Bay Bluffs-Emmet County Medical Care Facility

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.

56.8% 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 99 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.3% 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 47 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 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 72.2 residents a day — about 60% occupied, or roughly 48 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 5.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.93 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.22 hrs/resident/day on weekends vs 5.51 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 1.87 to 0.99 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% 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

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · F2026-05-13 · tag F0730 — widespread
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete an annual performance review at least every 12 months for five Certified Nurse Aides (CNA's) [B, J, K, L, & M] of five CNA's reviewed for performance reviews. This deficient practice resulted in the potential for inadequate care and unmet resident care needs for all 68 residents residing in the facility.Findings include:Review of facility personnel records demonstrated the following:CNA B was hired on 11/11/19 with no performance review.CNA J was hired on 1/8/24 with no performance review.CNA K was hired on 11/6/22 with no performance review.CNA L was hired on 11/7/21 with no performance review.CNA M was hired on 10/13/08 with no performance review.During an interview on 5/13/26 at 8:42 a.m., when queried about staff performance reviews the Nursing Home Administrator (NHA) stated, We have not completed performance reviews of staff since prior to covid.if the staff have their competencies done and are still with us after going through covid that is good enough.Review of policy titled In-Service Training Program,…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 05/12/2026 at 7:57 AM observed the kitchen hand sink was slow to drain after washing hands. The Certified Dietary manager (DM) stated that it has been draining slow for a while now and a new hand sink is being installed as soon as maintenance can get to it. According to the 2022 FDA Food Code section 5-205.15 System Maintained in Good Repair. A PLUMBING SYSTEM shall be: (A) Repaired according to LAW; and (B) Maintained in good repair. On 05/12/2026 at 8:07 AM observed ice condensation buildup on the ceiling and fan cover of the walk-in freezer. The compressor fan was running, and the fan blades were heard hitting the chunk of ice condensation that was frozen into the fan cover.According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (C) NonFOOD-CONTACT SURFACES of…

  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
• Potential for harm · F2026-05-13 · 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 toEnsure the use of Enhanced Barrier Precautions (EBP) and safe handling of an indwelling urinary catheter bag during transfers according to current infection control standards for one Resident (#70) of two residents reviewed for catheter care, and Follow through with their plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility. Findings include: On 5/11/2026 at 1:29 PM, two water fountains were observed on Lilac Lane with clear plastic bags wrapped around them and out of order signs posted above each fountain. During interview at this time with Maintenance Director (MD), X, he stated that both sets of water fountains have not been in use since Covid began in 2020. He stated that the facility had problems with employees dumping liquids into the sinks. He stated that the water to the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-05-13 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure training of no less than 12 hours per year was completed for five Certified Nurse Aide (CNA's) [B, J, K, L & M) of five CNA's reviewed for nurse aide training hours. Findings include:During an interview on 5/13/26 at 7:41 a.m., the Director of Nursing (DON) reported the 12-hours of training in a year is based on the CNA's hire date. The DON acknowledged the facility uses online training.Review of facility documents provided by the Nursing Home Administrator (NHA) revealed the following:CNA B was hired on 11/11/19 with 9.25 hours of training from 11/11/24-11/2/25CNA J was hired on 1/8/24 with 5.75 hours of training from 1/8/24-1/8/25.CNA K was hired on 11/6/22 with 7.25 hours of training from 11/6/24-11/7/25.CNA L was hired on 11/7/21 with 9.25 hours of training from 11/7/24-11/8/25.CNA M was hired on 10/13/08 with 10 hours of training from 10/13/24-10/31/25.During an interview on 5/13/26 at 9:45 a.m., the NHA reported the facility uses online training and presented the printouts of the online training for CNA'S ( B,…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · tag F0571 — isolated
  Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility billed for a personal room telephone which was not present for one Resident (#25) of one resident reviewed for billed services.Findings include:Resident #25 (R25) During a room visit on 5/11/2026 at 4:12 PM, R25 and her Durable Power of Attorney (DPOA) stated they had concerns of improper billing for telephone services. They stated, The facility continues to charge us for a phone (R25) is not using. The DPOA stated R25 came into the facility last November. The DPOA indicated he paid the bills and had spoken to the office. Each month they continued to charge for a phone, and she did not have one. Upon inspection of the room, no telephone was present.During an interview on 5/12/2026 at 10:08 AM, Administrative Staff A stated, Everyone pays $23.00 (for a telephone) if not on skilled care. The admission packet should explain that. When asked if a resident did not have a phone in their room would there be a charge, Staff A said, If no phone is in their room the resident can use the phone at the desk, but there would not be a charge 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to provide information of pending changes in Medicare coverage and the right to appeal this decision for one Resident (R81) of three residents reviewed for reception of a Notice of Medicare Non-coverage (NOMNC) form.Findings include:On 5/12/2026 at 9:30 AM, the Beneficiary Notice - Residents discharged within the Last Six Months worksheet was received from the facility with 14 residents listed as discharged . Three Residents were selected to determine if the facility provided timely NOMNC.During an interview on 5/12/2026 at 10:07 AM, Administrative Staff A stated she did not find a NOMNC for R81.During a follow up interview on 5/12/2026 at, Staff A confirmed, We looked high and low and do not have it.The facility policy titled Advance Beneficiary Notice dated as Last Revised 12/16/2025 read in part, It is the policy of this facility to provide timely notices regarding Medicare eligibility and coverage.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · 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 2979976.Based on interview and record review, the facility failed to ensure residents were free from misappropriation of resident property when a dose of controlled pain medication was diverted from one Resident (#75) of one resident reviewed for misappropriation. This deficient practice resulted in the potential for ongoing or increased pain and anxiety.Findings include:Resident #75 (R75)Review of the Minimum Data Set (MDS) assessment, dated [DATE], revealed R75 was admitted to the facility on [DATE] for hospice services with a primary diagnosis of end stage lung cancer. Further review revealed the following pain assessment documented under Section J Health Conditions:Have you had pain or hurting at any time in the last 5 days? Yes. How much of the time have you experienced pain or hurting over the last 5 days? Almost constantly. Over the past 5 days, how much of the time has pain made it hard for you to sleep at night? Almost constantly . Please rate the intensity of your worst…

  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 · Past Non-Compliance
• Potential for harm · D2026-05-13 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide written notifications of transfers and bed holds, and provide requisite resident information to the receiving provider for three Residents (#13, #8, & #70) of four residents reviewed for hospitalizations.Findings include:Resident #13: On 5/11/26 at 12:44 PM, R13 was sitting in a wheelchair in his room with an oxygen concentrator next to his bed. An oxygen mask was atop the concentrator. R13 said he went to the hospital a few weeks ago because he couldn't breathe. Review of the electronic medical record (EMR) revealed R13 was admitted to the facility on [DATE] with diagnoses that included but were not limited to heart failure, atrial fibrillation, chronic kidney disease, and presence of a cardiac pacemaker. A Minimum Data Set (MDS) assessment dated [DATE] documented R13 required staff assistance for Activities of Daily Living (ADL), received anticoagulant medication, was on insulin for diabetes, had two pressure injuries, and had an indwelling…

  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 before2026-05-13 · 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 interview and record review, the facility failed to ensure pressure injury assessments and wound measurements were consistently documented and treatments were completed as ordered by the physician for one Resident (#13) of four residents reviewed for pressure injuries.Findings include: Resident #13 (R13)During an interview on 5/12/26 at 8:02 AM, R13 was observed sitting in a recliner in his room. R13 indicated he had wounds on both buttocks. He said the wounds had previously healed but had re-opened. No pressure reduction cushion was visualized in the recliner beneath R13. When asked if he had a chair cushion on the recliner, R13 said the cushion was in his wheelchair. A pressure reduction cushion was observed in a wheelchair on the other side of R13's bed.Licensed Practical Nurse (LPN) P was interviewed on 5/12/26 at 10:46 AM. LPN P said R13 was admitted to the facility in April 2026 with two stage 2 pressure injuries (Partial-thickness loss of skin with exposed dermis, presenting as a shallow open…

  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 before2026-05-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to maintain safe water temperatures in the resident's environment. Findings include:On 05/11/2026 at 12:4 2PM, when asked about hot water temperatures at hand sinks, Dietary Manager (DM) stated the hot water at the hand sink should not be above 140 degrees and then corrected herself and said it should not be above 120 degrees. A temperature was taken of the hot water at the hand sink in the Trillium Dining Room and was observed at 147 degrees. The DM said that this sink could be used by the residents. Three residents were observed in the dining room, and a resident was noted in a wheelchair passing directly in front of the hand sink. Record review of the facility's temperature monitoring revealed that this sink temperature is not monitored or documented on a log sheet on a routine basis.

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 80% 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 $112K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 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