Thornapple Manor

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.

67.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.7% 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 64 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 161 beds and averages 151.2 residents a day — about 94% occupied, or roughly 10 beds typically open. It runs fairly full. 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 4.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.40 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 4.06 hrs/resident/day on weekends vs 5.31 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.11 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2025-09-04 · 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

  This citation pertains to Intake # 2605454.Based on interview, and record review, the facility failed to implement care plan interventions to ensure safety and thoroughly document/investigate a fall in 1 of 4 residents (Resident #102) reviewed for safety and fall prevention, resulting in a fall with a right fibula fracture for Resident #102, and the potential for additional falls/injuries.Findings include:Resident #102Review of an admission Record revealed Resident #102 was a female, with pertinent diagnoses which included cerebral palsy (a congenital disorder of movement, muscle tone, or posture), Alzheimer's disease, dementia, depression, osteoporosis (a condition in which the bones become weak and brittle), and arthritis.Review of a Minimum Data Set (MDS) assessment for Resident #102, with a reference date of 7/11/25, revealed a Brief Interview for Mental Status (BIMS) score of 11, out of a total possible score of 15, which indicated moderate cognitive impairment.Review of a Care Guide for Resident #102, dated 8/11/25, revealed TOILETING .2 ASSIST WITH GAIT BELT TO STAND AT GRAB…

  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 · Past Non-Compliance
• Actual harm · Gcited before2023-12-07 · 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 MI00141167. Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent a fall with major injury, and ensure that assistive devices (a gait belt) were used according to the care plan during a transfer for 1 (Resident #103) of 3 residents reviewed for falls, resulting in major injury when Resident #103 sustained a fall with a head laceration, multiple rib fractures, right scapular fracture, and an ADL (activities of daily living) decline. Findings include: .A gait belt provides a secure way to steady or guide patients who need assistance with ambulation when transferring or walking . [NAME], [NAME] A.; [NAME], [NAME] Griffin; Stockert, [NAME]; Hall, [NAME]. Fundamentals of Nursing - E-Book (Kindle Locations 25912-25913). Elsevier Health Sciences. Kindle Edition. Review of an admission Record revealed Resident #103 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: alzhiemer's disease 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 · D2026-04-23 · 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 informed consent for psychotropic medications (prescription drugs that alter chemical levels in the brain to affect a person's mood, thoughts, behavior or perception) for 2 residents (Resident #80, Resident #88) out of 5 residents reviewed for psychotropic medications resulting in lack of documentation of communication/education to the resident/resident representatives for initiation and/or dose changes of psychotropic medications. Findings include: Resident #80 (R80)Review of the admission Record and Minimum Data Set (MDS) dated [DATE] revealed R80 admitted to the facility on [DATE] with pertinent diagnoses including Alzheimer's disease {disorder that primarily affects memory, thinking, and behavior and is the most common cause of dementia (decline in cognitive function, affecting memory, thinking, behavior, and the ability to perform everyday activities)}, dementia with anxiety, dementia with psychotic disturbance (cognitive decline accompanied…

  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 before2026-04-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement enhanced barrier precautions (EBP) related to the presence of a pressure wound for 1 (Resident #5) of 3 residents reviewed for pressure wounds resulting in the potential for the spread of infection, cross contamination, and disease transmission.Findings include:Resident #5Review of an admission Record revealed Resident #5 was a female who originally admitted to the facility on [DATE] and had pertinent diagnoses which included: personal history of other infectious and parasitic diseases, dementia, and dermatitis (a condition of the skin, when it becomes red, swollen, and sore).Review of Order Summary for Resident #5 on 4/21/26 revealed .Apply a thin layer of honey (effective natural wound healing substance it is antibacterial, anti-inflammatory, and tissue-regenerative properties) to open area on right hip and cover with 2x2 border gauze (a 2 inch by 2 inch padded with gauzed and adhesive dressing) to promote analytic debridement…

  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 · D2026-02-19 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 #2737521.Based on interviews and record review, the facility failed to effectively implement abuse policies and procedures that ensure staff report all alleged violations of abuse immediately to the Nursing Home Administrator (NHA) or designee for 1 resident (Resident #101) of 1 resident reviewed for an allegation of staff to resident abuse, resulting in delayed investigation of an allegation of potential abuse/mistreatment with the potential to impact safety. Findings include: Review of the facility policy Abuse, Neglect and Exploitation last revised date of September 2025 revealed, . Procedure: .It is the responsibility of our employees, facility consultants, attending physicians, family members, visitors, etc. to promptly report an incident or suspected incident of neglect or resident abuse to facility management. The abuse coordinator in the facility is the Administrator, Director of Nursing or facility appointed designee. Report allegations or suspected abuse, neglect or…

  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 · D2025-09-04 · 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

  This citation pertains to Intake # 2606671.Based on interview, and record review, the facility failed to protect the resident's right to be free from misappropriation of property in 1 of 4 residents (Resident #103) reviewed for misappropriation of property, resulting in the resident's money being taken by a staff member without the resident's consent.Findings include:Resident #103Review of an admission Record revealed Resident #103 was a female with pertinent diagnoses which included anxiety.Review of a Minimum Data Set (MDS) assessment for Resident #103, with a reference date of 6/20/25, revealed a Brief Interview for Mental Status (BIMS) score of 14, out of a total possible score of 15, which indicated she was cognitively intact.Review of a facility investigation revealed (Resident #103) reported to Life Enrichment staff .she was missing a small zippered purse/pouch with about $10 worth (of) quarters in it and that a second change pouch was empty that had previously had about $10 worth of quarters in it as well. She reported to the staff that she had them both on Friday when she…

  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 · D2025-03-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement care plan interventions to prevent falls in 1 of 28 residents (Resident #114) reviewed for comprehensive care plans, resulting in the potential for falls and injury. Findings include: Review of an admission Record revealed Resident #114 was a male, with pertinent diagnoses which included dementia, heart failure, diabetes, and high blood pressure. Review of a Fall Risk Assessment for Resident #114, dated 1/21/25, revealed he was at High Risk for falls. Review of a current Care Plan for Resident #114 revealed the focus .I AM AT RISK FOR FALLS R/T (related to) A HIGH FALL RISK ASSESSMENT SCORE AND FELL ATTEMPTING TO TRANSFER OUT OF THE RECLINER WITH THE FOOTREST ELEVATED . with interventions which included .NON-SKID STRIPS IN FRONT OF RECLINER . both revised 1/24/25. In an observation on 3/17/25 at 11:59 AM, Resident #114 was in his recliner in his room. Noted non-skid strips on the floor under the recliner, sticking out along the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-19 · 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 provide appropriate and adequate oxygen management and tubing care for 3 of 3 residents (R19, R53, and R117) reviewed for respiratory and oxygen care, resulting in the potential of a vulnerable population being at risk for infection and harm. Findings include: R19 According to R19's Minimum Data Set (MDS) dated [DATE], the resident had a diagnosis of debilitating cardiorespiratory conditions and received oxygen therapy. Review of R19's Diagnoses dated 4/1/24, revealed, Dependence on supplemental oxygen. Review of R19's Order Summary dated 3/28/225 revealed, Continuance oxygen at 2L/Min (liters per minute) via Nasal cannula (NC). Review of R19's Medication/Treatment Administration dated 3/1/25-3/31/25 indicated the resident received 2L/MIN via nasal cannula on day and night shifts from 3/1/25 throughout the survey, 3/19/25. Review of R19's eMAR (electronic chart) Kardex (CNA (certified nursing assistant) guide to resident-specific cares)…

  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 before2025-03-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 1.) implementation of Enhanced Barrier Precautions (EBP) per standards of practices for 1 of 6 residents (R53) all reviewed for infection control, and 2.) adequate handling of soiled linen, resulting in the potential for cross-contamination, harborage of bacteria, and increased infections in a vulnerable population. Findings include: According to R53's Minimum Data Set (MDS) dated [DATE], the resident had diagnoses that included non-traumatic brain dysfunction requiring her to be dependent for all cares including toileting and unhealed stage 3 and stage 4 pressure ulcers. During an observation and interview on 3/17/25 at 10:23 AM, R53 was in bed being prepared for a brief change by two Certified Nursing Assistants (CNA) BB and TT Inside the resident's room on the wall next to the door was CDC (Centers for Disease Control) signage indicating the resident was on Enhanced Barrier Precautions with gown and gloves to be worn with direct…

  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 · Dcited before2024-11-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 MI00147758. Based on interview and record review, the facility failed to recognize and report an injury of unknown origin for 1 (Resident #101) of 3 residents, reviewed for reporting, resulting in the lack of reporting and the potential for a delay in the investigation. Findings include: Resident #101 Review of an admission Record revealed Resident # 101 was originally admitted to the facility on [DATE] with pertinent diagnoses which included dementia. Review of Resident #101's Progress Note dated 10/28/24 at 4:10 PM revealed, Nurse was called to (Resident #101) room by staff member, noted a 9.5 cm x 9 cm bruise to right bicep. (Resident #101) is unable to describe what happened, but states It hurts, it hurts!. Order placed to monitor for s/sx (signs and symptoms) of infection x 5 days. Review of Resident #101's Progress Note date 10/28/25 AT 11:15 PM revealed, (Resident #101) is being monitored r/t (related to) bruise noted on bicep. S/s of pain noted as (Resident #101) was…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-02 · 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: 1. Clean food and non-food contact surfaces to sight and touch; 2. Ensure general repair of kitchen areas; 3. Ensure proper working order of dish machines; and 4. Use sanitizer in a manner that minimizes the risk of contamination. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 142 residents who consume food from the kitchen. Findings Include: 1. During a tour of the facility, at 10:15 AM on 1/31/24, an interview with Director of Dining Services (DDS) R found that the slicer gets used a couple times a week for slicing up meats. Observation of the slicer found some dried accumulation of meat shavings on the top and bottom backside of the blade. During a tour of the clean utensil bins, at 10:18 AM on 1/31/24, it was observed that the clean utensil bin containing spatulas was found with a white crusted stain in the bottom of the bin. An interview with DDS R found that the bins should get cleaned weekly. During a tour of the Mill Pond…

  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 · E2024-02-02 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to properly secure medications in a treatment cart (1 of 5 medication carts) resulting in the potential for compromise of medications and/or misappropriation of medications, and accidental ingestion. Findings include: During on observation on 2/2/24 between 9:27am-9:32am, a treatment cart sat unlocked and unattended near the 400-hall nurse's station. No staff were in the area. Several residents were in the dining room approximately 25' away and were noted to be mobile without assistance. The cart consisted of 4 drawers, all were unlocked and contained an assortment of prescription ointments and chemicals. A nurse was asked to come to the location. In an interview on 2/2/24 at 9:33am, Licensed Practical Nurse (LPN) L reported she was the nurse for the 400 hall and had not accessed the treatment cart since the beginning of her shift, a few hours earlier. LPN L reported the cart should have been locked to avoid any potential for compromise of the medications, and/or misappropriation, and accidental ingestion. LPN L reported she…

  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.

Who owns this facility

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 71% 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 $183K 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