Grayling Nursing & 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.

63.1% 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 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.4% 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 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 72 beds and averages 51.8 residents a day — about 72% occupied, or roughly 20 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 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.11 hrs/resident/day on weekends vs 3.53 on weekdays — 12% thinner on weekends. RN hours go from 0.89 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2026-05-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake 3009239. Based on interview and record review, the facility failed to implement and operationalize policies and procedures to ensure timely and comprehensive assessment, treatment, and documentation, per professional standards in practice, for change in condition for two Residents (#701 & #702) of three residents reviewed. This deficient practice resulted in: Delay in diagnostic testing and treatment for a Urinary Tract Infection (UTI) causing sepsis for Resident #701, and;Lack of monitoring and follow up of laboratory testing, causing Acute Kidney Injury (AKI) and need for emergency dialysis for Resident #702. Findings include:Resident #701 (R701)Review of intake documentation dated as received on [DATE] revealed a concern that R701 was admitted to the facility on [DATE] following a hospital stay. Per the intake documentation, R701 was alert when they were discharged from the hospital and started slowly getting more and more confused and declined after getting to the facility.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-16 · 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 adequately monitor a change in condition after a fall for one (Resident #1) of three residents reviewed for a fall with injury. This deficient practice resulted in a delay in the treatment of a hip fracture and a prolonged period of sustained intractable pain. Findings include: This citation pertains to intake MI00142046. Resident #1 (R1) Review of R1's electronic medical record (EMR) revealed admission to the facility on 9/2/23 with diagnoses including age-related osteoporosis (a condition in which bones become weak and brittle), fracture of first lumbar vertebra (a bone in the lower spine), and ankylosing spondylitis of the thoracic region (a type of arthritis that causes stiff, painful joints in the mid-back). Record review of R1's most recent Minimum Data Set (MDS) revealed a Brief Interview for Mental Status (BIMS) score of 14, indicative of intact cognition. On 1/16/24 at approximately 11:33 AM, R1 was observed sitting in 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-11 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and record review the facility failed to properly dispose of waste and maintain dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility. Findings include: On 03/10/2026 at 2:05 PM observed both dumpsters full of garbage and due to the volume of garbage in the dumpsters, the lids would not close. Fourteen bags of garbage and eight empty cardboard boxes were noted sitting on the ground behind one of the full dumpsters. Record review of facility email communications with the garbage disposal company notes that pick up wash scheduled for Friday March 6th, and the pick-up never occurred.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-11 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain general repair of the premise. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents in the facility. Findings include:On 03/10/2026 at 12:59 PM observed the drain line from the three-compartment sink indirectly connected to the floor drain by means of a rubber adapter. Dietary Manager (DM) B was asked if raw vegetables were used in the facility and if so, where they were washed. DM B stated, Vegetables come in fresh and were washed in the third compartment of the three-bin sink. DM B said the rubber adapter was in place to prevent splashing onto the floor. On 03/11/2026 at 8:40 AM observed the drain lines coming from the ice machine extending down below the lip of the floor bowl drain. On 03/10/2026 at 2:18 PM observed water damage to the ceiling and wall just above and to the left of the entrance to the maintenance hall that leads to the kitchen, restrooms and employee back door entrance. Maintenance Director (MD) C stated that they had…

  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 · E2026-03-11 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 psychotropic medications were used to treat a specific, diagnosed, and documented condition for four residents (R8, R19, R46, and R49) of five residents reviewed for unnecessary medications. Findings include: Resident #46 (R46) Review of R46s EMR revealed physician orders for citalopram(antidepressant) 20mg (milligram) tablet, 1 tablet once a day upon rising and trazadone (atypical antidepressant) 50 mg tablet once a day upon retiring special instructions give 1/2 tab(tablet) equal to 25 mg PO (by mouth) QHS (every night at bedtime). Further review of the medical record, including physician orders, care plan, and diagnosis list, failed to identify a documented diagnosis or clinical indication to support the use of either medication. Resident #19 (R19) Review of R19's Electronic Medical Record (EMR) revealed physician orders for wellbutrin XL (antidepressant) 150 mg (milligram) tablet, 1 tablet once a day upon retiring (6:30 PM to 10:30 PM) 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-11 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to update or revise mobility and dietary care plan interventions in a timely manner for one Resident (#15) of fourteen residents reviewed for care plans resulting in the potential for unmet care needs.Findings include:Resident #15 (R15)Review of R15's electronic medical record (EMR) revealed initial admission to the facility on 8/12/11 with diagnoses including cerebral infarction (stroke), dysphagia (difficulty swallowing), dysarthria (difficulty speaking due to muscle weakness), traumatic brain injury, and cervicalgia (neck pain). Review of R15's most recent Minimum Data Set (MDS) assessment, dated 2/17/26, revealed a Brief Interview for Mental Status (BIMS) score of 10, indicative of moderate cognitive impairment.On 3/9/2026 at 10:46 AM, R15 was observed sitting in a manual wheelchair inside his room. An electric wheelchair was observed in the corner of R15's room.On 3/9/2026 at 12:02 PM, a telephone interview was conducted with R15's guardian, Family Member (FM) I, regarding his mobility needs. FM I stated R15 hadn't been…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-11 · 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 ensure functional positioning to carry out activities of daily living for one Resident (#15) of one resident reviewed for positioning.Findings include:Resident #15 (R15)Review of R15's electronic medical record (EMR) revealed initial admission to the facility on 8/12/11 with diagnoses including cerebral infarction (stroke), dysphagia (difficulty swallowing), dysarthria (difficulty speaking due to muscle weakness), traumatic brain injury, and cervicalgia (neck pain). Review of R15's most recent Minimum Data Set (MDS) assessment, dated 2/17/26, revealed a score of 10, indicative of moderate cognitive impairment.On 3/09/2026 at 10:46 AM, R15 was observed sitting in a wheelchair inside his room. R15 demonstrated a significant left lateral neck lean resulting in his left ear contacting his left shoulder and his chin positioned toward his left collarbone. A power wheelchair was observed in the corner of R15's room.On 3/09/2026 at 12:02 PM, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-11 · 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 Based on observation, interview and record review, the facility failed to implement fall interventions per the resident care plans for two residents (R19 and R49) of five residents reviewed for falls. Findings include: Resident #19 (R19) Review of R19's Electronic Medical Record (EMR) revealed admission to the facility on 1/29/25 with diagnoses including muscle weakness and history of falls. R19's 2/13/26 Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 10/15, indicative of mild cognitive impairment. In Section J of R19's 2/13/26 MDS assessment, it was noted R19 had a fall with no injury in the look back period. On 3/9/26 at 11:05 AM, R19's room was observed to have a fall mat on the floor, with R19's bed against the wall and the bed at a hip height elevated position. R19 was not in her room at the time of the observation. On 3/10/26 at 10:51 AM, R19's room was observed to have a fall mat on the floor, with R19's bed against the wall. R19's bed was at a low-level…

  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 before2026-03-11 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff followed infection prevention and control practices when a nurse failed to properly don required Personal Protective Equipment(PPE), prior to providing treatment for one Resident (#32) of 5 residents reviewed for Enhanced Barrier Precautions(EBP). This deficient practice had the potential to increase the risk for spreading infection within the facility.Resident #32 (R32)Review of R32's Electronic Medical Record (EMR) indicated R32's latest admission was on 3/1/25. R32's orders indicated Enhanced Barrier Precautions (targeted gown and gloves use) during high contact resident care activities due to a PEG (Percutaneous Endoscopic Gastrostomy) tube (a medical device inserted through the abdomen directly into the stomach to deliver nutrition, fluids, and medications, often called feeding tube.)During observation on 3/11/2026 at approximately 9:52 AM, Licensed Practical Nurse(LPN) A was observed entering R32's room, which had posted signage indicating EBP requiring the use of gown and gloves prior to…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 obtain consent for a psychotropic medication prior to initiation for one Resident (#31) of five residents reviewed for psychoactive medications. Findings include: Resident #31 (R31) Review of R31's electronic medical record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including cerebral infarction (stroke) and cognitive communication deficit. Review of R31's most recent Minimum Data Set (MDS) assessment, dated 1/9/25, revealed a Brief Interview for Mental Status (BIMS) score of 3, indicative of severe cognitive impairment. Review of R31's EMR revealed the following pharmacy order, initiated 1/10/25: Venlafaxine oral capsule [an antidepressant (psychotropic) medication], 112.5 mg (milligram), give 1 capsule, one time per day. On 1/15/25 at 8:37 AM, a phone interview was conducted with R31's legal guardian [Guardian D] who stated she had not signed a consent for psychotropic medication use nor was she educated on the risk 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interview and record review, the facility failed to notify the resident and/or resident representative in writing with the reason for a transfer out of the facility for one Resident (#35) of five residents reviewed for transfer and/or discharge. Findings include: Resident #35 (R35) Review of R35's electronic medical record (EMR) revealed initial admission to the facility on 7/5/2021 with diagnoses including dementia and cognitive communication deficit. Review of R35's most recent Minimum Data Set (MDS) assessment, dated 1/5/25, revealed a Brief Interview for Mental Status (BIMS) score of 7, indicative of severe cognitive impairment. Review of the facility census report revealed R35 was hospitalized from [DATE] - 12/27/24 following a fall at the facility. On 1/16/25 at 10:38 AM, an interview was conducted with Business Office Manager (BOM) E who verified she was responsible for completing the necessary paperwork in the event a resident was transferred or discharged . BOM E confirmed R35 was hospitalized…

  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 before2025-01-16 · 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 provide a physician order, care plan, and implement interventions to aide with edema (swelling due to excess fluid trapped in the body tissues) for one Resident (#12) of two residents reviewed for non-pressure related skin conditions. This deficient practice resulted in the potential for increase pain, swelling, and increase risk of skin ulcers. Findings include: Review of R12's Electronic Medical Record (EMR) revealed admission to the facility on 2/7/23 with readmission on [DATE] and diagnosis including acute respiratory failure, type 2 diabetes, kidney failure, and muscle weakness. Review of R12's 12/15/24 Minimum Data Set (MDS) assessment revealed a score of 12/15 on the Brief Interview for Mental Status (BIMS) score indicating R12 was cognitively intact. In Section M of R12's 12/15/24 MDS assessment, R12 was marked as having Moisture Associated Skin Damage (MASD). An observation on 1/14/25 at 11:34 a.m. revealed R12 sitting in his…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

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

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $808K paid to related parties — landlords or management companies under common ownership — equal to about 15% 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