getting their needs met: They don't have enough people If they're busy with someone that really needs their help, you have to wait longer There is usually not enough aides We're lucky if we get 2 aides Most of…
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 · D2025-06-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 a homelike shower room for the 100-Hall and failed to ensure a clean functioning shower room for the 200-Hall shower room for all residents who use the shower rooms for hygiene, resulting in black residue on shower tiles, chipped off sharp tile edges and a non-functioning shower on the 200-Hall. Findings include: On 6/24/25, at 12:07 PM, an observation of the only working shower room in the building was conducted with Aide H. The wall tiles in the shower area had a black residue. The caulking in the corners had a black residue. The outside shower corner behind the curtain had an area approximately 10 inches high of chipped off tiles. The drywall underneath was also chipped away. There was a black residue on the exposed areas. The tile edges appeared sharp. On 6/24/25, at 12:13 PM, An interview with the Administrator was conducted regarding the shower room. The Administrator offered they had a quote to repair both shower rooms as the shower room on the 200 hall was not in use since they had the tub…
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 · D2025-06-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 1) Follow care plans for Activities of Daily living (ADL) care for two residents (#5, #96) and 2.) follow care plan for daily dressing change for Resident #18, resulting in Resident #18 and Resident #96 to appear to be in need of showers and hair care, and Resident #18 to have a post-surgical incision dressing change timely. Findings include: Record review of the facility 'Care Planning- Interdisciplinary team' policy dated 3/2025, revealed the interdisciplinary team is responsible for the development of resident care plans. The IDT includes but is not limited to: the resident ' s attending physician; a registered nurse with responsibility for the resident; a nursing assistant with responsibility for the resident; a member of the food and nutrition services staff; to the extent practicable, the resident and/or the resident ' s representative; and other staff as appropriate or necessary to meet the needs of the resident, or as requested by the resident. Activities of Daily Living Resident #5: Observation 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 · Dcited before2025-06-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
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 records review, the facility failed to ensure that Activities of Daily Living (ADL) care was provided for 5 Residents (#5, #10, #38, #41 and #96) of 5 residents reviewed for personal hygiene/showers, resulting in poor hygiene and the potential for skin irritation, body odor and feelings of embarrassment, diminished self-worth, complaints of unkempt personal hygiene, feelings of sadness, overall feeling bad and a lack of dignity. Findings include: Observation and interview on 06/24/25 at 1:10 PM Observation with maintenance supervisor F of the 200 hallway shower room revealed there to be no tub or shower in the room. A toilet was noted for use. Storage items noted in the room consisted of three plastic commode chairs, a mechanical lift, a reclining shower chair and dirty linen bins. The maintenance supervisor F stated the tub was removed in March 2025 and they are waiting on quotes for a shower to be built. So only one shower is in use for all 48 residents. (If each resident…
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 before2025-06-26 · 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
Based on observation, interview and record review, the facility failed to ensure that a dressing change was completed as ordered for one resident (Resident #18) of 2 residents reviewed for skin, resulting in Resident #18 having a lower back post-surgical incision with dressing that was not changed daily as ordered with the likelihood for infection and prolonged illness. Findings include: Resident #18: Observation and interview on 06/24/25 at 09:18 AM with Resident #18 revealed that the resident had a second back surgery and had a dressing /sore on his back. the state surveyor observed mid-line lower back dressing dated 6/22/2025 at 10 AM, initials staff AK. Resident was asked about the dressing changes, and he stated They are supposed to change the dressing every day. the previous day He left around 11:00 AM for a physical therapy home evaluation yesterday. Resident #18 did not leave the facility until 11:00 AM as a planned leave of absences. In an interview on 06/24/25 at 09:25 AM with Registered Nurse (RN) A stated that Resident #18 was gone before she could get to doing her…
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 before2025-06-26 · 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 follow care-planned interventions and prevent skin breakdown for one resident (Resident #6) out of three residents reviewed for skin problems, resulting in new skin breakdown with the likelihood of further skin breakdown and pain. Findings include: Resident #6: On 6/24/25, at 8:25 AM, Resident #6 was resting in bed on their back without positioning devices. There was a slight odor to the room. On 06/25/25, at 3:00 PM, an observation of Resident #6's abdomen wound was conducted with the Director of Nursing (DON). When the DON pulled back Resident #6's covers there was a strong odor. The DON mentioned that the wound was healing well. There were no positioning devices under Resident #6's left arm. On 6/25/25, at 3:15 PM, a record review of Resident #6's electronic medical record revealed an admission on [DATE] with diagnoses that included Stroke, Aphasia and Hemiplegia following Stroke. Resident #6 was totally dependent on Staff for all…
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 before2025-06-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 medication storage for the 200 Hall medication cart of 2 carts reviewed, resulting in the 200 Hall medication cart to be found parked in the middle of the 200 hallway left unlocked and accessible for residents, visitors and state surveyor to access the medications. Findings include: Observation and interview on 06/24/25 at 12:13 PM of the 200 hallway medication cart left in hallway unlocked. The state surveyor was able to open drawers on the med cart. Registered Nurse (RN) A was noted in room [ROOM NUMBER] checking resident blood sugar and chatting with resident. RN A came out of the room and the surveyor was standing at the medication cart with the second drawer open. The state surveyor had to ask the nurse what's going on with the cart being left unlocked in the hallway with visitors, therapy and staff passing by. RN A stated that she didn't mean to leave the cart unlocked. Record review of Registered Nurse (RN) As employee…
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 · D2025-06-26 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 declination documentation and education of immunization refusal for one resident (Resident #28) of 5 residents reviewed for immunizations, resulting in the lack of documentation of resident immunization education and declination of vaccines. Findings include: Influenza Vaccine Resident, dated 9/2024, All residents and employees who have no medical contraindications to the vaccine will be offered the influenza vaccine annually to encourage and promote the benefits associated with vaccinations against influenza. A resident's refusal of the vaccine shall be documented on the Informed Consent for Influenza Vaccine and placed in the resident's medical record. Pneumococcal Vaccine Policy Statement dated 11/2024, All residents are offered pneumococcal vaccines to aid in preventing pneumonia/pneumococcal infections. Residents/representatives have the right to refuse vaccination. If refused, appropriate information is documented in the resident's medical record indicating the date of the refusal of the pneumococcal…
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 · E2024-07-17 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably accommodate the needs and preferences of each resident.
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 timely responses to call lights, ensure that call lights were within reach and ensure that privacy curtains were within reach and used for seven residents (Resident #1, Resident #4, Resident #20, Resident #36, Resident #38, Resident #39, Resident #244) and five rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER] and room [ROOM NUMBER]), resulting in unmet care needs, unmet privacy needs and with the likelihood of feelings of anger and hopelessness. Findings include: On 7/15/24, at 08:45 AM, During initial pool task, the following Residents' rooms had their privacy curtains tucked away out of reach: 100, 103, 107, 108 and 110. On 7/15/24, at 8:55 AM, Resident #36 was lying in bed in their gown. Their call light was out of reach sitting on a chair to the left of their bed approximately 4 feet away. Resident #36 was asked if they could reach their call light and Resident #36 stated, well, I guess…
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 16 citations
- Potential for harm · Dcited before2024-07-17 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
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 Activities of Daily Living (ADL) care for four residents (Resident #5, Resident #21, Resident #33 and Resident #36) out of nineteen residents reviewed for ADL care, resulting in long jagged fingernails, missed showers and unkept appearance. Findings include: Resident #5: On 7/16/24, at 10:00 AM, a record review of Resident #5's electronic medical record revealed an admission on [DATE] with diagnoses that included stroke, heart failure and dysphagia. A review of the I have an ADL self-care performance deficit care plan revealed . PERSONAL HYGIENE/ORAL CARE: I am totally dependent of (2) staff for personal hygiene and oral care. Date Initiated: 09/25/2023 . A review of the Task: Shower/Bed Bath - Tuesday and Friday morning and PRN (as needed) Look Back: 30 (days) . revealed the following documented showers 6/18/2024 6/21/2024 6/28/2024 7/2/2024 7/9/2024 7/12/2024 There were 2 showers missed 6/25 and 7/4. Resident #21: On 7/15/24, at…
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 before2024-07-17 · 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 a facility-acquired pressure injury and ensure that timely nutritional care plans are updated and implemented with the development of the pressure injury for one resident (Resident #39) of three residents reviewed for pressure ulcers resulting in deep tissue injury to R39's left heel and potential for lack of nutritional intervention to hasten the healing of pressure injury and potential for pain and discomfort. Findings include: Resident #39 (R39): A wound observation was conducted on 07/17/24 at 1:17 PM. R39's on 7/3/24 developed a Deep Tissue Pressure Injury (DTI) located at R39's left heel. The Wound Nurse O described that R39 have a blackened area on her Left Heel upon admission. Although R39 had a vascular ulcer on her right big toe before her admission at the facility, R39 developed the DTI acquired at the facility. Wound Nurse O revealed, R39 was admitted to the facility on [DATE], and developed DTI few…
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 · D2024-07-17 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 apply bilateral palm protectors for one resident (Resident #21) of two residents reviewed for range of motion, resulting in the likelihood of decreased range of motion and discomfort. Findings include. Resident #21: On 7/15/24, at 8:49 AM, Resident #21 was lying in their bed. Their right hand was closed. They did not have any form of palm protectors on. On 7/15/24, at 11:01 AM, Resident #21 was lying in bed in the same position. There bilateral hands appeared contracted, and they were not wearing any palm protectors. On 7/16/24, at 7:54 AM, Resident #21 was lying in bed They did not have any palm protectors on. On 7/16/24, at 1:53 PM, Resident #21 was resting in bed. They did not have any palm protectors on. On 7/16/24, at 3:00 PM, a record review of Resident #21's electronic medical record revealed an admission on [DATE]. A review of the Kardex revealed . SPECIAL NEEDS . Bilateral hand protectors to be worn during day. Applied after hand…
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 before2024-07-17 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
Based on observation, interview and record review, the facility failed to store narcotics properly for one resident (Resident #1) during the medication administration task, resulting in narcotics not being double locked and stored in a medication cup. Findings include: Resident #1: On 7/16/24, at 9:05 AM, During medication administration task, Nurse B prepared morning medications for Resident #1 to include 1 Norco 5/325 tablet and 1 Pregamblin 150 milligram tablet and placed them in a clear medication cup. Nurse B walked to Resident #1's room and offered the medications although Resident #1 was eating breakfast and asked to take them later. Nurse B was asked what they planned to do the medications as Nurse B walked back to the medication cart. Nurse B stated, I capped it and I'm writing her name on it. Nurse B took a black marker and wrote the room number on the medication cup. Nurse B then placed the medication cup inside the top drawer of the medication cart and prepared medications for the next resident. On 7/16/24, at 9:25 AM, during medication administration task, Nurse B…
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 · D2024-07-17 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that the resident's food preferences were honored, food was palatable, and an adequate amount of food and choices were offered according to the care plan to one resident (Resident #39), resulting in weight loss and potential for anger and frustration, malnutrition and poor wound healing. Findings include: Resident #39 (R39): R39 was observed talking to her significant other in her room, waiting for her lunch on 7/15/24 at 1:15 PM. She was alert and oriented regarding time, place, and person. R39 was admitted to the facility on [DATE] with the following diagnosis: Pulmonary Embolism with Acute Pulmonale, Type 2 Diabetes, in addition to other diagnoses. The doctor's orders reviewed included R39's Diet orders, which were noted as CCD (Controlled Carbohydrate Diet), NAS (Cardiac or No Added Salt) diet with Regular Food consistency. A laboratory report dated 6/26/24 revealed that the blood glucose level was flagged at a high level at…
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 · D2024-07-17 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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 that proper communication and documentation of Hospice services were provided to one resident (Resident#26) of two residents reviewed for hospice services, resulting in the lack of receipt of progress notes assessments to resident's medical record with ineffective or delayed communication and collaboration of services between the facility and hospice service, lack of residents and staff awareness of hospice schedule and potential for unmet needs, pain and suffering. Findings include: Resident #26 During the observation tour on 7/15/24 at 10:45 AM, R26 was lying in bed grimacing and looked uncomfortable. When asked how she was, she stated, I don't feel good. When asked if she had told anyone, R26 replied, The nurse has been here, but it's been a while. R26 was admitted to the facility on [DATE], with the diagnosis of rheumatoid arthritis, paroxysmal Atrial Fibrillation, and Acute Embolism and Thrombosis of the Left Iliac Vein 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 · D2024-07-17 · 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 wear Personal Protection Equipment (PPE) properly in Enhanced Barrier Precautions (EBP) rooms (101, 103 and 208), resulting in the likelihood of cross-contamination and further spread of the infections requiring barrier precautions. Findings include: On 7/16/24, at 8:35 AM, Nurse B was observed in an enhanced barrier precautions room [ROOM NUMBER] sitting on the edge of the resident's bed without any form of PPE. On 7/16/24, at 5:04 PM, Resident #5 (room [ROOM NUMBER]) was in their bed in an enhanced barrier isolation room. CNA H was leaning on the left side of the bed caring for Resident #5 who had an incontinent episode. CNA H had on gloves but no gown to protect their uniform. On 7/16/24, at 5:12 PM, Infection Control Nurse E was alerted of the observation of CNA H caring for Resident #5 without a gown on and IC Nurse E was asked if CNA H should have a gown on and IC Nurse E offered, yes. On 7/16/24, at 5:20 PM, a record review of…
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 · D2023-09-06 · 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 interview and record review, the facility failed to follow the plan of care and provide appropriate assistance (2-person transfer) during a transfer in bed for one resident (Resident #1) of three residents reviewed for transfer status, resulting in the resident rolling out of bed, sustaining a right upper arm abrasion and a left lower leg skin tear with the likelihood of further injury. Findings include: Resident #1: On 8/30/23, at 11:00 AM, a record review of Resident #1's electronic medical record revealed an admission on [DATE] with diagnoses that include frequent falls, bipolar disorder and Parkinson's disease. Resident had intact cognition. A review of the Minimum data set assessment for . ARD date . 6/22/2023 . Section G . Bed Mobility . Support . 3. Two + persons physical assist . A review of the I have an ADL self-care performance deficit: I admitted to the SNF as transfer from acute had recent left TKA (total left knee replacement) and developed septic arthritis and having difficulty ambulating…
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 · F2023-07-14 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 maintain plumbing in good repair, and store nursing supplies in a manner that protects the integrity of the packaging, resulting in the potential for the contamination of domestic water supplies and the contamination of supplies, affecting all residents and staff in the building. Findings include: On 7/12/23 at 1:19 PM, the hand sink in the central bath in Hall 1 was observed to be leaking water out of the hot water handle when it was turned on. On 7/12/23 at 1:37 PM, the dietary mop sink was observed to have an atmospheric vacuum breaker (AVB) (a device commonly used in plumbing to prevent the backflow of solid, liquid, or gas contaminants) that had a downstream shutoff valve, allowing the AVB to remain under pressure for extended periods of time, compromising the integrity of the AVB. According to the 2018 Michigan Plumbing Code Section 608 Protection of Potable Water Supply, 608.16.4 Protection by a vacuum breaker. Openings and outlets shall be protected by atmospheric-type or pressure type vacuum…
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 before2023-07-14 · 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
Based on observation, interview and record review, the facility failed to operationalize policies and procedures to ensure medication and medical supply storage and disposal per professional standards of practice for one of one medications' room and one resident (Resident #30) of one resident reviewed, resulting in a lack of documentation of refrigerated medication temperature monitoring, medications stored at Resident #30's bedside, expired medications and medical supplies, and the potential for unauthorized medication administration and for all residents to receive medications and medical supplies with altered efficiency. Findings include: Resident #30: During the initial tour of the facility on 7/11/23 at 11:26 AM, an empty medication cup in addition to the following medications were observed on Resident #30's overbed table: - Opened Advair Diskus Inhaler (used for treatment of respiratory symptoms) - Flonase Nasal Spray (steroid medication frequently used to treat nasal congestion) - Azelastine Nasal solution (antihistamine medication frequently used to treat nasal congestion…
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 before2023-07-14 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 Number MI00136782. Based on interview and record review, the facility failed to employ policies and procedures to ensure that one resident (Resident #12) of four residents reviewed were spoken to and treated in a respectful and dignified manner resulting in a staff member using profane language when speaking to the Resident, calling the Resident a f*ing bih, and with the likelihood for psychosocial distress utilizing the reasonable person concept. Findings include: Resident #12: Review of intake documentation revealed a Facility Report Incident (FRI) detailed an allegation of verbal abuse towards Resident #12 perpetrated by Activity Staff F on 8/10/22. On 7/11/23 at 10:19 AM, facility investigation documentation pertaining to the incident involving Resident #12 and Activity Staff F was requested from the facility Administrator and Director of Nursing (DON) during the survey entrance conference. On 7/11/23 at 11:04 AM, Resident #12 was observed in their room. They were in bed,…
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 before2023-07-14 · 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 This Citation pertains to Intake Number MI00129487 Based on interview and record review the facility 1) Failed to complete a pain assessment and administer pain medications, 2) Failed to investigate an allegation of roughness during care that led to untreated shoulder pain, and 3) Failed to to readmit Resident #47 after evaluation at the emergency room for untreated pain, resulting in Resident #47 being repositioned incorrectly by facility staff which caused excruciating shoulder pain that was not appropriately addressed by the facility. Subsequently the resident was transferred to the emergency room and upon return (a few hours later) was refused readmission to the facility. Findings Include: Resident #47: On 7/19/2023 at 9:30 AM, a review was completed of Resident #47's medical records and it revealed the resident was admitted to the facility on [DATE] at 12:46 PM and discharged to an acute care hospital on 6/22/2022 with diagnoses that included, Acute Cholecystitis, Cellulitis of left and right lower limb and…
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 before2023-07-14 · 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 implement and operationalize policies and procedures for comprehensive assessment, monitoring, and management of skin integrity and prevention pressure ulcers (wounds caused by pressure) for one resident (Resident #2) of two residents reviewed, resulting in a lack of implementation and monitoring of planned interventions, lack of comprehensive assessment and documentation of skin integrity, and Resident #2 developing a Deep Tissue Injury (DTI- pressure injury with unknown depth) pressure ulcer, unnecessary pain, and the likelihood for decline in overall health status. Findings include: Resident #2: On 7/11/23 at 11:21 AM, Resident #2 was not in their room in the facility. Blue colored heel boots were observed on the Resident's bed. A staff member in the hall and when asked where the Resident was, directed this Surveyor to the Activity/Dining room. The Resident was observed in the Activity/Dining room of the facility in the wheelchair. 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 · D2023-07-14 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 administration of enteral feeding (liquid nourishment provided directly into the stomach through a feeding tube) solution per professional standards of practice and manufacturer recommendations for one (#4) of one resident reviewed, resulting in tubing being utilized longer than recommended time frame, and the potential for infection and illness. Findings include: An observation occurred of Resident #4 in their room on 7/11/23 at 1:43 PM. The Resident was in bed, positioned on their back. When spoke to, Resident #4 made eye contact but did not respond verbally. Osmolite 1.2 Calorie tube feeding solution was observed infusing via pump at 60 milliliters (mL) with a 90 mL water flush every four hours. The tube feeding was dated as being hung/started on 7/9/23 at 2230 (10:30 PM). At 3:15 PM on 7/11/23, Resident #4 was observed in the same position in their bed. The same tube feeding dated 7/9/23 at 2230 was infusing via pump. On 7/11/23…
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 · D2023-07-14 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids 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 a Percutaneous Inserted Central Catheter (PICC) line per standards of practice for one resident (Resident #6), resulting in cross-contamination with the likelihood of infection. Findings include: Resident #6: On 7/13/23, at 3:55 PM, an observation of Nurse D was conducted of Resident #6's PICC flush. Nurse D washed their hands, donned gloves and moved the wheelchair out of the way of the pathway to Resident #6's right arm. Nurse D did not remove the dirty gloves and perform hand. Nurse D then with their left gloved hand held the PICC hub and cleansed it with an alcohol prep pad using their right hand. Nurse D then with their right hand reached for the Normal Saline flush syringe with their left hand opened up allowing the PICC hub to lie on their opened hand contaminating the hub. Nurse D then, removed the cap to the syringe with their left hand with the hub touching more of their left gloved hand and then connected the Normal…
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 · D2023-07-14 · 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 Continuous Positive Airway Pressure (CPAP) storage and cleaning per standards of practice for two residents (Resident #33, Resident #40), resulting in cross-contamination, dirty equipment with the likelihood of infection. Findings include: Resident #33: On 7/11/23, at 10:33 AM, Resident #33 was lying in their bed. There was a CPAP machine on their nightstand. The mask was lying face down on top of the nightstand resting on a blue hand weight. The machine was noted to have dusty debris. Resident #33 was asked if the mask and machine had been cleaned and Resident #33 stated, the mask and the tubing had not been cleaned. On 7/12/23, at 2:30 PM, a record review of Resident #33's electronic medical record revealed and admission on [DATE] with diagnoses that included sleep apnea, Asthma and morbid obesity. Resident #33 required assistance with Activities of Daily Living and had intact cognition. A review of the physician orders revealed…
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 PREFERRED CARE — 13 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 | 4 of 5 | 3.7 | +0.3 vs chain |
| Health inspection | 4 of 5 | 3.2 | +0.8 vs chain |
| Staffing | 3 of 5 | 2.8 | +0.2 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 12 homes this chain runs (chain average 3.7★, per CMS)
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 |
|---|---|---|---|---|
| HAMPTON OPCO HOLDING LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 03/15/2023 |
| GREEN, DOV | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 35% | since 03/15/2023 |
| KLEIN, YONI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 40% | since 03/15/2023 |
| SCHNELL, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 25% | since 03/15/2023 |
| HAMPTON PROPCO HOLDING LLC | Organization | 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNF | — | since 01/01/2023 |
| RUBINFELD, ELI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 03/15/2023 |
| SCHILD, THEODORA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/15/2023 |
| P&M HOLDING GROUP LLP | Organization | ADP OF THE SNF | — | since 01/01/2023 |
| PREFERRED CARE AT LANSING MNGT LLC | Organization | ADP OF THE SNF | — | since 01/01/2023 |
| ZIGDON & ASSOCIATES PC | Organization | ADP OF THE SNF | — | since 01/01/2025 |
| AHMED, NAEEM | Individual | ADP OF THE SNF | — | since 03/15/2023 |
CMS files one row per role, so the 17 rows in the source record cover these 11 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 $612K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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 2024. 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, FY2024). 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 235411. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-26, 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 →
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