Gladwin Nursing and Rehabilitation Community

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.

59.6% 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 64 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 60 beds and averages 40.6 residents a day — about 68% occupied, or roughly 19 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.27 hrs/resident/day on weekends vs 3.78 on weekdays — 13% thinner on weekends. RN hours go from 0.83 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2025-04-17 · 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 #MI00151153 Based on observations, interviews and record review, the facility a failed to implement their hot liquid policy, accurately assess and implement a safe hot liquid program for 1 Resident (R1) of four residents reviewed, resulting in a second-degree burn caused by a hot liquid. Findings included: A second-degree burn damages the full thickness of the skin causing redness, swelling, blisters and intense pain. Review of R1's face sheet, no date, revealed he was [AGE] years old, admitted on [DATE]. He was on hospice. He had diagnoses that included dementia, metabolic encephalopathy (brain disorder causing brain dysfunction), diabetes mellitus type 2, and falls. Review of the facility Hot/Liquid Food Management policy dated 5/2019 and reviewed 1/2025 revealed, 4. Residents identified through the assessment process as at risk for injury related to exposure to hot liquids shall not be left unsupervised during meal service while pending completion of evaluation. Review of R1's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-27 · 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 #3010300. Based on interview and record review, the facility failed to follow policy to ensure a safe leave of absence for 1 resident (R101) of 3 residents reviewed. Findings include:Review of a Face Sheet revealed R101 initially admitted to the facility on [DATE] with pertinent diagnoses which included dependence on oxygen, osteoarthritis, depression, and chronic respiratory failure. Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for R101, with a reference date of 3/14/2026 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 12, out of a total possible score of 15, which indicated R101 had been moderately cognitively impaired. Review of R101's Progress Note in the Electronic Medical Record (EMR), dated 5/1/2026 at 12:38 PM revealed . R101 questioned this writer as to how much the (city) bus cost, writer responded that cost was unknown at this time and he could…

  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 · Ecited before2026-01-07 · 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

  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 (OPPP) and failed to store linens in a manner that would prevent the spread of infection, resulting in the potential for increased risk of respiratory infection among all residents in the facility and resulting in the increased risk of adverse outcomes for residents.Water:On 01/06/2026 at 11:12AM, observed in kitchen, two water lines coming out of floor under a stainless-steel counter. One of the lines did not provide water to any equipment and was capped at the end, this line was over 12 inches long from the point it comes out of the floor. The other line branched off into two different areas, one of those lines that branched off was also capped off over 6 inches from the point it branched off, the other branched off and fed the coffee maker. In an interview on 01/06/2026 at 2:40PM, Maintenance Supervisor (MS) J disclosed he was unaware of these lines and has not been flushing them. In 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  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 consistently conduct and document care conferences for 1 resident (R8) of 2 residents reviewed for care conferences. Findings include: Review of a resident Face Sheet revealed R8 admitted to the facility on [DATE] with pertinent diagnoses which included cardiomegaly, major depressive disorder, restless legs syndrome, lymphedema, and morbid obesity. Review of R8's electronic medical record on 01/06/2026 at 3:01 PM showed no evidence that required quarterly care conferences were held in 2025 for R8 until August 19, 2025. In an interview and record review on 1/6/2026 at 3:27 PM the Social Worker (SW) G revealed that care conferences are scheduled quarterly (occurring every three months). SW G could not locate any care conferences for R8 prior to August 19, 2025. SW G confirmed the facility has met with R8, but SW G was terrible with documentation. Review of facility policy/procedure Resident's Rights to Participate in Planning Care, updated 5/30/18,…

  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 · D2026-01-07 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to address grievances for 1 resident (R30) out of 12 of residents reviewed.Findings included: Based on observation, interview and record review the facility failed to address grievances for 1 resident (R30) out of 12 of residents reviewed.Findings included:Review of R30's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included acute and chronic respiratory failure, pneumonia, chronic obstructive pulmonary disease, and sleep apnea. R30 was her own responsible party.R30 was observed in bed on 1/5/26 at 11:44 AM. R30 was using oxygen at 4 liters via an oxygen concentrator (machine). The oxygen concentrator and a breathing machine were at the end of R30's bed out of her eyesight and reach. R30 complained of staff taking off her breathing machine when she was not fully awake and not putting her nasal canula in place for her oxygen. R30 said this was a daily problem. R30 reported 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 · D2026-01-07 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 medications at discharge or attempt to assist with a safe discharge plan for 1 resident (R45) of 1 resident reviewed for discharge planning. Findings include:Review of an admission Record revealed R45 admitted to the facility on [DATE] with pertinent diagnoses which included chronic respiratory failure and repeated falls. Review of R45's Discharge Against Medical Advice document dated 10/12/2025 at 11:34 AM revealed he was discharged from the facility the morning of 10/12/2025 against medical advice (AMA) by Registered Nurse (RN) B. Review of R45's Progress Note dated 10/12/2025 written by RN B revealed R45 demanded to be discharged that morning so that he could take his medications the way he would like. RN B instructed R45 if he left AMA he would be discharged without medications, equipment, oxygen, home health services, or therapy. R45 left the facility with friends at 11:50 AM without medications or services. In a telephone interview on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 1 Resident (R50) and his representative with a written and completed baseline care plan within 48 hours of admission of 4 residents reviewed for care plans.Findings included:Review of R50's face sheet, no date, revealed he was a [AGE] year-old male admitted to the facility on [DATE] he had diagnoses that included: Sepsis, opioid use, spinal stenosis, heart failure and glaucoma. He was his own responsible party and had an emergency contact.During an interview with R50 on 1/5/26 at 10:36 AM, R50 expressed concerns about his care and discharge plans. R50 said he had not received a care plan since administration.During an interview with Social Worker (SW) G on 1/6/26 at 11:39 AM, SW G was informed R50 had care and discharge concerns. SW G was asked about the baseline care plan, and she said nursing provided the baseline care plan. SW G reported they try to do a care conference within 72 hours but because of the holiday they did not get to do a care…

  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 · D2026-01-07 · 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, interviews and record review, the facility failed to develop and implement a comprehensive respiratory care plan for 1 resident (R30) out of 1 resident reviewed for respiratory care.Findings included:Review of R30's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included acute and chronic respiratory failure, pneumonia, chronic obstructive pulmonary disease, and sleep apnea. R30 was her own responsible party.R30 was observed in bed on 1/5/26 at 11:44 AM. R30 was using oxygen at 4 liters via an oxygen concentrator (machine). The oxygen concentrator and breathing machine were at the end of R30's bed out of her eyesight and reach. R30 complained of staff taking off her breathing machine when she was not fully awake and not putting her nasal canula in place for her oxygen. R30 said this was a daily problem.During an interview with R30 on 1/6/26 at 9:13 AM, R30 said sometime this morning she woke up and her breathing machine was off,…

  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 · D2026-01-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  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 provide showers as ordered for 1 resident (R50) out of 12 residents reviewed for care.Findings included:Review of R50's face sheet, no date, revealed he was an [AGE] year-old male admitted to the facility on [DATE] he had diagnoses that included: Sepsis, opioid use, spinal stenosis, heart failure and glaucoma. He was his own responsible party.R50 was observed in his room in a recliner on 1/5/26 at 10:36 AM. R50 had general care concerns and reported he had not had a shower since admission on [DATE] and when he requested one this morning, he was told his shower days are Wednesday and Saturday.During an interview with Certified Nurse Aide (CNA) N on 1/5/26 at 10:45 AM, CNA N confirmed that R50 had inquired about his shower this morning and she told him his shower days were Wednesday and Saturday. The Surveyor asked if she knew why R50 had not received a shower since admission and CNA N said she had no idea, but she would look into it 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · 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 assess, monitor and effectively treat the respiratory condition of 1 resident (R30) of 1 resident reviewed for respiratory care.Findings include:Review of R30's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included acute and chronic respiratory failure, pneumonia, chronic obstructive pulmonary disease, and sleep apnea. R30 was her own responsible party.R30 was observed in bed on 1/5/26 at 11:44 AM. R30 was using oxygen at 4 liters via an oxygen concentrator (machine). The oxygen concentrator and breathing machine were at the end of R30's bed out of her eyesight and reach. R30 complained of staff taking off her breathing machine when she was not fully awake and not putting her nasal canula in place for her oxygen. R30 said this was a daily problem.During an interview with R30 on 1/6/26 at 9:13 AM, R30 said sometime this morning she woke up and her breathing machine was off,…

  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 before2026-01-07 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the monthly drug regimen review recommendations for 1 resident (R40) of 5 residents reviewed were accurately addressed. Findings include: Review of a resident Face Sheet revealed R40 admitted to the facility on [DATE] with pertinent diagnoses which included chronic systolic (congestive) heart failure, cardiomyopathy, major depressive disorder, type 2 diabetes mellitus with diabetic polyneuropathy, and seasonal allergic rhinitis. Review of R40's Consultation Report recommendation dated 10/22/2025 revealed Please discontinue Loratadine. Review of the Physician's Response revealed a line through I accept the recommendation above, please implement as written. The Physician signature on the report was dated 10/28/25. Review of R40's Progress Notes dated 10/28/2025 revealed Pharmacy recommendation to stop Loratadine to avoid adverse reactions attributed to daily long-term use. Doctor gave okay to discontinue medication. Resident aware. Review of R40's…

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

  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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ATRIUM CENTERS — 26 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

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

Follow the money — this home’s finances

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

This home reported $781K paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI