Hamilton Nursing Home

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.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 61% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 36% 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 64 beds and averages 57.0 residents a day — about 89% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.02 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.76 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 2.72 hrs/resident/day on weekends vs 3.15 on weekdays — 14% thinner on weekends. RN hours go from 0.47 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · F2025-09-04 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  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 implement an effective Antibiotic Stewardship Program. This deficient practice has the potential to affect all residents in the facility.Findings include:On 9/4/25 at 9:45 A.M during the Infection Control task the Antibiotic Surveillance Program was reviewed with the Infection Preventionist, Registered Nurse (RN) A . Review of the facility's July 2025 Infection control program revealed the following. R40 received an antibiotic (Bactrim DS) for seven days (7/25/25 - 8/1/25) with diagnosis of Urinary Tract Infection (UTI). R40's Infection Report did not include documentation of signs or symptoms of UTI or any urinary lab work. During inquiry RN A confirmed that the facility followed the McGeer's criteria to determine if residents have true infections and should be prescribed antibiotics. RN A said, There is no documentation in the resident's medical record to support the resident had a UTI. There is no lab work. R27 had received an antibiotic (Bactrim DS)…

  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 · D2024-09-05 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intake MI00146554. Based on interview, and record review the facility failed to revise a care plan in a timely manner for one resident (R401) out of four residents reviewed for care planning. Findings include: Record review of electronic medical records revealed R401 admitted into the facility on 3/7/23 with pertinent diagnosis of dementia, psychoactive substance abuse, and neurocognitive disorder. Review of a Minimum Data Set (MDS) assessment for Resident R401, with a reference date of 6/13/2024 revealed a Brief Interview for Mental Status (BIMS) score of 9/15 which indicated moderately impaired cognition. Record review of 401's Nursing Evaluation Quarterly dated 6/14/23, documented the following: . Low Wander Risk. Record review of R401's active care plans revealed the following: Focus: R401 is an elopement risk/wanderer stating he don't want to be here. Further review revealed this care plan was initiated on 3/8/23 and cancelled on 8/28/24. Interventions for the care plan were to be ongoing with target date of 12/14/24. On 9/5/24 at 1:20 PM Social Worker…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-05 · 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

  This citation pertains to intake MI00146554. Based on interview and record review the facility failed to provide adequate supervision for one resident (R401) out of four residents reviewed for elopement, resulting in R401 eloping from the facility. Findings include: Record review of facility's Investigation Report (no date), revealed R401 was reported to the Nursing Home Administrator (NHA) not in the facility on 8/14/24 at approximately 11:22 PM. R401 was last seen by staff in the facility at approximately 5:00 PM. There was no guardian authorized leave of absence. Record review of electronic medical records revealed admission into the facility on 3/7/23 with pertinent diagnosis of dementia, psychoactive substance abuse, and neurocognitive disorder. Review of a Minimum Data Set (MDS) assessment for Resident R401, with a reference date of 6/13/2024 revealed a Brief Interview for Mental Status (BIMS) score of 9/15 which indicated moderately impaired cognition. R401 had a guardian under a guardian agency. On 9/5/24 at 10:20 AM R401 was interviewed by phone and stated I went out the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-23 · 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: 1. Ensure the dish machine was tested to for proper sanitizing prior to use; 2. Ensure the caulking of the dish machine back splash and hand washing sink were in good repair; 3. Effectively clean surfaces in the kitchen; 4. Ensure food past the use-by-date was not stored with active food stock; and 5. Ensure the ice machine was properly air gapped. These deficient practices had the potential to affect all residents who consumed food from the kitchen. Findings include: On 8/20/24 at 8:40 AM, during an observation of the kitchen with Dietary Manager (DM) F the following was observed: 1. Meal trays had been set through the low temp/chemical sanitizing dish machine by Dietary Aide (DA) E. DA E said the sanitizing solution had not been checked. When the dish machine sanitizing log was requested, none was available. 2. The caulking on the dish machine back splash and hand washing sink were chipped or missing. DM F said water can get behind there. 3. When the top of the eye washing station was wiped with a wet…

  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 · F2024-08-23 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  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 properly dispose of rubbish and maintain cleanliness of the outside garbage area, resulting in a potential for harborage of pests. Findings include: On 8/20/24 at approximately 12:15 PM, the outside dumpster area was observed with Maintenance/Environmental Director (M/ED) A. The two side doors of the commercial dumpster where observed opened. Food debris such as pizza crust, corn cob, and partial hamburger bun, was observed on the ground near the dumpster. A squirrel was observed noshing on the corn cob. M/ED A said the doors of the dumpster should be closed to keep the critters out. A review of the facility policy titled, Garbage and Pest Control, dated 11/30/14, documented in part the following: - Waste and refuse will be handled in a sanitary manner to prevent cross contamination or pest infestation. - The dumpster door must be kept closed at all times. On 8/23/24 at 4:00 PM, the Nursing Home Administrator and Director of Nursing were asked if there was any additional documentation or information that 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-23 · 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 interview and record review, the facility failed to implement an active water management plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in water borne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among any or all of the residents in the facility. Findings include: On 8/22/24 at approximately 10:30 AM the facilities building water management plan was requested from the maintenance supervisor (MS). A folder containing a document titled Water safety plan workbook was provided. A review of the facilities water safety plan workbook revealed that the facility assessment worksheet and water testing audits were not completed. A review of the included flow map revealed that it was inaccurate with listing for areas on the 4th floor which do not exist in the two floor facility. On 8/22/24 at 11:17 AM, during an interview, MS was…

  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 · Fcited before2024-08-23 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain facility grounds in a clean and appealing manner. Findings include: On 8/20/24 at approximately 12:15 PM, the backyard of the facility was observed with Maintenance/Environmental Director (M/ED) A. Approximately 40 feet of outdoor planters were positioned along the outside of the building underneath residents' windows. There were four additional planters positioned along the sidewalk. The planters were visible from residents' rooms and the first-floor dining/activity room. The planters had not been maintained and contained weeds that had grown to be at least five feet tall. When M/ED A was queried about how residents might feel looking out their window at the overgrowth, he stated, It's not good. Also, along an exterior wall in the backyard, a downspout was detached about two feet from the gutter. On 8/22/24 at 11:50 AM, M/ED A said the weeds were at least five feet tall and there was no excuse for them to have grown like that. On 8/23/24 at 12:44 PM, the Nursing Home Administrator (NHA) said that maintenance…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to administer an accurate dose of medication (MiraLAX laxative) during an observation of medication administration (Med. Pass) for (R12). Findings included: On 8/21/2024 at 9:02 a.m., an observation was made with Licensed Practical Nurse (LPN) H 's morning med. Pass to R12 on the (100's Hallway). During a preparation of R12's morning meds by LPN H it was observed LPN H poured some powdered medication (MiraLAX Laxative) in a pill cup (measurement of 30 milliliters) by holding the pill cup up in the air without measuring the amount poured. LPN H then place the cup of powered medication with other medications already prepared on the medication cart and place the container of the medication back into the cart. As LPN H started to dilute the cup of powdered medication by pouring the medication into a cup of water was interrupted before doing so and was asked the measurement of the medication poured. LPN H said it should be one Scoop which comes to…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to adequately assess factors potentially related to weight status change for one high risk resident (R40) receiving 100% of his nutritional requirements through a feeding tube. Findings include: A review of the admission Record for Resident #40 (R40) documented an original admission date of 4/15/19 and readmission date of 7/29/22. R40's diagnoses included adult failure to thrive (FTT), unspecified protein-calorie malnutrition (PCM), Parkinsonism, and gastrostomy tube. A Minimum Data Set assessment dated [DATE] documented severe cognitive impairment. A review of R40's weight measurements documented in part the following: 2/9/24: 149.6# 3/8/24: 148.8# 4/19/24: 130# 5/14/24: 128.4# 6/14/24: 116.2# 7/12/24: 121# 8/15/24: 120# R40 experienced approximately 20% weight loss in six months. A review of nutrition notes and assessments documented in part the following: 1. A 4/19/24 progress note: Resident discussed at Nutrition at Risk meeting. Weight loss noted,…

  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 · D2024-08-23 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 notify physician of a low lab level in a timely manner for one resident (R55) reviewed for death in the facility. Findings include: A review of the admission Record for Resident #55 (R55) documented an original admission to the facility on [DATE] and readmission on [DATE]. R55 died in the facility on [DATE]. R55's diagnoses included epilepsy. A Minimum Data Set assessment dated [DATE] documented moderate cognitive impairment. Physician's orders documented R55's was prescribed divalproex (Depakote: an anti-seizure medication) 250 mg - 1 tab by mouth twice daily from [DATE] to [DATE] for epilepsy. Review of R55's seizure disorder care plan documented, Obtain and monitor lab/diagnostic work as ordered. Report results to MD and follow up as indicated. During record review and interview on [DATE] at 12:06 PM with the Director of Nursing (DON) the following was noted: 1. Laboratory collection received [DATE] documented a Valproic Acid (lab test for Depakote…

  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.

  Administration 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRIORITY HEALTHCARE GROUP — 12 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 22 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 72% 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 $336K 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