Hillsdale 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.

Met the expected recovery: 36.7% 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 30 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 170 beds and averages 130.9 residents a day — about 77% occupied, or roughly 39 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 5.38 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.76 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 4.68 hrs/resident/day on weekends vs 5.66 on weekdays — 17% thinner on weekends. RN hours go from 0.76 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 34% 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 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.

25 citations, most serious first. The 15 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · G2025-10-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 observations, interviews and record review, the facility failed to protect the residents' right to be free from sexual and physical abuse by other resident's. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R101 was an [AGE] year-old male admitted to the facility on [DATE], with diagnoses that included dementia, anxiety and depression. The MDS reflected that R101s had a BIM (assessment tool) score which indicated his ability to make daily decisions was severely impaired. Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R102 was an [AGE] year-old female admitted to the facility on [DATE], with diagnoses that included dementia, anxiety, falls, unsteady on feet, and depression. The MDS reflected that R102s had a BIM (assessment tool) score which indicated her ability to make daily decisions was severely impaired. Review of the complaint received by the State Agency on 9/24/25 alleged the facility failed to prevent and report abuse…

  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
• Actual harm · G2025-10-02 · 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 interview and record review, the facility failed to provide the necessary standards of care and services for wound and skin care management in one (Resident #106) of three reviewed for quality of care. This deficient practice resulted in R106's hospitalization for septic shock, cellulitis, increased pain, and the need for intravenous antibiotic therapy, and implementation of hospice(end of life services) and death. This citation pertains to intake 2626820 Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R106 was an [AGE] year-old female admitted to the facility on [DATE], with diagnoses that included congestive heart failure (CHF), diabetes mellitus, hypertension (high blood pressure), legally blind, cellulitis, and lymphedema. The MDS reflected that R106s had a BIM (assessment tool) score of 14 which indicated her ability to make daily decisions was cognitively intact, and she required staff supervision with locomotion on unit, dressing, hygiene, bathing, and transfers.…

  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 before2024-12-10 · 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: 1.) ensure the safety of resident during staff assisted transfer, and 2.) implement care-planned interventions for 1 of 4 sampled residents (R6) reviewed for accidents, resulting in actual harm for R6's fall during staff assisted transfer with bilateral pelvic fractures, a fractured left elbow, and a non displaced fracture near her left total hip site on 3/10/24 and 10/21/24 that required transfer to the hospital. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R6 was a [AGE] year old female admitted to the facility on [DATE], with re-admission post hospital admission 3/12/24 following left pelvic fractures, a fractured left elbow, and a non displaced fracture near her left total hip site, and 10/23/24 post fall with a left lesser trochanter fracture which is non-operable with other diagnoses that included history left hip replacement, heart failure, hypertension(high blood pressure), diabetic,…

  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 · H2024-04-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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 Resident #3 (R3) Review of the medical record revealed Resident #3 (R3) was initially admitted to the facility on [DATE] with diagnoses that included encounter for orthopedic aftercare following surgical amputation, peripheral vascular disease, atherosclerosis of native arteries of extremities, with rest pain, right leg, chronic obstructive pulmonary disease, and diabetes 2. According to Resident #3 (R3)'s Minimum Data Set (MDS) dated [DATE], revealed R3 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS- a cognitive screening tool) and had no behaviors. R#3's Braden scale results were a score of 13, showing R3 was at moderate risk for skin breakdown. Record review revealed the admission assessment of the wounds on R3. Coccyx pressure ulcer 0.5cm x0.3cm x0.1cm, Stage 2. Right heel pressure ulcer 5.0cm x5.0cmx0.0cm suspected deep tissue injury (Record review revealed the admission assessment of the wounds on R3. Coccyx pressure ulcer 0.5cm x0.3cm x0.1cm, Stage 2. Right heel…

  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 before2023-10-04 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide adequate supervision to prevent falls in one of three residents reviewed for falls (Resident #4), resulting in a fracture. Findings Include: Resident #4 (R4) On 10/02/23 at 1:16 PM R4 was observed sitting in her wheelchair with an alarm on the back of her chair. R4's Minimum Data Set (MDS) dated [DATE] revealed she was admitted to the facility on [DATE], had a Brief Interview for Mental Status (BIMS) score of 03 (00-07 Severely Impaired); her transfer status at that time was extensive assist and used a wheelchair and walker for mobility. R4 had the diagnoses of Alzheimer's, Multiple Sclerosis, and Chronic Obstructive Pulmonary Disease (COPD, lung disease). Incident Report dated 3/17/23 at 11:20 AM revealed the nurse was in the hallway and hear a thud like sound, R4 was observed on her right knee and lowered herself to her left side. The same report indicated the alarm was not sounding and R4 reported she was trying to pick up her…

  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 · D2026-02-26 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to accurately complete a Do-Not-Resuscitate (DNR) document for one (R45) of two reviewed. Findings include:Review of the medical record reflected R45 admitted to the facility on [DATE], with diagnoses that included diabetes and COVID-19 (2/20/26). On 02/24/2026 at 1:44 PM, R45 was observed seated in a recliner, in their room.R45's DNR form, for 9/8/25, reflected signatures by R45, a Durable Power of Attorney (POA), the Physician and one witness. In an interview on 02/26/2026 at 12:21 PM, Social Services Director (SSD) D reviewed R45's DNR form and noted there to be one witness signature. SSD D reported DNR forms needed two witness signatures.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 maintain accurate medical records for minimum data set data for 1 (R15) of 23 residents. Findings include: Resident #15 (R15)Review of the medial record demonstrated that R15 was admitted [DATE] with diagnoses that included abdominal pain, pressure ulcer of right buttock, cellulitis (bacterial skin infection), peripheral vascular disease (PVD), obstructive sleep apnea, edema (swelling), enlarged prostate, vitamin D deficiency, anemia (low red blood cells), hypothyroidism (low thyroid hormone), hypertension, osteoarthritis (degenerative joint disease) of left shoulder, gastro-esophageal reflux disease, muscle weakness, dysphagia (difficulty swallowing), type 2 diabetes, and depression. Review of the most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/15/2025, revealed a Brief Interview for Mental Status (BIMS) of 12 (mild cognitive impairment) out of 15.On 02/24/2026 at 02:40 p.m. during observation 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to maintain baseline care plans for 1 (R119) of 23 residents. Findings include: Resident #119 (R119)Review of the medical record demonstrated R119 was admitted [DATE] with diagnoses that included paralysis (loss of movement) of the left side, congestive heart disease (CHF), atrial fibrillation, atherosclerotic heart disease (build up of plaque on artery walls), type 2 diabetes, asthma, hypertension, hyperlipidemia (high fat content in blood), peripheral vascular disease (PVD), insomnia, anxiety, depression, migraine, gastro-esophageal reflux disease, muscle spasm, and stroke. Review of the most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 02/11/2026, revealed a Brief Interview for Mental Status (BIMS) of 11(moderate cognitive impairment) out of 15.On 02/24/2026 at 10:27 a.m. during observation and interview R119 was observed lying down in bed. R119 requested that her husband I answer the questions that were being…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 interventions to prevent decrease in range of motion for 1 (R50) of 1 resident reviewed for range of motion. Findings include: Resident #50 (R50)Review of the medical record demonstrated that R50 was admitted [DATE] with diagnoses that included seizures, rheumatoid arthritis (auto immune disease that attacks joints), type 2 diabetes, dementia, paralysis (unable to move) left side, hypertension, hyperlipidemia (high fat content in blood), depression, restless leg syndrome, gastro-esophageal reflux, vitamin D deficiency, dysphagia (difficulty swallowing), stroke, low back pain, assistance with personal care, and dependence on wheelchair. Review of the most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 02/08/2026, revealed a Brief Interview for Mental Status (BIMS) of 09 (moderate cognitive impairment) out of 15.During observation and interview on 02/24/2026 at 09:52 a.m. R50 was observed sitting up in her…

  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 · D2026-02-26 · 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 staff utilized appropriate personal protective equipment (PPE) for two (R14 and R45) of two reviewed. Findings include: Review of the medical record reflected Resident 14 (R14) was admitted to the facility on [DATE], with diagnoses that included severe sepsis with septic shock and urinary tract infection. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 1/11/26, reflected R14 scored 13 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the Physician Orders revealed an active order dated 2/8/26 for Contact Isolation d/t (due to) VRE (vancomycin-resistant enterococcus- a bacteria) and Pseudomonas (a bacteria). On 2/24/2026 at 11:53 AM, R14 was observed in bed. A sign was observed posted outside of R14's door indicated Enhanced Barrier Precautions. No signage was observed indicating that the resident was under Contact Isolation precautions. On…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-02 · 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 Based on observation, interview and record review, the facility failed to implement facility policy and procedure for reporting allegations of abuse for 4 of 7 sampled residents (R101, R102, R104 and R105) reviewed for abuse, resulting in potential allegations of abuse not being reported, thoroughly investigated in a timely manner and continued resident abuse.Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R101 was an [AGE] year-old male admitted to the facility on [DATE], with diagnoses that included dementia, anxiety and depression. The MDS reflected that R101s had a BIM (assessment tool) score which indicated his ability to make daily decisions was severely impaired. Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R102 was an [AGE] year-old female admitted to the facility on [DATE], with diagnoses that included dementia, anxiety, falls, unsteady on feet, and depression. The MDS reflected that R102s had a BIM (assessment tool) score which indicated her…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-02 · 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 Based on observations, interviews, and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act. Findings include:Review of the medical record reflected R104 was admitted to the facility on [DATE], with diagnoses that included dementia. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 8/2/25, reflected R104 scored 7 out of 15 (severe impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the medical record reflected R105 was admitted to the facility on [DATE], with diagnoses that included dementia, need for assistance for personal care, mild cognitive impairment, and Alzheimer's disease. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 7/6/25, reflected R105 was unable to have a Brief Interview for Mental Status (BIMS-a cognitive screening tool) conducted due to severe cognitive impairment.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 investigate an allegation of abuse in one (Resident #105) out of 7 reviewed for abuse. Findings include:Review of the medical record reflected R104 was admitted to the facility on [DATE], with diagnoses that included dementia. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 8/2/25, reflected R104 scored 7 out of 15 (severe impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the medical record reflected R105 was admitted to the facility on [DATE], with diagnoses that included dementia, need for assistance for personal care, mild cognitive impairment, and Alzheimer's disease. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 7/6/25, reflected R105 was unable to have a Brief Interview for Mental Status (BIMS-a cognitive screening tool) conducted due to severe cognitive impairment. On 9/25/25 at 2:57 PM, R104 was observed in his room seated 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-15 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to assess for the potential of a restraint in one (Resident #3) out of three reviewed. Findings include:Review of the medical record reflected R3 was admitted to the facility on [DATE], with diagnoses that included dementia and anxiety. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 7/13/25, reflected R3 scored 4 out of 15 (severe impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 9/15/25 at 12:50 pm, R3 was observed consuming lunch on the patio area. Review of a Progress Note dated 6/16/2025 at 1:12 pm reflected Resident (R3) tipped footrest on personal chair tipped out onto the floor hematoma to right forehead .Review of a General Nursing Note dated 6/16/2025 at 12:48 PM stated Post fall and after investigation Elder was sitting in her personal chair with her feet up, sensor pad in place and sounding. Elder is unaware of her limitations and thought she was able to ambulate…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-15 · 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 prevent a fall during ambulation in one (resident #2) out of three reviewed for falls resulting in a fall during ambulation that caused a clavicle fracture. Findings include: Review of the medical record reflected Resident #2 (R2) was admitted to the facility on [DATE], with diagnoses that included weakness and dementia. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 8/3/25, reflected R2 scored 11 out of 15 (moderately impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 9/15/25 at 10:56 am R2 was dressed and seated in her wheelchair. R2 explained that she was wishing she could go home however, had experienced a fall at the facility that resulted in some setbacks. R2 explained that while walking back to her recliner with the assistance of a staff member, she had lost her balance and sustained a fall that resulted in a right clavicle fracture.Review of R2's Care plan revealed that…

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

  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

$314,537 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $169,320 — penalty dated 2025-09-15
• $64,227 — penalty dated 2024-12-10
• $80,990 — penalty dated 2024-04-22
• Medicare payment denial — starting 2025-01-03 for 10 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 5 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 90% 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 $536K 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