The Orchards at Big Rapids

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

50.3% 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 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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.

Staffing

How full it usually is: this home is certified for 100 beds and averages 78.8 residents a day — about 79% occupied, or roughly 21 beds typically open. It usually has some room. 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 2.88 hrs/resident/day on weekends vs 3.48 on weekdays — 17% thinner on weekends. RN hours go from 0.74 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2024-03-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 prevent a facility-acquired pressure ulcer, and measure, assess and promote the healing with an appropriate dressing change for one resident (Resident #63) of 1 resident reviewed for pressure ulcers. This deficient practice resulted in Resident #63 developing an unstageable pressure ulcer on the heel. Findings include: The facility provided a policy for Pressure Injuries: Assessment, Prevention and Treatment (undated and unsigned) for review. The policy reflected, 2. Skin will be assessed routinely for the presence of developing pressure injuries and documented on the Nursing Skin Tool .12. Float heels - keep heels off the bed .15. Check placement of splints, casts, and positioning devices to assure they are not causing friction on the resident's skin . Resident #63 (R63): Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE] revealed R63 admitted to the facility on [DATE]. Brief Interview for Mental Status (BIMS) reflected a score…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure 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 maintain best practices in the food service area resulting in the potential to spread food borne illness. Findings Include:On 04/20/2026 at 9:50am, observed in the residents' refrigerator located in East Hall nursing station, a 32-ounce container of Greek yogurt, that was half full, without a resident name or room number and without a date as to when the container was received or opened. When asked who was responsible for labeling the food with resident's information and the date, Dietary Manager (DM) N replied, if the food does not come from the kitchen, it is the responsibility of the staff, who placed the food in the refrigerator.According to the 2022 FDA Food Code section 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. (A) Except when PACKAGING FOOD using a REDUCED OXYGEN PACKAGING method as specified under S 3-502.12, and except as specified in (E) and (F) of this section, refrigerated, READY-TOEAT, TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and held in a FOOD…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-22 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to properly clean 1 Residents (R36's) BiPap (Bilevel Positive Airway Pressure) machine (equipment use to assist in breathing), properly clean a facility glucometer (meter used to test blood sugar) after use and fully operationalize the facility legionella prevention plan and failed to follow Enhanced Barrier Precautions during wound care.Findings included:During an observation on 4/20/26 from 4:30 PM to 4:45 PM, Licensed Practical Nurse (LPN) K was observed checking R74's, R18's, R39's and R4's blood sugar levels with a glucometer machine. LPN K was observed cleaning the glucometer monitor machine with [name brand of germicidal wipes] for 10 seconds prior to and following each blood sugar check. LPN K would wipe the machine with the germicidal wipe and then immediately dry it with a gauze pad. LPN K was also observed putting the glucometer machine in his scrub pocket after he used it on R74 and pulled it out of his pocket at the medication…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-22 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY During observation, interview, and record review, the facility failed to provide privacy for 2 of 10 residents (R3 and R39) observed during medication administration.procedures. Findings include:R3 A review of R3's admission Record, dated 4/21/26, revealed they were a [AGE] year-old resident admitted to the facility on [DATE]. In addition, R3's admission Record revealed they had multiple diagnoses that included diabetes, dementia, post-traumatic stress disorder (PTSD), and anxiety. A review of R3's Minimum Data Set (MDS) (a tool used for assessing a resident's care needs), dated 3/24/26, revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 6 which indicated R3 was severely cognitively impaired. During an interview on 4/22/26 at 3:00 PM, the Nursing Home Administrator (NHA) and Director of Nursing (DON) stated that it was acceptable to give a resident insulin in public areas if the resident was care planned that they did not object. Some residents…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-22 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation refers to Intake 2724753 and Intake 2793094.Based on interview and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act.and did not report an allegation of abuse and a potential crime to law enforcement for 2 of 5 residents (R77 and R85) reviewed for abuse.Findings include:According to the State Operations Manual (SOM), Alleged violation is a situation or occurrence that is observed or reported by staff, resident, relative, visitor, another health care provider, or others but has not yet been investigated and, if verified, could be noncompliance with the Federal requirements related to mistreatment, exploitation, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property.According to the SOM, section S483.12(c)(1) Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide 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 observations, interviews, and record review, the facility failed to assess, monitor and properly treat a wound and medical condition, lymphedema for 1 resident (R36) of 3 residents reviewed for wounds and medical care.Findings included:This citation pertains to intake number 2698828Findings included:Review of R36's admission record revealed she was admitted to the facility on [DATE] and pertinent diagnoses included: chronic respiratory failure with hypoxia, chronic diastolic (congestive) heart failure, sleep apnea, lymphedema, and peripheral vascular disease. R36 was her own responsible party.During an observation and interview with R36 on 4/20/26 at 9:47 AM, R36 was in bed. Her lymphedema pump (a device that attaches to the residents' legs to provide intermittent pressure to reduce edema) was on a chair in her room with blankets over and the pump portion the leg tubing was visible. R36 said staff do not consistently put the pump on her and they do not always have time to do all her care.During an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to properly transport a resident in a wheelchair for 1 of 21 sampled residents (R39). Findings include:A review of R39's admission Record, dated 4/22/25, revealed they were a [AGE] year-old resident admitted to the facility on [DATE]. In addition, R39's admission Record revealed multiple diagnoses that included diabetes and Alzheimer's Disease. A review of R39's Minimum Data Set (MDS) (a tool used for assessing a resident's care needs), dated 2/8/26, revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 5 which indicated R39 was severely cognitively impaired. During an observation on 4/20/26 at 4:40 PM, Licensed Practical Nurse (LPN) K was observed pushing R39 in her wheelchair down the hallway from the Therapy Services Occupational Physical Speech Room to R39's room without foot pedals. LPN K just told R39 to raise her feet while she was being pushed down the hallway. During an interview on…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide 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 observations, interview, and record review, the facility failed to have ongoing respiratory assessments and documentation of use of a BiPap (Bilevel Positive Airway Pressure) machine for 1 Resident (R36) of 1 Resident reviewed for respiratory equipment use.Findings included: Review of R36's admission record revealed she was admitted to the facility on [DATE] and pertinent diagnoses included: chronic respiratory failure with hypoxia, chronic diastolic (congestive) heart failure, sleep apnea, lymphedema, and peripheral vascular disease. R36 was her own responsible party.Review of R36's physician orders dated 3/8/26 revealed, BiPap at HS (night) with the following settings: EPAP Breath rate: Min IPAP: 9Max IPAP; volume: Flex Pressure relief: on Oxygen bleed.During an interview with Unit Manager (UM) K on 4/21/26 at 2:40 PM, UM K reported that R36 frequently refuses to us her Bipap machine. The Surveyor reported that R36 had been sleeping on and off during the day and did not have the Bipap machine in use…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-22 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (5%) for 2 of 7 residents (R2 and R3) observed during the medication administration task. Findings include:Resident #2 (R2) A review of R2's admission Record, dated 4/21/26, revealed they were a [AGE] year-old resident admitted to the facility on [DATE]. In addition, R2's admission Record revealed multiple diagnoses that included diabetes. During an observation on 4/21/26 at 8:15 AM, Licensed Practical Nurse (LPN) F administered ten medications to R2, including one tablet of metformin 500 milligrams (mg) (a medication for diabetes). LPN F verbalized the medications and the doses as she was preparing them and placing them in a medication cup. A review of R2's April 2026 Medication Administration Record (MAR) revealed R2 should have received two tablets of metformin 500 mg, not one. Resident #3 (R3) A review of R3's admission Record, dated 4/21/26, revealed they were a [AGE]…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-22 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure 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 reviw, the facility failed to secure medications in 1 of 5 medication carts (200 Hall Medication Cart) or a medication room. Findings include:During an observation on 4/20/26, Licensed Practical Nurse (LPN) K was observed walking away from the 200 Hall Medication Cart to deliver medications to another unit (LPN K had just received and signed for a pharmacy delivery for the facility). LPN K left a 30- count medication card of trazadone 50 milligrams (mg) (a medication for depression) for R15 and a 60-count medication card of acyclovir 400 mg (an antibiotic) for R76 on top of the controlled substances book on the medication cart unattended. LPN K returned to the 200 Hall Medication Cart, moved the two medication cards from on top of the controlled substances book on the right-hand side of the medication cart to the left-hand side on top of the medication cart. LPN K then continued to prepare and administer medications to residents while leaving the trazadone and acyclovir medication cards, unattended on and off, on top of the 200 Hall…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 maintain complete and accurate medical records for 1 of 21 sample residents (R85). Findings include: R77 A review of R77's admission Record, dated 4/22/26, revealed they were a [AGE] year-old resident admitted to the facility on [DATE]. In addition, R77's admission Record revealed multiple diagnoses that included dementia and cognitive communication deficit. A review of R77's Minimum Data Set (MDS) (a tool used for assessing a resident's care needs), dated 4/10/26, revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 0 which indicated R77 was severely cognitively impaired. R85 A review of R85's admission Record, dated 4/22/26, revealed they were a [AGE] year-old resident admitted to the facility on [DATE]. In addition, R85's admission Record revealed multiple diagnoses that included bipolar disorder, dementia, and paranoid schizophrenia. A review of R85's MDS, dated [DATE], revealed they…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$55,711 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $55,711 — penalty dated 2024-03-13
• Medicare payment denial — starting 2024-04-13 for 4 days

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

Part of a chain

This home belongs to THE ORCHARDS MICHIGAN — 15 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 →

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

CMS files one row per role, so the 17 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 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 $572K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MI