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Fenton Healthcare

512 Beach Street, Fenton, MI 48430 · For profit - Individual · 92 certified beds · (810) 629-4117 Medicare & Medicaid certified

Call the home — (810) 629-4117 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Mar 2025
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Mar 2025
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
102 N Adelaide St · (810) 750-1186 · Call to confirm hours
Pharmacy
223 W Silver Lake Rd · (810) 629-4002 · Call to confirm hours
Grocery
2459 North Rd · (810) 629-8481 · Call to confirm hours
Park
Bush Park0.2 mi
(810) 629-2261 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.9%10.8%15.4%better
Long-stay residents who lose too much weight4.7%5.4%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.5%1.5%2.0%better
Long-stay residents with depressive symptoms1.0%4.3%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.5%3.0%3.3%better
Long-stay residents whose ability to walk worsened5.6%12.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication22.5%19.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers1.7%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control11.8%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table26.9%14.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%79.5%79.4%better
Short-stay residents rehospitalized after admission24.4%24.0%22.6%typical
Short-stay residents with an outpatient ER visit23.3%11.7%12.0%worse

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

44.2% 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 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.2%U.S. median 51.5%
Got home and stayed home
9.3%U.S. median 10.7%
Went back to hospital
56.8%U.S. median 56.6%
Met the expected recovery
0.43U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.23hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 56.8% 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 37 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 0.43 therapist hours per resident per day in 2026Q1 — more than 73% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF44.2%CMS range 32.6–58.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.3%CMS range 6.2–14.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge46.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge51.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified91.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 3.5–11.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.90
RN hours/ resident / day
0.61
LPN hours/ resident / day
1.94
Aide hours/ resident / day
3.45
Total nurse hours/ resident / day
0.62
RN hoursweekends
27.7%
Total nursing turnover
30.8%
RN turnover

How full it usually is: this home is certified for 92 beds and averages 66.7 residents a day — about 72% occupied, or roughly 25 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 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 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 2.99 hrs/resident/day on weekends vs 3.63 on weekdays — 18% thinner on weekends. RN hours go from 1.02 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below 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

3
deficiencies at the latest standard inspection (2025-12-04)
6
at the previous standard inspection (2024-10-03)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2026-04-08 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Tis citation pertains to Intake Number 2972860.Based on interview and record review, the facility failed to provide a medication, as ordered, for one resident (Resident #4) of three residents reviewed for medication administration. Findings Include:Resident #4:A record review of the Face sheet and progress notes for Resident #4 indicated admission to the facility on 3/25/2026 with diagnoses: Respiratory failure, myelodysplastic syndrome, stem cell transplant, severe protein-calorie malnutrition, hypomagnesemia, heart failure, atrial fibrillation, depression, hypothyroidism, gout, and deep vein thrombosis. Resident #4 discharged to home on 4/4/2026.A review of the physician orders for Resident #4 identified the following: MG (magnesium) Plus Protein Oral Tablet 133 MG (Specialty Vitamins Product), Give 1 tablet by mouth one time a day for supplement, start date 3/26/2026 and discontinued date 4/4/2026.A review of the Hospital discharge orders indicated Resident #4 received Magnesium medications including MG Plus…

    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 · Fcited before2025-12-04 · 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 observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing, resulting in the potential for increased risk of respiratory infection among all residents in the facility.Findings include: On 12/02/2025 at 1:15pm during the environmental tour with the Environmental Services Director I, the Environmental Services Director I tested the chlorine residual at the staff bathroom sink on the first floor and the result was undetectable on the [NAME] K-2005 chlorine test kit. The testing kit measures chlorine residual from 1 to 10 parts per million (ppm). The test kit is primarily designed to test for chlorine in swimming pools, not drinking water. When interviewed on whether there's another test kit they've been using to measure the chlorine residual since the chlorine logs have results below 1 ppm and the Environmental Services Director I answered no. On 12/02/2025 at 2:17pm during…

    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 · D2025-12-04 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that the advance directive status was ordered, signed by the physician, and posted in the resident's clinical record per facility policy for one resident [Resident #80 (R80)] of 5 residents reviewed for advance directives.Findings include:Resident #80 (R80)R80 was observed in her room' lying in bed on [DATE] at 11:5 am. When R80 was asked about the life vest she was wearing, R80 explained it was to monitor her heart. A review of the Electronic Medical Record revealed that R80 was [AGE] years old, admitted at the facility on [DATE], with a diagnosis of Non-ST Elevation (NSTEMI) Myocardial Infarction, Ischemic Cardiomyopathy, Right Bundle Branch Block, Paroxysmal Atrial Fibrillation, Chronic Obstructive Pulmonary Disease (COPD), Pleural Effusion, and Heart Failure in addition to other diagnoses. A review of R80's clinical record revealed that there was no Code Status specified in the Advance Directive section in the chart. Although a…

    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 before2025-12-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that oxygen humidification was provided, physician's orders for oxygen were followed and nebulizer equipment was stored according to facility policy for two residents (#51 and #69) of three residents reviewed for respiratory care. Findings include: Resident #51A review of Resident #51's medical record revealed an admission into the facility on 7/20/22 and readmission on [DATE] with diagnoses that included chronic obstructive pulmonary disease and pneumonia. On 12/2/25 at 2:05 PM, an observation was made of Resident #51 lying in bed. The Resident was interviewed, was able to answer some questions but did not engage in conversation. An observation was made of a nebulizer and mask on top of the bedside table. The nebulizer was stored in a see-through bag, and the medication chamber was observed to have liquid inside the chamber. The nebulizer was not dried prior to being stored in the bag. The Resident indicated use of the nebulizer…

    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 · D2025-03-20 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake Number MI00148563. Based on interview and record review, the facility failed to protect the resident's right to be free from misappropriation of property by facility staff for one resident (Resident #701) of three residents reviewed. Findings include: Review of Facility Reported Incident (FRI) intake documentation dated as initially received on 11/19/24 revealed the facility was notified on 11/19/24 at approximately 1:40 PM by Family Member Witness D of fraudulent charges on Resident #701's credit card. The facility submitted documentation detailing that the allegation was substantiated by the facility. An interview was completed with the facility Administrator on 3/19/25 at 9:30 AM. When asked if they had substantiated the allegations in the FRI involving Resident #701, the Administrator replied, Yes. The Administrator was asked what happened and verbalized that Resident #701's family member came to their office and informed them there was some unusual activity on Resident…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-23 · 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 REFER TO INTAKE NUMBER: MI00147356 Based on observation, interview, and record review, the facility failed to provide the appropriate skin care interventions to prevent the development of pressure ulcers and promote healing consistent with professional standards for three residents (R301, R302, and R304) of four sampled residents reviewed for pressure ulcers resulting in delay in treatment and healing and potential for worsening of wound, infection and further complications. Findings include: Resident 301(R301): R301 was [AGE] years old and admitted to the facility on [DATE] with a diagnosis of Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease, Major Depressive Disorder, and Pressure Ulcer of the Sacral Region in addition to other diagnoses. On 9/12/2024, R301 was discharged to the nearby acute care hospital to evaluate and treat the wounds. R301 did not return to the facility after discharge to the urgent care on 9/12/2024. A review of R301's Treatment Administration Record (TAR) dated in July,…

    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 · F2024-10-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a clean and safe environment for 11 residents' rooms, 2 main hallways, and 1 residential sitting area, resulting in the likelihood for resident injury (bug and spider bites and hand splinters), anger and frustration from family members and residents, and cross contamination with illnesses with increased use of antibiotics. Findings Include: During an environmental walk through done on 10/2/24 starting at 8:16 a.m., accompanied by Director of Maintenance, Housekeeping and Laundry D; the following concerns were observed: First Floor: -At 8:16 a.m., room [ROOM NUMBER], the oxygen tubing with nasal cannula was observed on the floor (not in a bag) next to his bed. The resident had no idea where his oxygen was. -room [ROOM NUMBER], the bathroom toilet had BM on the back of the seat and the floor was found dirty. -At 8:30 a.m., room [ROOM NUMBER], the window running air conditioner filter was found to have an excessive amount of dust and…

    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 · E2024-10-03 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 that residents received assistance with showering and shaving for one resident (Resident #20) and failed to use appropriate hand hygiene during ADL (activities of daily living) care for Resident #265, of five residents reviewed for ADL care and 3 of 5 confidential group of residents voicing concern of not receiving bathing activity, resulting in the potential for embarrassment, frustration, needs not meet, infection and lack of feelings of self-worth. Findings include: Resident #20: A review of Resident #20's medical record revealed an admission into the facility on 3/12/24 with diagnoses that included chronic obstructive pulmonary disease, limitations of activities due to disability, lung cancer, muscle weakness, dementia, disorientation, and need for assistance with personal care. A review of the Minimum Data Set assessment dated [DATE] revealed a Brief Interview of Mental Status score of 7/15 that indicated moderately impaired…

    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 · E2024-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility 1) Failed to ensure a safe environment with adequate supervision and implement interventions to prevent a fall for three residents (Resident #2, Resident #53 and Resident #54) and failed to do a complete fall investigation for those three residents and 2) Failed to ensure that Resident #212 had their C-collar (Cervical collar or brace used to support the neck and spinal cord, often used for neck pain, spinal fractures, surgery recovery or trauma) on while out of bed as ordered by the physician of 7 residents reviewed for falls and accident hazards, resulting in potential for pain and decline in medical condition and the likelihood of repeated fall with serious injury to occur due to incomplete investigations for R2, R53 and R54 and the potential for pain or worsening/decline in medical condition for Resident #212. Findings include: Resident #2 (R2): Accidents According to the review of the Electronic Medical Records (EMR) on 10/2/24 at 3:00 PM, R2…

    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 · E2024-10-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to maintain the kitchen and food preparation equipment in a sanitary condition and ensure clean and ready-for-use kitchen equipment was air dried properly, resulting in an increased potential for food borne illness, potentially affecting 60 residents of a census of 62 residents who consume oral nutrition from the facility kitchen. Findings Include: Review of the U.S. Public Health Service 2009 Food Code, as adopted by the Michigan Food Law, effective October 1, 2012, directs those physical facilities shall be cleaned as often as necessary to keep them clean, food equipment was to be dried in a manner that leaves no water left inside prior to storage, and ready-to-eat foods shall be clearly marked at the time the original container is open if held for more than 24 hours. Observation was done on 10/1/24 at 10:06 a.m., accompanied by Dietary Manager/RD E. The following were observed during the initial kitchen tour done on 10/1/24: -At 10:07 a.m., the large can opener had an excessive amount of dried on food and…

    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
Show the remaining 11 citations
  • Potential for harm · D2024-10-03 · tag F0550 — failed to protect resident dignity and rights — isolated
    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 1) Failed to ensure the dignity and privacy of one resident (Resident #265) while doing a bed bath, and 2) Failed to ensure that one resident (Resident #212) had their call light within reach, resulting in the likelihood for shame, embarrassment, anger towards staff, feeling of isolation and fear of not having a readily available call light. Findings Include: Resident #265: Review of the Face Sheet, physician orders dated 9/21/24 through 10/1/24, and care plans dated 9/21/24 through 9/26/24, revealed Resident #265 was 73 years-old, admitted to the facility on [DATE], alert and able to make healthcare decisions, and dependent on staff for assistance with Activities of Daily Living (ADL). The resident was dependent on oxygen at 2 liters and his diagnosis included, encephalopathy (swelling of the brain), muscle weakness, high blood pressure, Atrial Fibrillation, sepsis, anemia, heart failure, acute respiratory failure, urinary tract infection, history…

    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 before2024-10-03 · 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 up-date person-centered comprehensive care plans to ensure that a shaving preference was identified for one resident (Resident #20) and a transfer status was updated for one resident (Resident #212) of 17 residents reviewed for care plans, resulting in the potential for Residents' needs not being met, frustration, Resident #20 not shaved to their preference and Resident #212 not assisted with getting out of bed during the weekend. Findings include: Resident #20: A review of Resident #20's medical record revealed an admission into the facility on 3/12/24 with diagnoses that included chronic obstructive pulmonary disease, limitations of activities due to disability, lung cancer, muscle weakness, dementia, disorientation, and need for assistance with personal care. A review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status score of 7/15 that indicated moderately impaired cognition, and 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-09-14 · 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 Observation of Transmission-Based Precautions: On 9/12/23 at 4:22 PM, an observation was made in room [ROOM NUMBER]. The room was for single occupancy and had transmission-based precautions sign on the door that indicated the Resident was on contact precautions. Personal protection equipment (PPE) was available on the door. Upon entrance, an observation was made of the Resident laying in bed. An interview was conducted with the Resident. After the completion of the interview, an observation was made of the bathroom across from the Resident and was not readily accessible due to a chair and overbed table in the vicinity of the door to the bathroom. PPE was removed at the doorway to the hall and deposited in the receptacle for discarded PPE. There was no hand sanitizer accessible prior to leaving the room and the bathroom with the sink to wash hands was not readily accessible without moving resident items and their chair. Hand sanitizer was not accessible in the PPE holder on the door or directly outside 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-14 · 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 Narcotic Storage: On 9/14/23 at 12:18 PM, medication storage and labeling was reviewed with Nurse C of the medication room with the Omnicell that holds prescriptions medication that can be accessed by a computer to obtain necessary medications for Residents. The medication room was located behind the nurses' station and was locked. An observation was made of two vials of Ativan 2 mg (milligrams)/ml (milliliters) in a removable locked plastic box in an unlocked medication refrigerator. The locked plastic box was not secured inside the refrigerator. Nurse C was asked about the narcotic count and reconciliation of the Ativan. The Nurse reported that the Ativan was part of the Omnicell and that pharmacy takes care of that. The Nurse indicated the key to the box with the Ativan was in the Omnicell with a computer to access the contents and sign out the medication with a key from the Omnicell. When asked if the Ativan was counted between shifts, the Nurse reported they do not count the Ativan during narcotic counting…

    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 · D2023-09-14 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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 documentation of adequate notice of non-coverage for Medicare Part A benefits for two residents (Resident #174 and Resident #175) of 3 residents reviewed for notice of non-coverage of Medicare Part A benefits, resulting in the residents' inability to exercise the right to file an appeal in a timely manner. FACILITY Beneficiary Notification: Resident #174: A record review of the Face Sheet and Minimum Data Set (MDS) assessment indicated Resident #174 was admitted to the facility on [DATE] with diagnoses left femur fracture repair, weakness, heart failure, atrial fibrillation, hypertension, arthritis, GERD, anxiety and depression. A review of the progress notes revealed Resident #174 was discharged home on 1/16/2023. A review of a facility document titled Notice of Medicare Non-Coverage provided, The effective date Coverage of your current skilled stay services will end: 1/15/2023. Your Medicare provider and/or health plan have determined 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-14 · 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 a comprehensive care plan for one resident (Resident #70) of 19 residents reviewed for care plans, resulting in Resident #70 lacking a urinary catheter securement device. Findings Include: Resident #70: Urinary Catheter or UTI A record review of the Face Sheet and Minimum Data Set (MDS) assessment indicated Resident #70 was admitted to the facility on [DATE] with diagnoses: recent history of pulmonary embolism, diabetes atrial fibrillation, heart failure, hypertension, deep vein thrombosis left lower extremity, weakness, morbid obesity, chronic kidney disease. On 8/8/2023 diagnosis of chronic ulcer let thigh and left lower leg and on 8/32023 a diagnosis of urinary retention was added. A review of the MDS assessment date 8/3/2023 revealed the resident had full cognitive abilities with a Brief Interview for Mental Status (BIMS) score of 14/15. The MDS also revealed the resident needed assistance with all care, but was able to feed…

    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 · D2023-09-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to correctly identify an intravenous (IV) catheter to ensure appropriate care and maintenance of the catheter for one resident (Resident #15) of 3 residents reviewed for IV catheter use, resulting in the potential for Resident #15 to not receive the necessary care and services needed to prevent a decline in condition. Findings include: Resident #15: A record review of the Face sheet and Minimum Data Set (MDS) assessment indicated Resident #15 was admitted to the facility on [DATE] with several discharges and readmissions with the most recent readmission of 9/11/2023 with diagnoses: Osteomyelitis (bone infection), pressure ulcer left buttock healed, bipolar disorder, right knee and ankle contractures, kidney stones, history of a stroke, diabetes, chronic kidney disease, peripheral vascular disease, heart failure, anxiety, depression, COPD, supra pubic catheter (a catheter through the abdomen into the bladder to drain urine). The resident 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-14 · 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 prevent the development of a Stage II (blister) heel pressure ulcer for one resident (Resident #49) of 3 residents reviewed for pressure ulcers, resulting in a Stage II heel pressure ulcer, pain, discomfort, agitation, and wound treatments. Findings include: Stage two pressure ulcer is partial-thickness skin loss involving epidermis or dermis, or both. The ulcer is superficial and presents as an abrasion, shallow center, or blister. High risk resident (immobile, bed bound) should be assessed weekly, when a condition change or as needed and preventive measures should be in place including pressure relieving devices, position changes, and dietary supplements. National Pressure Ulcer Advisory Panel (NPIAP). Record review of the facility 'Skin Management' policy, dated 12/15/2023, revealed it is the policy that the facility should identify and implement interventions to prevent the development of pressure injuries. Guest/residents with wounds…

    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 · D2023-09-14 · 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 observation, interview and record review, the facility failed to ensure Enteral nutrition (tube feeding/nutrition through a feeding tube into the stomach or intestines) formula was provided as ordered for one resident (Resident #56) of 2 residents reviewed for enteral nutrition, resulting in the potential for Resident #56 to not receive the appropriate amount of Enteral formula. Findings Include: Resident #56: Tube Feeding A record review of the Face sheet and Minimum Data Set (MDS) assessment indicated Resident #56 was admitted to the facility on [DATE] and discharged and readmitted several times with the most recent readmission on [DATE] with diagnoses: Encephalopathy, anxiety, depression, urinary retention, gastrostomy tube for enteral nutrition, dementia, history of a stroke, GERD, hypertension, aphasia (absence of speech) and dysphagia (difficulty talking). The MDS assessment dated [DATE] revealed the resident's cognitive status could not be evaluated and he needed assistance with all care. On…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure that one resident's (Resident #11) preferred tracheostomy care supplies was available for the resident to perform their own tracheostomy cleaning and that the water for humidification was dated and replaced on the Airvo machine (oxygen delivery system with water for humidification used for the administration of oxygen through the tracheostomy tube) for Resident #11 of one resident reviewed for tracheostomy care, resulting in frustration for the resident and the potential for infection and respiratory illness. Findings include: Resident #11: A review of Resident #11's medical record revealed an admission into the facility on 5/5/23 with diagnoses that included chronic obstructive pulmonary disease, obesity, need for assistance with personal care, diabetes, bipolar disorder, tracheostomy, and obstructive sleep apnea. A review of Resident #11's Minimum Data Set assessment, revealed the Resident had intact cognition and was independent with activities of daily living with set up assistance for some…

    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 · D2023-09-14 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 that laboratory testing levels for Tobramycin (an antibiotic used to treat infection) were drawn as recommended by Pharmacy services and that laboratory testing results were obtained timely for one resident (Resident #54) of three residents reviewed for antibiotic use, resulting in an IV (intravenous) antibiotic medication, Tobramycin, not administered, a delay in treatment of infection, and the potential for worsening infection and decline in overall health. Findings include: Resident #54: A review of Resident #54's medical record revealed an admission into the facility on 8/11/23 and readmission on [DATE] with diagnoses that included osteomyelitis of vertebra, sacral and sacrococcygeal region, anemia, depression, pressure ulcer of sacral region Stage IV, gastrostomy, muscle weakness, and need for assistance with personal care. A review of Resident #54's Minimum Data Set assessment revealed the Resident had intact cognition and needed extensive…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 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 →

RatingThis homeChain avg
Overall 5 of 52.8+2.2 vs chain
Health inspection 4 of 52.5+1.5 vs chain
Staffing 4 of 53.2+0.8 vs chain
Quality measures 5 of 54.0+1.0 vs chain
The other 80 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Aria Nursing and RehabilitationLansing, MI 1 of 5Autumnwood of McBainMcBain, MI 1 of 5Christian Park Health Care CenterEscanaba, MI 1 of 5Courtney ManorBad Axe, MI 1 of 5Ely ManorAllegan, MI 1 of 5Kith HavenFlint, MI 1 of 5Laurels Of Norworth TheWorthington, OH 1 of 5Laurels Of West Carrollton TheWest Carrollton, OH 1 of 5Laurels Of West Columbus, TheColumbus, OH 1 of 5Notting Hill of West BloomfieldWest Bloomfield, MI 1 of 5Regency at FremontFremont, MI 1 of 5Regency at JacksonJackson, MI 1 of 5Regency at TroyTroy, MI 1 of 5Regency at WaterfordWaterford, MI 1 of 5Regency at Whitmore LakeWhitmore Lake, MI 1 of 5Royalton Manor, LLCSt Joseph, MI 1 of 5The Laurels Of HeathHeath, OH 1 of 5The Laurels Of Walden ParkColumbus, OH 1 of 5The Laurels of GalesburgGalesburg, MI 1 of 5The Laurels of HudsonvilleHudsonville, MI 1 of 5The Manor of NoviNovi, MI 2 of 5Laurels Of Athens, TheAthens, OH 2 of 5Laurels Of Mt Vernon TheMount Vernon, OH 2 of 5Laurels Of Steubenville TheSteubenville, OH 2 of 5Regency At Bluffs ParkAnn Arbor, MI 2 of 5Regency at CheneDetroit, MI 2 of 5The Laurels Of GahannaColumbus, OH 2 of 5The Laurels Of KetteringKettering, OH 2 of 5The Laurels Of University ParkRichmond, VA 2 of 5The Laurels Of Willow CreekMidlothian, VA 2 of 5The Laurels of BedfordBattle Creek, MI 2 of 5The Laurels of ChathamPittsboro, NC 2 of 5The Laurels of ColdwaterColdwater, MI 2 of 5The Laurels of Forest GlennGarner, NC 2 of 5The Manor of Farmington HillsFarmington Hills, MI 2 of 5Willowbrook ManorFlint, MI 3 of 5Autumnwood of DeckervilleDeckerville, MI 3 of 5Boulevard Temple Care Center, LLCDetroit, MI 3 of 5Brittany ManorMidland, MI 3 of 5Hamilton Respiratory and Nursing CenterHamilton, OH

Showing 40 of 80; lowest-rated first.

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

Owner / managerTypeRoleSince
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97OrganizationINDIRECT OWNERSHIP INTERESTsince 02/21/2025
QAZI, MOHAMMADIndividualINDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 02/21/2025
KHAN, ANISIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2018
CIENA HEALTHCARE MANAGEMENT INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/25/2025

CMS files one row per role, so the 9 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$8.9M
Net patient revenuemost recent cost report
+1.4%
Operating marginrevenue minus expenses
$793K
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 6%Other / private 94%

This home reported $793K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$348per resident / day
operating cost
$10,572per month
≈ monthly operating cost
$353per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.

Typical monthly cost in Michigan
$11,254/mo
Nursing home (semi-private)
$11,969/mo
Nursing home (private)
$5,818/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235482. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-04, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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