Maple Lawn Medical Care Facility
50 Sanderson Lane, Coldwater, MI 49036 · Government - County · 114 certified beds · (517) 279-9587 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (31% vs 45% nationally) — better care continuity
- it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2023
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (20) — 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) | 5 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 | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 5 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 held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 17.4% | 10.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.0% | 5.4% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.1% | 0.8% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 3.4% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.8% | 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 | 3.1% | 3.0% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 16.3% | 12.0% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 11.4% | 19.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 96.1% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 8.4% | 5.1% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 27.3% | 20.0% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 17.2% | 14.8% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.5% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 84.8% | 79.5% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 18.7% | 24.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 1.4% | 11.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.03 | 1.84 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.93 | 1.64 | 1.80 | better |
§ 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.
54.5% 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 188 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.1% 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 81 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% 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 | 54.5%CMS range 45.6–61.1 | 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 | 13.7%CMS range 9.9–17.6 | 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 | 53.1% | 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 | 51.9% | 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 | 53.1% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | 9.5% | 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 | 5.9%CMS range 3.2–9.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.63 | 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 114 beds and averages 106.4 residents a day — about 93% occupied, or roughly 8 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 4.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.94 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.00 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.23 hrs/resident/day on weekends vs 4.84 on weekdays — 13% thinner on weekends. RN hours go from 1.04 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 31% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 fewer than at the previous inspection — improving. 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.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · G2025-08-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement interventions to prevent accidents for two residents (#2, #6) of three resident reviewed for accidents resulting in major injury (fracture and brain bleed) and hospitalization for resident #2.Findings Included: Resident #2 Review of the medical record demonstrated R2 was admitted [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), dementia, repeated falls, constipation, psychotic disorder with delusion, hypothyroidism (low thyroid hormone), vitamin D deficiency, chronic kidney disease, depression, gastro-esophageal reflux, osteoarthritis (arthritis that occurs when flexible tissue at the end of bones wears down), chronic pain, hyperlipidemia (high fat content in blood). Review of the medical record revealed a recent hospital leave on 06/30/2025 and a readmitted on [DATE] with new diagnoses that included displaced fracture of lateral end of left clavicle, intercranial injury, and fall on same level.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-08-27 · tag F0628 — patternProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to provide notice of discharges and transfers, to the representative of the Office of the State Long-Term Care Ombudsman.According to an email from the Long-Term Care Ombudsman, received on 8/22/25, the facility had not been sending notices for transfers and discharges and that they did not have any notices on record for 2024 or 2025.On 8/26/25 at 12:03 PM, the Nursing Home Administrator (NHA) was asked who is responsible for notifying the ombudsman of discharges and at 12:32 PM NHA reported that the ombudsman is emailed on a monthly basis either by herself or by the social worker. When asked to provide the monthly emails dating back to their last annual survey, NHA reported that they only had 2 on file. Those emails were provided and were dated 8/14/25 and 8/26/25.On 8/27/25 at 2:25 PM NHA was asked if the facility had a policy related to Ombudsman notification and at 2:36 PM NHA reported that they do not have a written policy regarding Ombudsman notification.On 8/27/25 at 2:39 PM, during an interview with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-27 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 clinical rationale was documented by the provider for ongoing use of an as needed (PRN) anti-anxiety medication beyond 14 days, for one resident (resident #6) of four residents reviewed.Findings include: Review of the clinical record revealed R6 was admitted to the facility on [DATE] with diagnosis of that included Alzheimer's dementia. R6 's Minimum Data Set with an Assessment Reference Date (ARD 5/24/25 reflected R6 had long and short-term memory impairment and severely impaired cognitive skills for daily decision making. Further review of the clinical record reflected R6 was prescribed Ativan on 7/25/25 0.5 milligrams as needed three times a day for restlessness and anxiousness, a urinalysis was also ordered R6 on 7/25/25 and an anti-biotic was ordered on 7/26/25. Further review of the clinical record did not include rationale from the Physician/ provider for continued us of the PRN Ativan beyond 14 days of the mediation being…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-27 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
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 complete a Significant Change in Status Assessment (SCSA) for one resident (#91) of 15 resident's Minimum Data Set (MDS) reviewed.Findings Included:Resident #91 (R91)Review of the medical record demonstrated R91 was admitted to the facility 01/31/2025 with diagnoses that included atrial fibrillation, hypothyroidism (low thyroid hormone), gastroesophageal reflux, chronic pain, sacral pressure ulcer, osteoarthritis (arthritis that occurs when flexible tissue at the end of bones wears down), hyperkalemia (high level of potassium in blood), bradycardia (heart rate below 60 beats per minute), history of pace maker, and urinary retention. Review of the Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/07/2025 revealed a Brief Interview for Mental Status (BIMS) of 13 (cognitively intact) out of 15. Review of R91's medical record revealed that an Unstageable pressure wound to his coccyx had been identified on 07/10/2025. The most recent completed skin evaluation completed on 08/25/2025 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.
- Potential for harm · D2025-06-18 · 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 MI00152699. Based on interview and record review the facility failed to ensure one out of three residents (Resident #2) was able to exercise resident rights and be treated with respect and dignity. Findings Included: Review of the facility documents revealed Resident #2 (R2) had resided at the facility since [DATE], and had a diagnosis of dementia and behavior disturbances. R2 was deceased at the time of the onsite investigation. Review of a facility investigation revealed that on [DATE] Medical Assistant (MA) C reported that Licensed Practical Nurse (LPN) D entered R2's room while she was in the room to administer medications to R2. MA C reported that R2 was lying flat in bed when LPN D gave R2 a pill, and told R2 that was a new stomach pill that he needed to take. MAC further reported that LPN D used vulgar language and told R2 that he must swallow the pills. MA C reported that R2 told LPN D that she was killing him. The investigation concluded that R2 had no…
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 · D2024-09-06 · tag F0744 — failed to care for residents with dementia — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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 survey pertains to intake MI00146629. Based on observation, interview and record review, the facility failed to develop and implement person-centered care approaches for one resident (Resident #1) with dementia of three reviewed. Findings include: Review of the medical record reflected Resident #1 (R1) admitted to the facility on [DATE], with diagnoses that included Alzheimer's. The Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 6/17/24, reflected a Brief Interview for Mental Status (BIMS-a cognitive screening tool) should not be completed, as R1 was rarely/never understood. The same MDS reflected R1 had short-term and long-term memory impairments and severely impaired cognitive skills for daily decision making. On 9/5/24 at 12:08 PM, R1 was observed seated in her room, in a Broda chair (specialty chair). A staff member was observed to propel R1 to the dining room, while seated in the Broda chair. A hoyer (mechanical lift) lift sling was observed beneath R1. She was wearing…
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 · F2024-08-15 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
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 appropriate infection surveillance for all residents (100 current residents) and take appropriate actions to track, trend, and formulate corrective actions to decrease the spread of nosocomial infections in the facility. Findings Included: During an interview on 08/15/2025 at 09:32 a.m. Infection Control Preventionist (ICP) C explained that he had been in his current position since February of 2024 and was responsible for the data collection and review of information regarding infections in the facility. ICP C explained that he reviewed the data and would identify trends that potentially required interventions to prevent further spread of infection. ICP C explained that the Infection Control Committee met a monthly, through the Quality Assurance Committee, and a report was provided to the committee monthly. ICP C was asked for the latest monthly report that was presented to the Infection Control Committee. ICP C explained that the last written report that was completed was February 2024. When asked why the other…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-15 · tag F0725 — failed to have enough nursing staff — patternProvide 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 staffing to provide restorative/mobility services and choice of shower frequency, in a sample of 20 residents and a census of 100 residents, resulting in resident choices not honored, unmet goals, and the likelihood for functional decline. Findings include: In review of the Facility assessment dated [DATE], the facility had 114 licensed beds and the average daily census was 104. The same assessment revealed services and care offered were based on resident needs and preferences; and 102 residents required assistance with bathing. The same assessment indicated specific mobility program was offered per individual resident needs that included transfers, ambulation, contracture prevention/care. The same facility assessment indicated there were zero restorative nursing assistants and would add two staff once staffing levels were reached. Mobility Registered Nurse (RN) D was interviewed on 8/15/24 at 9:37 AM and stated she was pulled from…
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 · D2024-08-15 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 allow one out of two residents (R9) to relocate to a chosen room of 2 residents reviewed for choices resulting in emotional distress manifested as frustration, anger, and depression. Findings include: On 8/13/24 at 12:15 PM R9 was resting in bed, awake and able to participate in an interview. R9 was asked how things were going and responded, Not good! R9 talked about his wife who was a resident on another hall. I was supposed to be able to move to a room across from her R9 explained. R9 said that during the time the move was anticipated the Administrator canceled the plan and I was never told why. R9 said he sees his wife (R27) and when they are together . we cry every day. R9 went on to describe a marriage of 45 years with deep commitment and bonding that leaves him feeling empty without her near presence. On 8/13/24 record review of the Electronic Medical Record (EMR) revealed R9's admission date as 2/6/23 and with pertinent diagnosis of Major Depressive Disorder (Recurrent, unspecified). According to 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 · D2024-08-15 · 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 provide restorative services to maintain mobility, in two of two residents reviewed for mobility (Resident #98 & #44), resulting in anxiety and unmet goals. Findings include: Resident #98 (R98) R98 was observed sitting in a wheelchair in her room on 8/13/24 at 11:37 AM. R98 stated during an interview that she was so anxious she could barely stand it. R98 stated her therapy services ended last week because she could not bear weight on her leg; she stated therapy explained she would receive restorative nursing services, but services had not started and she felt there was a lack of communication. R98 pointed to a daily activity flyer she had received and stated she wondered if she was supposed to attend range of motion (ROM, movement at each joint) exercise program scheduled at 4:00 PM; and staff had not told her she should attend the activity. R98's Minimum Data Assessment (MDS) dated [DATE] revealed she was admitted to the facility 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 · D2023-11-15 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains To Intake MI00140863 Based on observation, interview and record review the facility failed to ensure one resident (Resident #3) was free from abuse of three reviewed, resulting in Resident 3 being abused by a staff member. Findings include: Review of the facility reported incident dated 10/27/2023 reflected Resident 3 was handled roughly be two Certified Nursing Assistants (CNA's) F and G on 10/24/23 when putting R3 to bed for the evening. The facility reported incident also included the allegation of CNAF engaging in an aggressive manner with R3 on the same day after dinner. According to the clinical record Resident 3 (R3) was an [AGE] year old female admitted to the facility with diagnosis of dementia. The Minimum Data Set (MDS) dated [DATE] R3 scored 10 out of 15 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. On 10/30/2023 R3 scored 5 on the BIMS indicative of severe cognitive impairment. Of note, R3 resided on the facility's secured dementia…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · D2023-11-15 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains To Intake MI00140863 Based on observation, interview, and record review, the facility failed to report allegations of abuse for one (Resident #3) of 3 reviewed for abuse reporting, resulting in known allegations of abuse that were not reported timely to the facility Administrator and/or Director of Nursing . This deficient practice leaves the potential for further allegations of abuse to go undetected and unreported, allowing the opportunity for further abuse to continue. Findings include: Review of the facility reported incident dated 10/27/2023 reflected Resident 3 was handled roughly be two Certified Nursing Assistants (CNA's) F and G on 10/24/23 when putting R3 to bed for the evening. The facility reported incident also included the allegation of CNAF engaging in an aggressive manner with R3 on the same day after dinner. According to the clinical record Resident 3 (R3) was an [AGE] year old female admitted to the facility with diagnosis of dementia. The Minimum Data Set (MDS) dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-06-28 · tag F0572 — patternGive residents a notice of rights, rules, services and charges.
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 inform and or have ongoing communication with residents regarding their rights as expressed during the confidential group meeting held on 06/07/23 for 15 of 15 of the participants resulting in the potential for rights to be violated, misunderstood, and the inability of the Residents to make informed decisions regarding their rights Findings Included: During a confidential resident council meeting with the state surveyor on 6/27/2023 at 2:00 PM, 15 out of 15 residents who were in attendance stated that they did not know where they could find the information on resident rights, and all 15 residents concurred that they did not know where it was posted. All 15 residents concurred that staff had not ever gone over resident rights with them. In an an interview on 6/27/2023 at 2:48 PM, Activity Director (AD) H stated that she regularly attended the monthly resident council meetings, and said the Ombudsman has come and talked to the 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.
- Potential for harm · E2023-06-28 · tag F0574 — patternThe resident has the right to receive notices in a format and a language he or she understands.
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 15 out of 15 resident, who attended a confidential group meeting, were knowledgeable of their resident rights regarding the Ombudsman contact information, state agency contact information, how to file a complaint with the state agency, and the state agency survey results, resulting in the potential for resident to not be able to exercise their rights. Findings Included: During a confidential resident council meeting with the state surveyor on 6/27/2023 at 2:00 PM, 15 out of 15 residents who were in attendance stated that they did not know where they could find the information on resident rights, and all 15 residents concurred that they did not know where it was posted, and that staff had not ever gone over resident rights with them, regarding their right to the Ombudsman, the Ombudsman's name and contact information, where to find the state agency contact information including the process to file a complaint with the state agency.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-06-28 · tag F0585 — failed to handle grievances — patternHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 15 out of 15 resident, who attended a confidential group meeting, were knowledgeable of their resident rights on how to file a grievance and complaint, resulting in the potential for residents grievances and complaints to go unresolved. Findings Included: During a confidential resident council meeting with the state surveyor on 6/27/2023 at 2:00 PM, 15 out of 15 residents who were in attendance stated that they did not know where they could find the information on resident rights regarding how to file a grievance, where the grievance forms were located, what the process was to file a grievance. All 15 residents concurred that staff had not ever gone over resident grievance rights with them in regards to their right to file a grievance and complaint, nor the contact information of the state agency and Ombudsman to whom the residents had the right to file a grievance or complaint. In an an interview on 6/27/2023 at 2:48 PM, Activity…
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 · D2023-06-28 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 accurate completion of advance directive information for 1 (Resident #30) of 1 resident reviewed for advance directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time) resulting in the potential for a resident's preferences for medical care to not be followed by the facility. Findings include: Review of the medical record revealed that Resident #30 (R30) was admitted to facility 5/12/2023 with diagnoses including hydronephrosis, malignant neoplasm of bladder, and hemiplegia following cerebral infarction. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 5/16/23 revealed that R30 had adequate hearing, clear speech, was usually understood by others, and was usually able to understand others. Section C of same MDS revealed that R30 had a Brief Interview for Mental Status (BIMS-a cognitive screening tool) score of 12 (moderately impaired cognition). Review of R30's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 one out of three residents (Resident #40) was assessed for removal of a Foley catheter (tube inserted into the bladder to drain urine into a drainage bag), and document a clinical rational that demonstrated the necessity for the catheter, resulting in the potential for infection and/or long-term urinary incontinence. Findings Included: Per the facility face sheet Resident #41 (R41) was admitted to the facility on [DATE]. Diagnoses included personal history of other diseases of urinary system, and obstructive and reflux uropathy (blockage/trouble urinating). On R41's diagnoses list it was documented that R41 had a nephrostomy tube (drainage tube inserted into the kidney to drain urine) placed into her left kidney by a hospital Radiologist on 7/12/2022 however, on 10/5/2022 the nephrostomy tube was removed by the hospital Radiologist. The list also revealed next to R41's diagnosis PRESENCE OF UROGENITAL IMPLANTS dated 3/8/2023,…
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 · D2023-06-28 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to 1) ensure timely follow up on pharmacy recommendations for one (Resident #66) of six residents reviewed for unnecessary medications and 2) ensure the facility's policy included timeframes for each step of the Medication Regimen Review (MRR), resulting in the potential for unnecessary medications and untimely follow up to pharmacy recommendations. Findings include: Review of the medical record revealed that Resident #66 (R66) was admitted to the facility 1/3/23 with diagnoses including chronic kidney disease stage 4, dependence on renal dialysis, gastro-esophageal reflux disease without esophagitis, and visual loss right eye, normal vision left eye. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/11/23 revealed that R66 had a Brief Interview for Mental Status (BIMS-a cognitive screening tool) score of 13 (cognitively intact). Review of R66's monthly Consultant Pharmacist's Medication Regimen Review since 1/2/23 admission, reflected monthly review with pharmacy recommendations for January…
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 · D2023-06-28 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 accurately monitor and document involuntary movements, in one of five residents reviewed for high-risk medications (Resident #35), resulting in an inaccurate monitoring and the potential for unmet needs. Findings include: Resident #35 (R35) On 6/26/23 at 11:00 AM, R35 was observed in activity, lip smacking was noted. 6/28/23 at 12:00 PM, R35 was noted to have lip smacking and chewing. R35's minimum data set (MDS) assessment with assessment reference dated on 6/06/23 revealed she had a brief interview for mental status (BIMS), a brief performance-based cognitive screener, score of 05 (00-07 severe cognitive impairment); R35 did not have any physical, verbal, or other behaviors during the 7-day look-back period. Abnormal Involuntary Movement Scale (AIMS), a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of abnormal movements of the face, limbs, and body in patients with tardive dyskinesia) dated 5/01/23 revealed R35 had no lip and perioral area (e.g.,…
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.
- No harm found · C2024-08-15 · tag F0732 — widespreadPost nurse staffing information every day.
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 include daily nursing total numbers and actual hours worked on the posted Daily Nurse Schedule, which was available for 100 current residents and family/visitors. Findings Included: During an interview on 08/15/2024 at 12:49 a.m. Nursing Staff Scheduler F was asked where the facility daily nursing hours were posted in the facility. Nursing Staff Scheduler F explained that a nursing staff schedule was posted outside of the nurse managers office. Nursing Staff Scheduler assisted surveyor locating the posting of the facility daily nursing hours. During that time, it was observed a document was posted entitled Daily Nurse Schedule, dated 08/15/2024. The document demonstrated names and shifts of person that were to work that date. The document did not include total hours to be worked, only demonstrated the total number of persons that were to work. Nursing Staff Scheduler was asked where are the total number of hours to be worked for each shift and where was the total number of hours worked for previous shifts.…
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.
- 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.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| COWDEN, DONNA | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2024 |
| ROPER, SARA | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2025 |
| WEIGT, STEVEN | Individual | MANAGING CONTROL - GOVERNING BODY | since 11/01/2023 |
| SABAITIS, JAYNE | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/18/2010 |
| WHITAKER, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2014 |
| WORDEN, JESSICA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 04/21/2014 |
| ZIERLE, ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/24/2025 |
CMS files one row per role, so the 12 rows in the source record cover these 7 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.
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.
About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $110K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MI
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235008. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-27, 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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Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.