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Jackson County Medical Care Facility

524 Lansing Avenue, Jackson, MI 49201 · Government - County · 194 certified beds · (517) 782-8500 Medicare & Medicaid certified

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Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0758)2 actual-harm citations$68,744 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (24% vs 45% nationally) — better care continuity
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2026
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $68,744 in federal fines (most recent 2023-12-07)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
956 Cooper St · (517) 787-3900 · Call to confirm hours
Pharmacy
605 N West Ave · (517) 841-4201 · Call to confirm hours
Grocery
Meijer0.3 mi
333 E Michigan Ave · (517) 787-8722 · Call to confirm hours
Park
Tony Dungy Field Jackson Mi · Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 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 fell from 5 to 4 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 rating4★
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 increased13.8%10.8%15.4%better
Long-stay residents who lose too much weight7.1%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.6%0.8%0.9%better
Long-stay residents with a urinary tract infection4.1%1.5%2.0%worse
Long-stay residents with depressive symptoms0.0%4.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.4%3.0%3.3%worse
Long-stay residents whose ability to walk worsened18.4%12.0%16.1%worse
Long-stay residents on antianxiety or hypnotic medication15.4%19.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers2.0%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control24.2%20.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table15.9%14.8%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.2%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%79.5%79.4%better
Short-stay residents rehospitalized after admission16.9%24.0%22.6%better
Short-stay residents with an outpatient ER visit6.4%11.7%12.0%better
Long-stay hospitalizations per 1,000 resident days1.781.841.67typical
Long-stay outpatient ER visits per 1,000 resident days0.961.641.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

59.8% 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 234 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.8%U.S. median 51.5%
Got home and stayed home
8.2%U.S. median 10.7%
Went back to hospital
56.2%U.S. median 56.6%
Met the expected recovery
0.27U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 56.2% 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 144 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 40% 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.

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 SNF59.8%CMS range 53.6–65.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.2%CMS range 6.1–11.210.7%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 discharge56.2%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 discharge43.8%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 discharge56.9%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 identified100.0%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge100.0%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 stay0.6%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 worsened0.6%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 hospitalization5.2%CMS range 3.3–8.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.791.02Oct 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

0.85
RN hours/ resident / day
1.08
LPN hours/ resident / day
3.45
Aide hours/ resident / day
5.37
Total nurse hours/ resident / day
0.43
RN hoursweekends
23.5%
Total nursing turnover
18.4%
RN turnover

How full it usually is: this home is certified for 194 beds and averages 181.2 residents a day — about 93% occupied, or roughly 13 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 5.37 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.45 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 4.88 hrs/resident/day on weekends vs 5.57 on weekdays — 12% thinner on weekends. RN hours go from 1.02 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% 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

7
deficiencies at the latest standard inspection (2026-04-16)
6
at the previous standard inspection (2025-01-27)

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

Inspection deficiencies

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

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · G2026-01-15 · 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 This citation pertains to intake #2712733Based on observations, interviews and record review, the facility failed to protect the resident's (R2) right to be free from neglect resulting in a fall with staff and suffering a fractured right humerus. Findings Include: Review of Resident #2 (R2) clinical record, including the Minimum Data Set (MDS) dated [DATE] revealed R2 was a [AGE] year-old female with diagnosis of dementia. R2 scored 6 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS). Review of R2's fall risk assessment dated [DATE] indicated R2 was at high risk for falls.Review of R2's comprehensive care plan for the Activity of Daily Living (ADL) dated 11/23/25 revealed R2 required 2 staff persons for transfers using a mechanical lift assistive device stand-up lift. Review of R2's Kardex (a care guide used by Certified Nursing Assistants) that was in place on 12/26/25 revealed and confirmed that R2 required 2 staff persons for transfers using a stand-up lift. Review of 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · H2023-12-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 12/05/23 at 09:35 AM, room [ROOM NUMBER] was observed to have a trash receptacle for disposal of contaminated personal protective equipment (PPE) inside the room, near the door. There was no lid on the trash receptacle. The discarded, contaminated PPE was nearing the top of the receptacle. On 12/05/23 at 09:21 AM, room [ROOM NUMBER] was observed to have a trash receptacle for disposal of contaminated PPE in the bathroom. There was no lid on the trash receptacle. The discarded, contaminated PPE was nearing the top of the receptacle. On 12/06/23 during the lunch meal 2 unidentified staff were observed on unit 4, neither staff were observed to have worn the face shield that the facility deemed required on unit 4. Based on interview and record review, the facility failed to follow best practices to prevent infections including the spread of coronavirus and continued exposure to coronavirus in 15 of 174 residents (Resident #17, #18, #26, #32, #48, #74, #84, #89, #100, #110, #123, #133, #137, #147, #284), resulting…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-04-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure proper storage and handling of food and disinfection of thermometers affecting up to 176 residents in the facility. Findings include: An observation on 04/14/2026 at 8:53 AM revealed the walk-in refrigerator in the kitchen contained a container of cream of mushroom soup that was labeled as prepped on 4/7/26 and a use by date of 4/13/26 and a container of green beans that was labeled as prepped on 4/8/26 and a use by date of 4/13/26. Dietary Staff (DS) H reported the food items were past their use by date and discarded them. On 04/14/2026 at 12:01 PM, DS K was asked to obtain temperatures of each food item being served in the main dining room. DS K removed a digital thermometer from their shirt pocket and placed the thermometer directly into the potato soup without first disinfecting the thermometer. DS K did disinfect the thermometer between each food item. On 04/15/2026 at 12:15 PM, the 400 unit refrigerator was observed with numerous (over…

    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 · D2026-04-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure three out of three residents (Resident #21, 54 & 151) were treated with respect and dignity.Findings Include Resident #54 (R54) Review of the medical records reflected that R54 was admitted to the facility on [DATE]. Diagnoses of Alzheimer's Disease, Dementia and Depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R54 had a Brief Interview of Mental Status (BIMS) of 11 (Moderate Cognitive Impairment) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R54 receives extensive assistance with bed mobility, total assistance with transfers, and extensive assistance with toileting; she was able to feed herself. R54 is able to make her needs known. Resident #151 (R151) Review of the medical records reflected that R151 was admitted to the facility on [DATE]. Diagnoses of Motor Neuron Disease, chronic pain, polyosteoarthritis, and difficult 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0577 — isolated
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Observation, Interview and Record Review the facility failed to ensure that survey results were readily accessible to the residents of the facility with a current census of 176 residents. During a Resident Council Meeting held on 04/15/2026 at 1:00 PM with a group of 10 residents the survey process was discussed. It was conveyed that all survey results are to be available for easy access for residents and families to read. Nine out of the 10 residents stated that did not know the results of any surveys. They did not know where a binder with this information was located. They added that they wondered about the outcome of the surveys, because they never heard anything more about it once surveyors left the building. Sharing that they were now going to ask about it. During an observation on 04/15/2026 at 4:59 PM, No Survey Binder could be located upon entrance or around the main or common areas for access to residents and families.During an observation on 04/16/2026 at 3:06 PM, A State Binder was seen at the front reception desk, after reviewing the contents in the binder, 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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, observation and record review the facility failed to maintain personal privacy and confidentiality of medical information in two residents (R54 and R151) of two reviewed for personal privacy.Findings IncludeResident #54 (R54)Review of the medical records reflected that R54 was admitted to the facility on [DATE]. Diagnoses of Alzheimer's Disease, Dementia and Depression.The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R54 had a Brief Interview of Mental Status (BIMS) of 11 (Moderate Cognitive Impairment) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R54 receives extensive assistance with bed mobility, total assistance with transfers, and extensive assistance with toileting; she was able to feed herself. R54 is able to make her needs known. Resident #151 (R151)Review of the medical records reflected that R151 was admitted to the facility on [DATE]. Diagnoses of Motor Neuron Disease, chronic pain,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 a process for resident grievances to be resolved by the facility in a current facility census of 176 residents. During a Resident Council Meeting held on 04/15/2026 at 1:00 PM with a group of 10 residents' grievances were discussed. The residents shared that in order to fill out a grievance form they had to go to the Social Workers office on their unit, and the Social Workers would fill them out. Residents stated they did not know the turnaround time in getting them resolved.When asked if they had these forms at eye level and displaced throughout the facility other than the Social Workers office, the residents stated they did not have those forms available at eye level in any of the common areas. Residents in the confidential group meeting stated they did not know they could fill them out themselves or ask someone to help them. Residents stated they didn't know that. Residents shared that they were familiar with the Property Incident Report. Again, stating they did not have easy access to a Resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review, the facility failed to refer one (R9) of one reviewed to the state-designated authority for a change in condition. Findings include:Review of the medical record revealed R9 was admitted to the facility on [DATE] with diagnoses that included hypertension and repeated falls. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/12/26 revealed R9 scored 5 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the Preadmission Screening (PAS)/Annual Resident Review (ARR) Level I Screening revealed the review was completed on 2/09/25. All questions were answered No to include The person has a current diagnosis of mental illness or dementia, The person has routinely received one or more prescribed antipsychotic or antidepressant medications within the last 14 days, and There is presenting evidence of mental illness or dementia, including significant disturbances in thought conduct, emotions,…

    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 · D2026-04-16 · tag F0761 — failed to label and store drugs safely — isolated
    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, interview, and record review, the facility failed to ensure medications were secure and inaccessible to unauthorized staff and residents. Findings include: An observation on 4/15/26 at 3:41 PM, revealed a grey unsecured tote was sitting on the couch outside the public restroom on the Renewal Center East unit. No authorized staff were supervising the tote. There was a non-nurse staff member sitting in the dining room and a non-nurse staff member who walked by. Inside the tote was a Medication Inventory Record which revealed a list of medications that were being returned to the pharmacy. The list included one Metamucil, two Lovenox 40 milligrams (mg) injections, two Flexeril 10 mg, and 47 Singulair 10 mg. The actual medications inside the tote included two cards of Flexeril 10 mg for a total of 49 tablets, two Lovenox 10 mg injections, and one Singulair 10 mg tablet. A staff member walked by and when asked if they were the nurse for the unit, they reported no. In an interview on 4/15/26 at 3:44 PM, Licensed Practical Nurse (LPN) G walked by. When asked about 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-27 · 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 — an excerpt from the official record, may be distressing

    Based on interview, and record review the facility failed to ensure accurate advance directive (legal documents that allow a person to identify decisions about end-of-life care ahead of time) information was in place for one resident (#319) of one resident reviewed for advance directives from a total sample of 35 residents. Findings included: Resident #319 (R319) Review of the medical record revealed R319 was admitted to the facility 01/16/2025 with diagnoses that included end stage renal disease, dependence on renal dialysis, gastro-esophageal reflux, congestive heart failure (CHF), atherosclerotic heart disease (plaque build up in artery wall), hyperlipidemia (high fat content in blood), obstructive sleep apnea, type 2 diabetes, hypothyroidism (low thyroid hormone), morbid obesity, anemia (low number of red blood cells), cancer of kidney, hypertension, and spinal disc degeneration. Review of R319's medical record demonstrated a physician order for advance directives of DNR (Do Not Resuscitate). No facility document entitled DO-NOT-RESUSCITATE ORDER was found in R319's medical…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-27 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to ensure a Preadmission/Annual Resident Review (PAS/ARR) was completed after the 30 day exemption period and failed to notify the State Agency Health Authority for 1 Residents ( #62) of 3 residents reviewed for PAS/ARR. Findings include: Review of the clinical record reflected Resident # 62 (R62) was admitted to the facility with diagnoses that included major depression. Review of R62's PAS/ARR 3877 screening dated 8/24/23 reflected R62 had a mental illness diagnosis and was prescribed an anti-depressant medication. Review of the 3878 dated 8/26/23 reflected R62 was on a 30 day exemption and was expected to be discharged from the facility within the next 30 days. There was no further level I or level II screenings, no indication or documentation that the State Mental Health Authority was aware R62 resided at the facility and no documentation regarding R62 not meeting criteria or needing level II assessment from Community Mental Health. Further review of R62's clinical record reflected R62 had psychotropic medication changes…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-27 · 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 formulate comprehensive Care Plans for two (Resident #92 and Resident #370) of 35 reviewed for Care Plans. Findings include: Resident #92 (R92) Review of the medical record reflected R92 was admitted to the facility on [DATE], with diagnoses that included atrial fibrillation (irregular heartbeat). The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/9/24, reflected R92 scored 7 out of 15 (cognitively impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 1/21/25 at 9:31 AM, R92 was observed in a recliner chair watching television. Review of the Physician Orders revealed R92 had an active order with at start date of 10/42/24 for Eliquis 5 milligrams (a blood thinning medication). Review of R92's Care Plan revealed no Care Plan for the anticoagulant. In an interview on 1/27/25 at 1:59 PM, Director of Nursing (DON) B reviewed the Care Plan for R92 and confirmed that there was no Care Plan…

    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
Show the remaining 8 citations
  • Potential for harm · D2025-01-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 assistance with activities of daily living (ADL) for one (R12) of five residents reviewed for ADL's, resulting in the potential for unmet needs. Findings include: Review of the clinical record revealed R9 was admitted into the facility on 5/30/24 with diagnoses that included: congestive heart failure and arthritis. According to the Minimum Data Set (MDS) assessment dated [DATE], R12 scored 9/15 on the Brief Interview for Mental Status exam (which indicated moderately impaired cognition). Section GG (Functional Abilities and Goals) of MDS assessment dated [DATE] indicated resident was dependent (Helper does all of the effort. Resident does none of the effort to complete the activity.) with personal hygiene. Review of the photo taken of resident on admission revealed short facial hair, stubble only, no beard. On 1/22/25 at 9:23 AM, R12 was observed lying in bed on his back. R12 was noted to have a long, full, unkempt beard. When asked…

    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 before2025-01-27 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    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 proper assistive devices to maintain hearing for one (Resident 25) of one reviewed for specialty services, resulting in unmet needs. Findings include: Review of the clinical record revealed R25 was admitted into the facility on 7/27/19 with diagnoses that included: Alzheimer's disease and major depressive disorder. According to the Minimum Data Set (MDS) assessment dated [DATE] R25 had adequate hearing with hearing aids. A review of R25's [NAME] (document used by facility to communicate the needs of the resident) revealed no documentation of hearing aids. On 1/22/25 at 9:33 AM, R25's roommate reported that R25 was missing her hearing aids and had been for an extended period. On 1/22/25 at 9:42 AM, R25 was observed sitting up in recliner with television on without hearing aids in place. R25 was able to answer yes/no questions when spoken to in a loud voice and at a slow pace. R25 confirmed she was missing her hearing aids. On 1/23/25…

    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 · D2025-01-27 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 justify continued use of psychotropic medications for one residents (#154) of five residents reviewed. Findings include: Resident #154 (R154) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R154 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included hypertension (high blood pressure), heart disease, major depressive disorder, transient ischemic attach (small stroke), cerebral infarction, dementia with anxiety, adjustment disorder with anxiety and depression, and delusional disorders. The MDS reflected R154 had a BIM (assessment tool) score of 9 which indicated her ability to make daily decisions was moderately impaired, and she required partial to moderate physical assist with dressing, hygiene, toileting, bathing and transfers. Continued review of the MDS reflected R154 had not had any behaviors including delusions, hallucinations, physical or verbal. R154 was observed…

    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
  • Potential for harm · E2023-12-07 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that four of five residents reviewed for vaccinations (Residents #101, #50, #51, #133) were up to date on their Prevnar 20/Pneumococcal 20/PVC 20 vaccine, resulting in residents potentially getting pneumonia, having medical complications and decreased quality of life. Findings include: Resident #50 (R50) Review of the electronic medical record (EMR) revealed R50's last pneumonia vaccine (Prevnar 13) was administered on 3/12/2015 and refusals or consents were not found after that date. Resident #51 (R51) Review of EMR revealed R51's last pneumonia vaccine (Prevnar 13) was administered on 9/22/2015 and refusals or consents were not found after that date. During an interview on 12/6/2023 at 1:06 PM, the Infection Control Preventionist (ICP) C was asked about the pneumonia vaccines and she stated that if a resident declined to have the pneumonia vaccine, then they ask them again the next year to see if they want it. ICP C said she would check into…

    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 before2023-12-07 · 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 the care plan for one resident (R#101) of 22 residents reviewed for care plans, resulting in hunger and frustration. Findings include: According to the clinical record including the Minimum Data Set (MDS) dated [DATE], Resident # 101 (R101) was admitted to the facility with diagnoses that included heart failure, diabetes, chronic obstructive pulmonary disease, epilepsy and Covid. Review of the MDS reflected R101 had limited range of motion of both upper extremities and scored 8 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). On 12/05/23 at 09:23 AM, while donning personal protective equipment (PPE) outside of R101's door, there was a constant clicking/banging, the sound was coming from inside R101's room. Upon entering the room, R101 was observed sitting up in recliner chair his over bed table was approximately a foot in front of him to his right, R101 was holding a plate with his left…

    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 · D2023-12-07 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is 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 ensure one resident (R#101) of one reviewed for assistance with meals was provided the physician ordered dishware/utensils, beverage consistency and physical assistance needed to for meals, resulting in hunger and frustration. Findings include: According to the clinical record including the Minimum Data Set (MDS) dated [DATE], Resident # 101 (R101) was admitted t the facility with diagnoses that included heart failure, diabetes, chronic obstructive pulmonary disease, epilepsy and Covid. Review of the MDS reflected R101 had limited range of motion of both upper extremities and scored 8 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). On 12/05/23 at 09:23 AM, while donning personal protective equipment (PPE) outside of R101's door, there was a constant clicking/banging, the sound was coming from inside R101's room. Upon entering the room, R101 was observed sitting up in recliner chair his over bed…

    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 before2023-12-07 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    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 timely optometry services for one (Resident #67) of one reviewed for vision, resulting in lack of timely eye care services and the potential for delayed treatment. Findings include: Review of the medical record reflected Resident #67 (R67) admitted to the facility on [DATE], with diagnoses that included diabetes and vascular dementia. The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 8/24/23, reflected R67 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 12/04/23 at 10:13 AM, R67 was observed in his room and reported for about nine months, he had been wanting to see the eye doctor. He reported he had told five or six staff that he wanted to see the eye doctor, but it had not done any good yet. R67 stated he could hardly get around any longer because he could not see. He reported he had glasses, but they were not doing much. An eye…

    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 · D2023-12-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #152 (R152) 12/04/23 at 8:48 AM R152 was observed sitting in a chair in her room, with a plate of food placed directly on lap and eating. R152 Minimum Data Set (MDS) assessment dated [DATE] revealed she admitted to the facility on [DATE], had a diagnosis of Alzheimer's Disease, a brief interview for mental status (BIMS, a brief performance-based cognitive screener) score of 04 (00-07 Severe Impairment) and needed set-up assistance for eating. Care plan for alteration in nutritional status with last revision date of 9/27/23, indicated because of R152's dementia, it could affect her ability to recall the importance of adequate daily nutrition and she could miss a meal because of sleeping through it. The same care plan instructed to observe for any signs/symptoms of diet distress (pocketing of food, slow eating, food falling from her mouth while eating, choking/coughing) and report to the nurse. R152's goal was to accept an average of 50 percent (%) or more at meals. In review of R152's electronic medical…

    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.

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

$68,744 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $68,744 — penalty dated 2023-12-07
  • Medicare payment denial — starting 2026-02-12 for 4 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

Owner / managerTypeRoleShareSince
JACKSON COUNTY MEDICAL CARE FACILITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/1967
PRICE, KENNYIndividualMANAGING CONTROL - GOVERNING BODYsince 12/20/2022
WILSON, HARRYIndividualMANAGING CONTROL - GOVERNING BODYsince 11/01/2018
YOUNGDAHL, ELIZABETHIndividualMANAGING CONTROL - GOVERNING BODYsince 10/01/2023
SHONG, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/19/1995
WILKINS, DESTINYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
YALAVARTHI, JYOTHSNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/30/2025
MARKOWSKI, RONALDIndividualADP OF THE SNFsince 01/01/2014

CMS files one row per role, so the 11 rows in the source record cover these 8 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.

$26.7M
Net patient revenuemost recent cost report
+0.8%
Operating marginrevenue minus expenses
$500
Related-party expense0% of expenses
Who pays — share of resident-days
Medicaid 75%Medicare 9%Other / private 15%

About 75% 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 $500 paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$423per resident / day
operating cost
$12,858per month
≈ monthly operating cost
$427per 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 235019. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-16, 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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