Bishop Noa Home for Senior Citizens

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.

39.4% 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 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.2% 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 24 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% 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 81 beds and averages 64.7 residents a day — about 80% occupied, or roughly 16 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 5.05 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.22 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 4.44 hrs/resident/day on weekends vs 5.29 on weekdays — 16% thinner on weekends. RN hours go from 1.50 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · F2026-04-29 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid) resulting in inaccurate reporting of staffing levels with the potential to affect all 69 residents.Findings include:Review of the CMS PBJ Staffing Data Report FY (fiscal year) Quarter 1 2026 (October 1- December 31) revealed the metric Failed to Submit Data for the Quarter, One Star Staffing Rating Excessively Low Weekend Staffing, No RN Hours, and Failed to have Licensed Nursing Coverage 24 Hours/Day.During an interview on 4/29/26 at 9:27 a.m., Resident Account Representative I reported, I am responsible for submitting the PBJ information to CMS.I did not submit the information for that quarter [October 1-December 31] .During an interview on 4/29/26 at 9:34 a.m., the Nursing Home Administrator (NHA) acknowledged the data for the PBJ report was not submitted for the first quarter [October 1- December 31].

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-29 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure four Certified Nurse Aides (CNA's) [ C D E and F] of five CNA's reviewed for competencies had the required yearly competency trainings, including demonstration in skills and techniques necessary to care for residents.Findings include:A review of facility staff personnel records revealed CNA C was hired10/11/22. CNA Cs personnel record did not demonstrate dated competency skills since 3/11/25.A review of facility staff personnel records revealed CNA D was hired on 7/13/23. CNA Ds personnel records did not demonstrate dated competency skills since 7/24/24.A review of facility staff personnel records revealed CNA E was hired on 5/21/24. CNA Es personnel records did not demonstrate dated competency skills since 5/21/24.A review of facility staff personnel records revealed CNA G was hired on 3/8/22. CNA Gs personnel records did not demonstrate dated competency skills since 6/11/24.During an interview on 4/29/26 at 8:12 a.m., Hurman Resource Manager H reported, The CNA's must have annual competency training.During an…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-29 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to complete an annual performance review for three Certified Nurse's Aides (CNA's) out of five reviewed at least every 12 months.Findings include:Review of facility personnel records demonstrated the following:CNA C was hired on 10/11/22with no performance review since 3/11/25.CNA D was hired on 7/13/23 with no performance review since 9/30/23.CNA G was hired on 3/8/22 with no performance review since 9/21/23. During an interview on 4/29/26 at 8:12 a.m., Human Resource Manager H reported, Staff have annual performance reviews.During an interview on 4/29/26 at approximately 12:30 p.m., The Nursing Home Administrator (NHA) acknowledged the identified CNAs did not have annual performance evaluations.Review of Facility Assessment (FA) dated 3/26, read in part .Staff training/Education and Competencies.Annual performance evaluations for all staff. Annual evaluations are stored in personnel file.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-29 · tag F0880 — failed to prevent and control infections — pattern
  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 observation, interview, and record review the facility failed to implement infection control program components as evidenced by the failure to:Perform appropriate hand hygiene during water pass,Ensure an ongoing, systematic collection and analysis of infection surveillance data,Properly don personal protective equipment (PPE) and ensure droplet precautions were implemented for Resident #27,Maintain a Resident catheter in a hygienic manner, andEnsure resident care equipment was maintained in a cleanable condition for use.These deficient practices resulted in the potential for the spread of infectious organisms and disease within the facility with the potential to affect all residents within the facility.Findings include:1. Hand Hygiene During Water Pass On 4/27/26 at 1:08 p.m., Certified Nurse Aide (CNA) A was observed entering resident room [ROOM NUMBER] with 2 clean water mugs and exiting the room moments later with two used (dirty) water mugs held in their bare hands. The used water mugs were placed…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-29 · tag F0565 — failed to support the resident council — isolated
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to respond to grievances for three Residents (#31, #43 and #52) of eight residents reviewed for grievances.Findings include:During a group meeting on 4/28/26 at 2:34 p.m., when queried about the facilities response to grievances R31, R43 and R52 reported the following:R31 reported, I have lost two pairs of jeans that were sent to the laundry quite some time ago (approximately 6 months) and I told the Activity Director (AD) L.I also lost a nightgown.R43 reported, The laundry lost a turquoise sweater, and it had been gone at least two months.I told the AD L.R52 reported, I wore a brand-new nightgown maybe three times and it had been gone since it went to the laundry.I didn't know the facility takes lost items and puts them on a table for all the residents to go through.Review of the grievance log did not reveal any grievances regarding missing clothing from R31, R43 or R52.During an interview on 4/28/26 at 4:28 p.m., ADL reported, When clothing goes missing I do not write up a grievance sheet about it.we don't do anything like…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-29 · tag F0628 — isolated
  Provide 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide a bed hold notice for one Resident (#11) of four residents reviewed for hospitalization.Findings include:Resident #11 (R11)Review of R11's Minimum Data Set (MDS) assessment dated [DATE], revealed the most recent admission to the facility was on 3/24/25 with diagnoses that included: hip fracture.Review of Electronic Medical Record (EMR) revealed resident sustained a fall and was discharged to the hospital on 3/17/26. The EMR did not reveal a bed hold policy had been provided to the resident or responsible party.During an interview on 4/28/26 at 11:54 a.m., Resident Account Representative I reported, We do not give out the bed hold policy to residents that are on Medicaid when they go to the hospital.During an interview on 4/29/26 at 12:49 a.m., the Nursing Home Administrator (NHA) acknowledged a bed hold policy had not been given to the resident or responsible party.Review of policy titled Bed Holds and Readmission last reviewed 10/25, read in…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide 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

  Based on observation, interview, and record review the facility failed to ensure an indwelling urinary catheter device was medically necessary and physician orders were in place for one Resident (#23) of two residents reviewed for catheters.Findings include:Resident #23 (R23)Review of R23's electronic medical record (EMR), revealed an admission to the facility on 4/17/26, with medical diagnoses including retention of urine and fracture of the right tibia.An observation was made on 4/27/26 at 2:52 PM, of R23 in her room with a urinary catheter bag hanging on the left side of her bed. R23 was asked why she had a urinary catheter and replied, I am not sure why. I suppose it is just for convenience.Review of R23's EMR revealed no physician order for the urinary catheter indicating size of tubing and balloon anchor to secure the catheter to the inside of the bladder.On 4/28/26 at 3:40 PM, an interview was conducted with Supervisor/Registered Nurse (RN) K who was asked about orders for indwelling urinary catheters and replied, It should have an order for balloon size and size of Foley…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-29 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 assess the risk of entrapment, review bed rail risks and benefits with the resident/resident representative and obtain consent and a physician order prior to the installation of bed rails for 1 Resident (#19) of 1 resident reviewed for bed rail safety. This deficient practice resulted in the potential for bed entrapment and risk of injury and death.Findings include:During an observation on 4/29/26 at 7:30 a.m., R19 was observed lying in bed. A breakfast tray was positioned on an overbed table but R19 was unable to eat independently. Bilateral quarter bed rails were present at the head of the bed on both the left (exit side) and the right (wall side) of the bed, with the head of the bed elevated to approximately 45 degrees. R19 did not respond visually or verbally to conversational questions.Review of R19's Minimum Data Set (MDS) assessment, dated 4/20/26, revealed R19 was admitted to the facility on [DATE] with active diagnoses that…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-29 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure a narcotic medication was stored and or consumed in a safe and secure manner for one Resident (#23) of seven residents reviewed for medication storage.Findings Include:Resident #23 (R23)On 4/29/26 at 7:30 AM, an observation was made of R23 lying in bed in her room. R23 had an empty medication cup on her floor upside down. R23 had a second medication cup on her bedside table with a small single round white pill inside. R23 was asked about the medication left in the cup and replied, I did not want to take it. I get all bound up if I take my oxycodone. R23 was asked if she was in any pain and what she would like to take for her pain and replied, My pain is at a 4 and I would like some Tylenol.During an interview on 4/29/26 at 7:35 AM, Licensed Practical Nurse (LPN) P was made aware R23 did not take her oxycodone and would like Tylenol instead. LPN P stated she did not dispense the oxycodone to R23, and rather indicated LPN Q had dispensed the oxycodone. LPN P reviewed the medication narcotic administration…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · 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 pertains to intake MI00152541 Based on interview and record review, the facility failed to provide adequate supervision for one Resident #1 (R1) of one resident reviewed for elopement. This deficient practice resulted in R1 leaving the facility unattended with the potential for fall and injury. Findings include: Resident #1 (R1) Review of Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on [DATE] with active diagnoses that included: Alzheimer's disease and dementia. Section C of the MDS revealed R1's cognitive skills for daily decision making were severely impaired. The MDS also indicated R1 rarely or never made decisions and was rarely or never understood. Review of a facility document titled R1-elopement 4/18/25 at 16:20 (4:21 p.m.) read in part, .at 16:20 resident stood up from the table and waved goodbye to everyone who was present, R1 then exited the dining room to the left. Resident proceeded down the hall an exited the facility at 1621 .resident exited 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

“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.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI