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King Nursing & Rehabilitation Community

2280 Tower Hill Road, Houghton Lake, MI 48629 · For profit - Limited Liability company · 61 certified beds · (989) 422-5153 Medicare & Medicaid certified

Call the home — (989) 422-5153 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Dec 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no harm-level citations in the current inspection record
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Dec 2024

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2585 W Houghton Lake Dr · (989) 366-2900 · Call to confirm hours
Pharmacy
Pharmacy3.3 mi
9249 W Lake City Rd · (989) 202-4605 · Call to confirm hours
Grocery
725 S Loxley Rd · (989) 422-7227 · Call to confirm hours
Park
5812-5844 W Houghton Lake Dr · Typically dawn to dusk
Place of worship
5599 W Houghton Lake Dr · (989) 965-3493

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.8%10.8%15.4%better
Long-stay residents who lose too much weight6.2%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder1.8%0.8%0.9%worse
Long-stay residents with a urinary tract infection7.2%1.5%2.0%worse
Long-stay residents with depressive symptoms3.0%4.3%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.8%3.0%3.3%better
Long-stay residents whose ability to walk worsened6.2%12.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication4.0%19.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers2.4%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control10.9%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table3.5%14.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine97.1%79.5%79.4%better
Short-stay residents rehospitalized after admission25.4%24.0%22.6%worse
Short-stay residents with an outpatient ER visit9.3%11.7%12.0%better
Long-stay hospitalizations per 1,000 resident days1.961.841.67worse
Long-stay outpatient ER visits per 1,000 resident days3.131.641.80worse

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

57.7% 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 60 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.7%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
47.4%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 47.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 38 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.7%CMS range 48.3–69.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.5–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge47.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge39.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge47.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified9.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge96.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.8%CMS range 4.3–13.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.201.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.00
Aide hours/ resident / day
3.56
Total nurse hours/ resident / day
0.47
RN hoursweekends
51.2%
Total nursing turnover
45.5%
RN turnover

How full it usually is: this home is certified for 61 beds and averages 38.3 residents a day — about 63% occupied, or roughly 23 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.09 hrs/resident/day on weekends vs 3.75 on weekdays — 18% thinner on weekends. RN hours go from 1.04 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

1
deficiencies at the latest standard inspection (2025-04-10)
3
at the previous standard inspection (2024-05-08)

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.

ABCDEFGHIJKL

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.

  • Potential for harm · D2026-05-26 · 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 deficient practice pertains to Facility Reported Incident (FRI) 3014540.Based on observation, interview, and record review, the facility failed to prevent, detect, and respond to an elopement for one Resident (#30) of four residents reviewed for elopement.Findings include:Resident #30 (R30)Review of the FRI submitted to the State Agency (SA) on 5/3/26 at 8:05 PM, included an investigation report which read, in part: Staff reported [R30] left facility out west hall door. [R30] was assisted willingly back into the building.[R30] wearing sweatpants, grippy socks, and a shirt. Weather at time sunny 55 degrees.[R30].resides on the west hall. He [R30] is independently ambulatory without the need of assistive devices and routinely ambulates around his room and the facility as he desires. On the afternoon of 5.3.26, [R30] exited the west hall exit door and ambulated outside. [R30] was assisted willingly back inside the building, and when asked, he stated he, just wanted to go outside.A new BIMs [brief interview for mental status] assessment was completed following this incident 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 · D2025-04-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 monitor fluids as ordered for one Resident (R6) of two residents reviewed for fluid concerns. This deficient practice resulted in the potential for fluid imbalance. Findings include: Resident #6 (R6) The medical record revealed an admission date of 9/20/21 and a diagnosis list including dementia, stroke, and hyponatremia (a condition where the blood sodium is too low and can trigger cell swelling causing health issues ranging from mild to life threatening.) The medical record included a physician order dated 5/14/24 which read Fluid restriction of 1.5 liters daily secondary to hyponatremia. On 4/8/25 at 12:34 PM during a tour of the dining room, R6 was observed eating lunch. The tray card indicated a diet of Regular, NAS (No Added Salt) 1500 cc (cubic centimeters) Restr (Restriction - indicating a fluid restricted diet of 1.5 liters.) When the resident was asked if she limited her fluids. The resident replied she did not. On 4/10/25 at 8:31 AM, R6 was observed in the dining room eating breakfast. Again, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-18 · 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 deficiency pertains to MI00148756. Based on interview and record review, the facility failed to prevent misappropriation of narcotic medication for one Resident (#1) of five residents reviewed for misappropriation. Findings include: Resident #1 (R1) Review of R1's electronic medical record (EMR) revealed initial admission to the facility on 8/2/24 with diagnoses including malignant cancer of the colon and rectum. Review of R1's most recent Minimum Data Set (MDS) assessment, dated 12/12/24, revealed a Brief Interview for Mental Status (BIMS) score of 15, indicative of intact cognition. R1 signed with hospice services on 8/6/24. Review of R1's EMR physician orders revealed the following pharmacy order, initiated 9/11/24: Hydrocodone acetaminophen (opiate [narcotic] medication mixed with Tylenol) - Schedule II tablet; 10-325 mg [milligram]; 1 tab; oral, Four Times A Day. Review of R1's Medication Administration Record [MAR] revealed they were scheduled to receive a dose of hydrocodone at 2:00 AM, 8:00 AM, 2:00 PM, and 8:00 PM. Review of the FRI read, in part: On 11/27/2024 at…

    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 · Ecited before2024-05-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 store, prepare, distribute, and serve food in accordance with professional standards for food service safety potentially resulting in a food borne illness among any or all 42 residents. Findings include: On 5/6/24 at approximately 1:03 p.m., three individual take-out containers lacking resident names or dates were observed in the refrigerator located in the activity room. Upon opening the individual containers, the following was observed: 1) A small Styrofoam cup with lid containing what appeared to be a milk shake with mold growing on top of the substances. 2) Two packages of hot dogs, expired on 4/27/24 and 2/19/24, hot dog buns that expired on 2/19/24 and the first name of a resident. 3) A large Styrofoam take out container containing crab Rangoon with no label or date. A Record of Refrigeration Temperatures log for May 2024 was observed in a drawer to the left of the refrigerator. No temperatures were recorded from 5/1/24 through 5/6/24. On 5/7/24 at approximately 2:00 p.m. the Nursing Home Administrator…

    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 · E2024-05-08 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed in implement enhanced barrier precautions (EBP) for seven Residents (R3, R7, R17, R23, R29, R33, and R36) of twelve sampled residents reviewed for infection control practices. Findings include: Resident #3 (R3) On 5/6/24 at 12:05 PM, an observation was made of R3's sitting in her room. R3 was observed to have an indwelling urinary catheter. R3's room door lacked any indication she was on EBP and lacked a cart for personal protective equipment (PPE) outside of her room. Further observations of the facility's halls and resident rooms revealed the lack of any residents being identified as having EBP or PPE carts. Review of R3's physician order, dated 4/14/24, read in part, Catheter care per shift . Resident #7 (R7) Review of R7's physician order, dated 3/1/24, read in part, Flush peg tube . Resident #17 (R17) Review of R17's physician order, dated 5/3/24, read in part, .Wound: cleanse with wound cleaner. Pat dry. Lightly pack .every day . Resident #23 (R23) Review of R23's physician order, dated 4/1/24, read in…

    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 · D2024-05-08 · 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

    Based on observation, interview and record review, the facility failed to implement interventions to address range of motion (ROM) for one Resident (R33) of two residents reviewed for limited range of motion. This deficient practice resulted in the potential for extreme pain, discomfort, and worsening of contractures. Findings include: Review of R33's Electronic Medical Record (EMR) revealed an admission date of 10/20/21 and diagnoses including epilepsy, dementia with agitation, seizure disorder, weakness, convulsions, and cognitive communication deficit. Her 3/18/24 Quarterly Minimum Data Set (MDS) assessment revealed she was unable to complete the Brief Interview for Mental Status (BIMS) score and was marked with severely impaired cognition. Review of MDS Section GG dated 3/18/24, revealed R33 had functional limitations secondary to rand of motion deficits to both sides of her upper and lower extremity. In Section O of her 3/18/24 MDS, she was noted to have received zero days of treatment in a Restorative Nursing Program which included range of motion (passive and active, splint,…

    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 · Fcited before2023-06-15 · 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 store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by failing to ensure the low temperature sanitizing dish machine was functioning in accordance with the manufacturer's data plate. This deficient practice has the potential to result in food borne illness among any and all 41 residents of the facility. Findings include: On 6/13/23 at 1:27 PM, observations were made of the kitchen with Certified Dietary Manager (CDM) D. The mechanical dish machine was identified as a low temperature sanitizing unit and verified by CDM D as such. [NAME] K was present operating the dish machine, placing soiled dishes, and other food service equipment through the machine. Four cycles were initiated and allowed to run through its entirety while observing the temperature gauge. The temperature gauge, during the wash cycle continually registered less than 120°F, with the maximum temperature observed on the machine's thermometer being 114°F. This temperature 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.

    Nutrition and Dietary 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

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

RatingThis homeChain avg
Overall 5 of 53.0+2.0 vs chain
Health inspection 5 of 52.7+2.3 vs chain
Staffing 3 of 53.4-0.4 vs chain
Quality measures 4 of 53.7+0.3 vs chain
The other 25 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Marshall Nursing and Rehabilitation CommunityMarshall, MI 1 of 5Mulder Health Care FacilityWest Salem, WI 1 of 5Riverside Nursing CentreGrand Haven, MI 2 of 5Allendale Nursing and Rehabilitation CommunityAllendale, MI 2 of 5Plainwell Pines Nursing and Rehabilitation CommuniPlainwell, MI 2 of 5Roosevelt Park Nursing and Rehabilitation CommunitMuskegon, MI 2 of 5South Haven Nursing and Rehabilitation CommunitySouth Haven, MI 2 of 5The Timbers of Cass CountyDowagiac, MI 2 of 5Tomah Nursing And RehabTomah, WI 2 of 5Westgate Nursing & Rehabilitation CommunityIronwood, MI 3 of 5Austinburg Nsg And Rehab CtrAustinburg, OH 3 of 5Crittenden County Health & Rehabilitation CenterMarion, KY 3 of 5Frederic Nursing And Rehab CommunityFrederic, WI 3 of 5Lincoln Haven Nursing & Rehabilitation CommunityLincoln, MI 3 of 5Prescott Nursing And Rehab CommunityPrescott, WI 3 of 5Salem Springlake Health & Rehabilitation CenterSalem, KY 3 of 5Woodside Village Care CenterMount Gilead, OH 4 of 5Blossom Nursing And Rehab CenterSalem, OH 4 of 5Fairview Nursing and Rehabilitation CommunityCentreville, MI 4 of 5Gladwin Nursing and Rehabilitation CommunityGladwin, MI 4 of 5Grayling Nursing & Rehabilitation CommunityGrayling, MI 4 of 5Heritage Nursing and Rehabilitation CommunityZeeland, MI 4 of 5Lexington Court Care CenterLexington, OH 5 of 5Freeman Nursing & Rehabilitation CommunityKingsford, MI 5 of 5Hillcrest Nursing and Rehabilitation CommunityNorth Muskegon, MI

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

Who owns this facility

Owner / managerTypeRoleShareSince
ATRIUM CENTERS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 10/01/2007
FIFTH THIRD BANKOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 02/26/2015
JOHNSON, CINDYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/18/2024
STEWART, BRENDAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/18/2024
ALBRIGHT ROSS, SUSANIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 01/01/2018
BAILEY, ESSELIndividualCORPORATE OFFICERsince 01/01/2021
FINNEY, DONALDIndividualCORPORATE OFFICERsince 08/01/2003
AMICUS CAPITAL HOLDINGS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/18/2021
ATRIUM CENTERS MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/18/2024
ANDERSON, CURTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2025
BARBER, MINDYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/24/2025
CHERRY, JILLIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2025
GEDEON, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
GRIFFIN, BRENDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/17/2025
REICHEL, MARLANIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/17/2020
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTOrganizationADP OF THE SNFsince 08/18/2021
AMICUS PROPERTIES LLCOrganizationADP OF THE SNFsince 01/01/2021
BROAD RIVER REHABILITATIONOrganizationADP OF THE SNFsince 09/01/2021
FORVIS MAZARS LLPOrganizationADP OF THE SNFsince 06/01/2023
LEADERSTAT LTDOrganizationADP OF THE SNFsince 01/01/2025
OCS REAL ESTATE HOLDINGS LLCOrganizationADP OF THE SNFsince 01/01/2021
OMNICARE LLCOrganizationADP OF THE SNFsince 01/01/2025
ORION PROPERTIES EIGHTEEN LLCOrganizationADP OF THE SNFsince 10/01/2007
PLANTE & MORAN PLLCOrganizationADP OF THE SNFsince 01/01/2025
PAREDES, MIGUELIndividualADP OF THE SNFsince 08/18/2021

CMS files one row per role, so the 43 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$4.6M
Net patient revenuemost recent cost report
-1.8%
Operating marginrevenue minus expenses
$663K
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 64%Medicare 14%Other / private 22%

This home reported $663K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$312per resident / day
operating cost
$9,492per month
≈ monthly operating cost
$307per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.

Typical monthly cost in Michigan
$11,254/mo
Nursing home (semi-private)
$11,969/mo
Nursing home (private)
$5,818/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235519. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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