Durand Senior Care and Rehab Center

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.

58.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 144 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.7% 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 67 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 42% 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 141 beds and averages 117.4 residents a day — about 83% occupied, or roughly 24 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 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.38 hrs/resident/day on weekends vs 3.80 on weekdays — 11% thinner on weekends. RN hours go from 0.78 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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 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.

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2025-04-30 · 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 to provide one out of one residents (Resident #32) care and services to prevent and promote healing of pressure ulcers resulting in worsening wounds, facility acquired stage 3 pressure wound (full thickness skin loss ), osteomyelitis, and hospitalization. Findings Include: Resident #32(R32) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R32 was a [AGE] year-old female admitted to the facility on [DATE], with most recent re-admission 3/10/25 related to osteomyelitis (wound infection) with other diagnoses that included stage 4 pressure ulcer(full thickness skin and tissue loss, exposing muscle, tendon or bone), diabetes Mellitus, irregular heart rhythm, anxiety and depression. The MDS reflected R32 required substantial/maximal assistance with repositioning in bed. During an observation and record review on 4/28/25 at 9:46 AM, R32 was observed laying in bed, flat on back, with eyes closed on specialty air mattress…

  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
• Actual harm · G2025-03-13 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This deficiency pertains to Intake MI00150515 Based on interview and record review, the facility failed to provide timely notification to the physician for one Resident (#106) of three residents reviewed for a change in condition. This deficient practice resulted in a delay in medical treatment for a significant change in condition with diabetic ketoacidosis. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R106 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included multiple pelvic fracture post fall 2/4/25, hypertension(high blood pressure), insulin dependant diabetes mellitus (elevated blood sugar), and mild dementia. R106 was re-admitted to the hospital 2/17/25 for diabetic ketoacidosis. The MDS reflected R106 had a BIM (assessment tool) score of 12 which indicated her ability to make daily decisions was moderately impaired. During a telephone interview on 3/10/25 at 9:24 a.m., complainant H reported R106 was admitted 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-13 · 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 This citation refers to intake MI00150353, MI00149992 Based on observation, interview, and record review, the facility failed to provide adequate supervision, conduct timely root cause analysis of fall incidents, implement appropriate interventions to prevent future falls and re-evaluate the effectiveness of interventions for 3 residents (R103, R104, and R105) out of 3 residents reviewed for falls, resulting in R105 falling and re-fracturing recently repaired hip and R103 fall with laceration requiring emergency room treatment and R104 fall with fracture and subdural hematoma and overall decline. Findings included: Resident #105(R105) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R105 was a [AGE] year old male admitted to the facility on [DATE], with diagnoses that included aftercare of left bipolar hemiarthroplasty(surgical repair of left ball of hip) post fall at home, peripheral vascular disease, orthostatic hypotension(drop in blood pressure with change in position), need for…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-05-03 · 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 facility failed to: 1) accurately assess, monitor, treat and prevent the development of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for three Residents (R103, R107 and R109) of four reviewed for pressure ulcers, resulting in R109 facility acquired stage 2 pressure ulcer, and the increased likelihood for delayed wound healing and or worsening of wounds and overall deterioration in health status, and worsening of pressure ulcer wounds with sepsis. Findings include: Resident #103(R103) Review of the Face Sheet and Minimum Data Set (MDS) with ARD date 11/26/23, reflected R103 was a [AGE] year old female admitted to the facility on [DATE] related to cerebral infarct with dysphasia, diabetes mellitus, dementia, metabolic encephalopathy, hypertension (high blood pressure), renal failure, The MDS reflected R103 had a BIM (assessment tool) of 13…

  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 · E2025-04-30 · tag F0761 — failed to label and store drugs safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to label medication in accordance with accepted professional principles, dating of open medication for three out of six medication carts reviewed and failed to ensure proper medication storage of medications for one Resident (#72) out of 112 current residents residing at the facility. Findings Included: During observation of the 200-hall medication cart on 04/29/2025 at 02:06 p.m. it was observed that the following medications did not have a date present when the medication was opened and placed on the container of medications: two inhalers of Symbicort 160/4.5mcg(micrograms), one inhaler of Spiriva 2.5mcg, and one inhaler of Trelegy Ellipta 200mcg/62.5mcg/25mcg. Licensed Practical Nurse (LPN) C explained that it was facility policy that all multidose medication was to be dated at the time that it was opened. LPN C explained she would discard the multidose medication list above and would re-order those medications. During observation of 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 a Preadmission/Annual Resident Review (PAS/ARR) was completed after the 30 day exemption period and failed to notify the State Agency Health Authority for 1 Resident( #98) of 1 reviewed for PAS/ARR from a total sample of 19. Findings include: Review of the clinical record including the Minimum Data Set (MDS) dated [DATE] revealed Resident 98 (R98) was admitted to the facility on [DATE] with multiple medical diagnoses including but not limited to adult personality disorder with behaviors, alcohol abuse with a history of alcohol induced psychotic disorder with hallucinations, anxiety and major depression and had a physician order for a psychotropic medication since admission. Review of the MDS revealed R98 scored 11 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). Further review R98's clinical record revealed a 3877 level one screen dated 10/22/24 reflected R98 was prescribed an anti-anxiety order on an as…

  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 · Dcited before2025-04-30 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement comprehensive resident-centered care plans for one out of 19 residents (R32), resulting in worsening of and facility acquired pressure wounds. Findings include: Resident #32(R32) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R32 was a [AGE] year-old female admitted to the facility on [DATE], with most recent re-admission 3/10/25 related to osteomyelitis (wound infection) with other diagnoses that included stage 4 pressure ulcer (full thickness skin and tissue loss, exposing muscle, tendon or bone), diabetes Mellitus, irregular heart rhythm, anxiety and depression. The MDS reflected R32 required substantial/maximal assistance with repositioning in bed. During an observation and record review on 4/28/25 at 9:46 AM, R32 was observed laying in bed, flat on back, with eyes closed on specialty air mattress that appeared slightly deflated. Observed air mattress pump located at foot of the bed with no lights…

  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 · Dcited before2025-04-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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 infection control practices for one resident (#111) out of one resident sampled during observation of blood glucose level testing, with a glucometer. Findings Included: Resident #111 (R111) Review of the medical revealed R111 was admitted to the facility 04/10/2025 with diagnoses that included fracture right femur, type 2 diabetes, hypothyroidism (low thyroid hormone), depression, anxiety, hyperlipidemia (high fat content in blood), hypertension, and pain. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 04/16/2025, revealed R111 had a Brief Interview for Mental Status (BIMS) of 13 (cognitively intact) out of 15. During observation and interview on 04/29/2025 at 08:57 a.m. R111 was observed lying down in bed. R111 could not remember if she had received her insulin yet this morning. Review of R111's medical record revealed a physician order for Insulin Degludec subcutaneous solution pen-injector 100 unit/ml (milliliters) inject 50 unit subcutaneously in the morning.…

  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 · E2025-03-13 · tag F0725 — failed to have enough nursing staff — pattern
  Provide 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 This citation pertains to intakes: MI00149397, MI00150353, Based on observation, interview and record review, the facility failed to ensure sufficient levels of nursing staff to meet resident needs and supervision for three residents (Resident #103, #104, #105) and per resident council with the potential for unmet care needs and facility residents to not attain or maintain the highest practicable physical, mental, and psychosocial well-being. Finding include: An anonymous complaint received by the State Agency alleged the facility failed to maitain sufficient staff levels to meet resident needs including supervision. During an interview on 3/10/25 at 10:45 a.m., Nursing Home Administrator(NHA) A reported facility census was 106. Resident #105(R105) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R105 was a [AGE] year old male admitted to the facility on [DATE], with diagnoses that included aftercare of left bipolar hemiarthroplasty(surgical repair of left ball of hip) post fall at…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-05-10 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor 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 Based on observation, interview and record review the facility failed to maintain dignity for 4 residents (Resident #'s 393, R24, and R13 and one unknown resident) the during the initial dining observation in the 500 hall dining room, using the reasonable person standard this deficient practice resulted in decreased self worth and loss of dignity. Findings include: Resident 393 (R393) According to the clinical record, Including the Minimum Data Set (MDS) dated [DATE] Resident # 393 (R393) was a [AGE] year old female admitted to the facility on [DATE] with diagnosis that included Parkinson's disease, anxiety and respiratory failure. Resident # 393 scored 8 out 15 on the Brief Interview for Mental Status (BIMS) , the MDS further reflected R393 had adequate hearing and clear speech. Resident 24 (R24) According to the clinical record, including the MDS dated [DATE], reflected R24 was an [AGE] year old female admitted with a diagnosis of dementia on 12/31/14. R24 scored 00 on the BIMS (severe cognitive impairment) 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-10 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop and implement comprehensive care plans for 2 (Resident #7 and Resident #10) of 20 residents reviewed resulting in the potential for unmet care needs. Findings include: Resident #7 (R7) Review of the medical record revealed that Resident #7 (R7) was admitted to facility 4/7/22 with diagnoses including chronic kidney disease stage 3, hypertension, bilateral carotid artery stenosis, and polyneuropathy. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/1/24 revealed that R7 had a Brief Interview for Mental Status (BIMS-a cognitive screening tool) score of 13 (cognitively intact). Review of an Annual MDS dated [DATE] revealed that R7 required set up assist with dressing including placing/removing TED hose (thromboembolic deterrent hose-specially designed stockings to help prevent blood clots and swelling in legs). In an observation and interview on 5/07/24 at 10:35 AM, R7 was observed lying in bed, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-10 · 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 observation, interview and record review, the facility failed to ensure antibiotic treatment for Methicillin-resistant Staphylococcus aureus (MRSA/type of bacterial infection that is resistant to many antibiotics) was started timely for one (Resident #6) of one reviewed. Findings include: Review of the medical record reflected Resident #6 (R6) admitted to the facility on [DATE] and readmitted [DATE], with diagnoses that included schizophrenia and MRSA (as of 4/29/24). The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 2/15/24, reflected R6 scored zero out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 05/09/24 at 10:18 AM, R6 was observed lying on his right side, in bed, as two Certified Nurse Aides (CNAs) prepared to enter his room. On 05/09/24 at 10:23 AM, R6 was observed seated in a high-back wheelchair, with a mechanical lift sling beneath him. He was observed to self-propel his wheelchair in 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-03 · 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 This Citation Pertains To Intake # MI00143774 and MI00143825 Based on observation, interview and record review, the facility failed to respond, assess and render immediate aid in a timely manner for one resident (resident #105) of three reviewed for falls. Findings Include: Review of the clinical record reflected R105 was a [AGE] year-old male admitted to the facility on [DATE]. R105 transferred to another facility on 4/5/24. Review of the Minimum Data Set (MDS) dated [DATE] reflected R105 had a diagnosis of Multiple Sclerosis (MS) and scored 15 out of 15 on the Brief Interview for Mental Status (BIMS). Further review of the MDS reflected assistance was required for all transfers. Review of R105's Social Work progress notes dated 2/7/24 reflected R105 had periods of confusion related to a famous Hollywood actress coming to pick him up and threatening self-harm if she doesn't. On 05/01/24 at approximately 10:25 am during an interview with Receptionist V she reported she was aware of R105 falling while shopping…

  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 · E2023-02-28 · tag F0625 — pattern
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  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 notify the resident and/or resident's representative of the facility policy for bed hold for five (Resident #11, #50, #57, #72, and #82) of six residents reviewed for hospitalization resulting in the potential of residents and/or representatives to be uninformed of the bed hold policy. Findings include: Resident #82 Resident # 82 (R82) initially admitted to facility 1/13/23 with subsequent rehospitalization and facility readmission on [DATE] with diagnoses including urinary tract infection, encephalopathy, delirium due to known physiological condition, gastrostomy status, pharyngeal phase dysphagia, hemiplegia and hemiparesis following cerebral infarction, seizure, heart failure, dementia, and schizoaffective disorder. Review of Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/19/2023 reflected Brief Interview for Mental Status (BIMS) score of 13. Section G of MDS revealed that R82 required two-person total dependence…

  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

“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

$53,398 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $35,607 — penalty dated 2025-04-30
• $17,791 — penalty dated 2025-03-13
• Medicare payment denial — starting 2024-06-01 for 11 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 NEXCARE HEALTH SYSTEMS — 20 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

2 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 75% 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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