No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Schoolcraft Medical Care Facility

520 Main Street, Manistique, MI 49854 · Government - County · 85 certified beds · (906) 341-6921 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Feb 20241 immediate-jeopardy citation$63,492 in federal fines2 Medicare payment denials
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 (4/5)
  • 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 (F0600), cited Feb 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $63,492 in federal fines (most recent 2025-01-09)
  • its payroll-based staffing score sits 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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
813 East Lakeshore Drive
Pharmacy
211 S Cedar St · (906) 341-5494 · Call to confirm hours
Grocery
735 E Lakeshore Dr · (906) 341-8070 · Call to confirm hours
Park
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 3 of 5
Long-stay residentspeople who live here 3 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 improved from 1 to 2 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 rating2★
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 increased19.0%10.8%15.4%worse
Long-stay residents who lose too much weight7.3%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.7%0.8%0.9%better
Long-stay residents with a urinary tract infection2.0%1.5%2.0%typical
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 injury7.3%3.0%3.3%worse
Long-stay residents whose ability to walk worsened20.9%12.0%16.1%worse
Long-stay residents on antianxiety or hypnotic medication10.0%19.4%18.9%better
Long-stay residents given the seasonal flu vaccine96.8%95.0%95.3%typical
Long-stay residents with pressure ulcers3.2%5.1%4.7%better
Long-stay residents with worsening bladder/bowel control32.9%20.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.9%14.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.4%1.1%1.4%typical
Short-stay residents given the seasonal flu vaccine64.6%79.5%79.4%worse
Long-stay hospitalizations per 1,000 resident days0.991.841.67better
Long-stay outpatient ER visits per 1,000 resident days3.631.641.80worse

* 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.

51.0% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.0%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
0.17U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 SNF51.0%CMS range 39.7–64.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 6.6–16.610.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot 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 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.121.02Oct 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

0.62
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.21
Aide hours/ resident / day
3.51
Total nurse hours/ resident / day
0.35
RN hoursweekends
51.5%
Total nursing turnover
46.2%
RN turnover

How full it usually is: this home is certified for 85 beds and averages 64.4 residents a day — about 76% occupied, or roughly 21 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.16 hrs/resident/day on weekends vs 3.66 on weekdays — 14% thinner on weekends. RN hours go from 0.73 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2025-01-09)
5
at the previous standard inspection (2024-02-14)

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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-10-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This deficiency pertains to Facility Reported Incident (FRI) 2631248Based on observation, interview, and record review, the facility failed to implement interventions and physician recommendations/orders to prevent one Resident (#1) with a known history of elopement of three residents reviewed for elopement from eloping from the facility. This deficient practice resulted in an immediate jeopardy when Resident #1 eloped from the facility and was found 1.2 miles away and was missing for approximately 2 hours, resulting in the likelihood of series injury, harm or death.Findings include:The Immediate Jeopardy began at 12:16 p.m. on 9/28/25 when R1 eloped from the facility undetected and was reported by a facility staff member to be located at a fast-food restaurant, 1.2 miles away at 2:10 pm. The Nursing Home Administrator (NHA) was notified of the immediate jeopardy on 10/8/25 at 2:10 PM. At that time, an immediacy removal plan was requested from the facility. This surveyor confirmed by observation, interview, 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
  • Actual harm · Gcited before2025-01-09 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to implement a comprehensive infection control program to mitigate the spread of Norovirus during an outbreak by failure to: 1. Implement effective disinfection of the facility. 2. Perform outbreak surveillance to track and mitigate the spread of Norovirus. 3. Adhere to Hand Hygiene Infection Control Principles. This deficient practice resulted in a sustained outbreak affecting 18 Residents out of a total facility census of 63 residents who contracted Norovirus. Residents (R26 and R44) were hospitalized from the outbreak. The failure to mitigate the outbreak also resulted in identification of sustained transmission of Norovirus with two additional Residents confirmed by facility staff who tested positive on 1/8/25. Findings include: On 1/1/25, three Residents (#8, #44, & #250), developed symptoms of emesis (vomiting) and diarrhea. Resident #44 (R44) was sent to the hospital on 1/2/25 and was confirmed positive for Norovirus infection and was subsequently admitted to the hospital. The Infection Preventionist…

    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
  • Actual harm · G2024-02-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide comprehensive diabetic management for one Resident (R60) of one resident reviewed for diabetic care. This deficient practice resulted in harm when R60 was hospitalized in the intensive care unit (ICU). Finding include: On 10/4/23, R60 was hospitalized with severe hyperglycemia (high blood glucose levels) and encephalopathy (brain dysfunction that can appear as confusion, memory loss personality changes and/or coma) due to hyperosmolar hyperglycemic state [HHS] (a metabolic complication of diabetes mellitus characterized by severe hyperglycemia, extreme dehydration, and altered consciousness.) Review of R60's Minimum Data Set (MDS) admission assessment, dated 6/14/23, revealed R60 was admitted to the facility on [DATE], with a Brief Interview for Mental Status (BIMS) score of 15 of 15, reflective of intact cognition. R60 was responsible for her own medical decisions, and was documented with clear speech, the ability to understand others and be…

    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 · F2025-01-09 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid Services). This deficient practice resulted in inaccurate reporting of staffing levels with the potential to affect all 53 residents. Findings include: Review of CMS PBJ Staffing Data Report FY (fiscal year) Quarter 4 2024 (July 1 -September 30) revealed the metric No RN (Registered Nurse) Hours, Excessively Low Weekend Staffing, One Star Staffing Rating, and Failed to have Licensed Nursing Coverage 24 Hours/Day Triggered with the following infraction dates being: No RN hours every day beginning with 7/1/24 through 9/30/24. Failed to have Licensed Nursing Coverage 24/Hours/Day every day beginning with 7/1/24 through 9/30/24 During an interview on 1/9/25 at 9:59 a.m., Human Resource Manager F stated, I input the information for the PBJ report . we switched companies to take our data and convert it and send it to CMS .we did find out that it did not work. During an interview on 1/9/25 at 10:27 a.m., Nursing Home Administrator (NHA)…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-19 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00146197. Based on interview and record review, the facility failed to develop and/or implement policies and procedures for ensuring the identification and reporting of potential abuse for five Residents (#10, #12, #14, #18 and #20) of six residents reviewed for abuse, resulting in the potential for unidentified abuse and further exposure to abusive situations. Findings include: Resident #10 (R10) R10 was admitted to the facility on [DATE] with a primary diagnosis of dementia. Review of R10's Minimum Data Set (MDS) assessment, dated 8/15/2024, revealed R10 was independent with transfers and ambulation. Further review of the MDS assessment revealed R10 had severe cognitive impairment. Review of R10's electronic medical record (EMR) revealed the following: 6/11/2024 23:02 [11:02 p.m.] Nurses Note. Resident [complained of] hand broken after being redirected from another resident's room . DON [Director of Nursing] notified . 6/12/2024 07:57 [7:57 a.m.] Nurses Note. Writer in 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
  • Potential for harm · E2024-08-19 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00146197. Based on interview and record review, the facility failed to thoroughly investigate allegations of abuse for five Residents (#10, #12, #14, #18 and #20) of six residents reviewed for abuse. Findings include: Resident #10 (R10) R10 was admitted to the facility on [DATE] with a primary diagnosis of dementia. Review of R10's Minimum Data Set (MDS) assessment, dated 8/15/2024, revealed R10 was independent with transfers and ambulation. Further review of the MDS assessment revealed R10 had severe cognitive impairment. Review of R10's incident reports for April 1, 2024, through August 19, 2024, provided by the Nursing Home Administrator (NHA), revealed the following: Injury of Unknown Source . Incident Description: Called into unit, CNA [Certified Nursing Assistant] upset, stated [R10] was in a female resident's bed and that she tried to get him out he punched her in the leg and called her a name. Sent CNA on break and in to assess resident. Resident unable to give…

    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 · Fcited before2024-02-14 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain adequate resident and employee infection surveillance based on current professional standards for Infection Control (IC). This deficient practice had the potential to contribute to a facility COVID-19 infection outbreak, and the potential for ongoing infection spread, with the potential to affect all 58 facility residents. Findings include: Review of the November 2023, Infection Surveillance Monthly Report, showed 25 residents had respiratory infections, with 23 HAI's (Health Associated Infections - obtained in a health care facility after admission). The infection column showed 22 COVID-19 infections marked. When each column was followed to the right to the comments section, to show 21 residents tested positive for COVID, with infections resolved. There was no infection visual location mapping provided, which showed trends/clusters, locations of residents (rooms) with infections, or the potential for contact tracing. The monthly…

    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 · D2024-02-14 · 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 relates to Intake #MI00142455. Based on interview and record review, the facility failed to prevent employee to resident abuse for two Residents (R3, R22) of three residents reviewed for abuse. This deficient practice resulted in the abuse of R22, and the potential for ongoing abuse of R3 and other facility residents. Findings include: Review of R22's Minimum Data Set (MDS) assessment, dated 1/25/24, revealed R22 was admitted on [DATE], with diagnoses including stroke and depression. R22 required one-person assistance with transfers and bed mobility and was independent with toileting. The Brief Interview for Mental Status (BIMS) assessment revealed a score of 11/15, which showed R22 had moderate cognitive impairment. Review of R3's MDS assessment, dated 12/14/23, revealed R3 was admitted to the facility on [DATE], with diagnoses including diabetes, thyroid disorder, arthritis, depression, and anxiety. R3 was independent with bed mobility and transfers and required moderate assistance for toileting.…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-02-14 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    This citation relates to Intake #MI00142455. Based on interview and record review, the facility failed to follow their abuse policy and report abuse to prevent employee to resident abuse for two Residents (R3, R22) of three residents reviewed for abuse. Findings include: Review of R22's Investigation report, dated 1/31/24 at 2:21 p.m., revealed Certified Nurse Aide (CNA) B discovered bruising on R22's arms and notified Licensed Practical Nurse (LPN) A. R22 was tearful when interviewed and reported a CNA (identified as CNA H) was rough with her during cares and she did not feel safe when CNA H was working with her. LPN A observed the bruising appeared to be fingerprints on R22's upper arms. The report showed other residents were interviewed for potential abuse. R3 reported CNA H hollered at her and pointed her finger at her and stated she did not want CNA H to work with her. Review of R22's police report, dated 1/29/24 at 12:04 p.m., described how R22 said when a staff person was assisting her rolling over in bed, CNA H was too aggressive and bruised her. The Officer reported they…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-02-14 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 interview and record review the facility failed to ensure Physician's orders were obtained and communication/documentation occurred for coordination of care for hospice services provided to two Residents (R6 and R13) of two Residents reviewed for hospice services. This deficient practice resulted in the potential for a lack of coordination of comprehensive services and unmet needs. Findings include: Resident #6 (R6) A review of the medical record for R6 revealed an admission date of 4/13/18. The Minimum Data Set (MDS) assessment dated [DATE] indicated R6 was receiving hospice services. The Resident Roster printed on 2/12/24 denoted R6 was on hospice. During an interview on 2/12/24 at approximately 12:05 PM, Family Member L stated R6 started on hospice services in December 2023. The Electronic Medical Record (EMR) was reviewed and there was not a Physician order for Hospice Services. On 02/14/24 at 12:17 PM, the hospice resident folder in R6's room did not include calendar entries for January or…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-02-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to ensure the mechanical dish machine was properly sanitizing food contact surfaces, including plates, glasses, flatware and cooking utensils. 2. Failing to ensure food service staff properly washed their hands following contamination and returning to food related tasks. 3. Failing to ensure all food staff properly had their hair restrained. This deficient practice has the potential to result in food borne illness among any or all 46 residents in the facility. Findings include: 1. On 1/31/23 at approximately 1:30 PM, observations of the mechanical dish machine were made and determined the machine was a high temperature sanitizing type with a conveyor mechanism. This type of machine requires a series of cycles of hot water to ensure that food contact surfaces are properly sanitized by the surface reaching a minimum temperature of 160°F. Dietary Aide (DA) I was conducting dish…

    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 · E2023-02-02 · tag F0656 — failed to write and follow a full care plan — pattern
    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 develop comprehensive, person-centered care plans for four Residents (#9, #29, #37 and #44) of 14 residents reviewed for care planning. This deficient practice resulted in the potential for unidentified and unmet care needs. Findings include: Resident #9 A review of Resident #9's Minimum Data Set (MDS) assessment, dated 12/02/2022, revealed she was admitted to the facility on [DATE] and had diagnoses including heart failure and chronic pain syndrome. Further review the MDS assessment revealed in the five days prior to the assessment, Resident #9 received scheduled and as needed (prn) pain medication, and non-medication interventions to treat pain. The MDS assessment also revealed Resident #9 experienced Shortness of breath or trouble breathing with exertion during the assessment lookback period. Resident #9 scored 15 out of 15 on the Brief Interview for Mental Status (BIMS), indicating the Resident was cognitively intact. An observation on…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-02-02 · 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 Based on observation, interview and record review, the facility failed to ensure staff were properly donning and doffing Personal Protective Equipment (PPE) while entering and exiting COVID-19 isolation rooms. This deficient practice resulted in the potential for further spread of COVID-19 to the entire facility population. Findings include: On 1/31/23 at 12:35 p.m., Certified Nurse Aide (CNA) T was observed entering and exiting rooms during meal tray delivery service on the COVID-19 and Influenza unit. CNA T was observed entering and exiting room [ROOM NUMBER] (Resident #39) on the SNU (resident unit designation) unit, who was positive for COVID-19, with only the upper strap of the N95 (Direct Supply-Brand Name) secured, the bottom strap was hanging loose in front of the mask. On 1/31/23 at 12:40 p.m., CNA T then entered and exited room [ROOM NUMBER] (Resident #24) on the SNU unit with a different N95 (Makrite-Brand Name) and failed to ensure the metal nose stay (bendable metal strip) was formed to the face. A…

    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
Show the remaining 6 citations
  • Potential for harm · D2023-02-02 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interview and record review, the facility failed to notify the resident or the resident representative, in writing, of the reason for a transfer out of the facility to the hospital and failed to notify a representative of the Office of the State Long-Term Care Ombudsman for 2 Residents (#9 and #40) of 3 residents reviewed for notice of transfer. This deficient practice resulted in the potential for residents and their representatives being uninformed of the reason for transfer and unnecessary or undesired transfers. Findings include: Resident #9 A review of Resident #9's Minimum Data Set (MDS) assessment, dated 11/20/2022, revealed a discharge date of 11/20/2022 with the discharge status listed as the Acute hospital. Further review of Resident #9's MDS assessments revealed a reentry to the facility on [DATE] from the Acute hospital. A review of Resident #9's Electronic Medical Record (EMR) and paper chart revealed no written notification of transfer or discharge for the Resident's hospitalization on…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-02 · 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 adequate grooming for one Resident (#44) of two residents reviewed for activities of daily living. This deficient practice resulted in Resident #44 having long fingernails and long facial hair stubble, appearing unshaven. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 12/07/22, revealed Resident #44 was admitted to the facility on [DATE], with diagnoses including kidney disease, septicemia (systemic infection), dementia, depression, anxiety disorder, muscle weakness, and palliative care (specialized care for people living with serious illness). Resident #44 required extensive two-person assistance for transfers, toileting, and extensive one-person assistance for bed mobility, dressing, and personal hygiene (which included combing hair, brushing teeth, and shaving). The Brief Interview for Mental Status (BIMS) assessment revealed a score of 08/15, which showed Resident #15 had moderate cognitive…

    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 before2023-02-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to 1) ensure use of safe transfer techniques for one Resident (#12) and, 2) failed to ensure an environment free of hazards for one Resident (#10) of two Residents reviewed for accidents and hazards. This deficient practice resulted in the potential for injury. Finding include: Resident #12 A review of Resident #12's Minimum Data Set (MDS) assessment, dated 12/07/2022, revealed the Resident was admitted to the facility on [DATE] and had diagnoses including dementia, renal insufficiency and respiratory failure. A review of the assessment Section G - Functional Status revealed Resident #12 required extensive, two-person physical assistance with transfers and the Resident's Balance During Transitions and Walking was assessed as Not steady, only able to stabilize with human assistance. Resident #12 scored three out of 15 on the Brief Interview for Mental Status (BIMS), indicating she had severe cognitive impairment. An observation on 1/31/2023 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to date, label, and change out oxygen tubing for one Resident (#37) of one resident reviewed for oxygen services. This deficient practice resulted in the potential for infection, and deterioration of the tubing. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 12/29/22, revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including Parkinson's disease (a progressive neurological condition of movement which often causes stiffness, incoordination, and tremors), coronary artery disease (narrowing of the heart blood vessels), congestive heart failure (a progressive heart disease causing fatigue and shortness of breath), acute respiratory failure with hypoxia (lack of oxygen), and hearing loss. Resident #37 required extensive two-person assistance for transfers and toileting, and extensive one-person assistance for bed mobility, dressing, and personal hygiene. The Brief Interview for Mental Status…

    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 · D2023-02-02 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    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 a correct therapeutic diet was prescribed for 2 of 2 residents reviewed for therapeutic diets (Resident #2 and Resident #14). This deficient practice resulted in the potential for unmet nutritional needs and the potential for health complications. Findings include: Resident #2 The Electronic Medical Record (EMR) revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including diverticulitis (infection or inflammation in the intestine), gastroesophageal reflux disease (GERD), hypertension, anxiety disorder and depression. The Physician orders listed a diet order of: Regular, Diver diet, Soft foods texture, Thin consistency for Bland diet as tolerated for diverticulitis. Active 10/17/2022 A Registered Dietitian (RD) progress note on 10/25/2022 read in part: (Resident #2) was readmitted to facility after hospitalization for diverticulitis . She is provided with a Regular diet- bland with diver (diverticulitis)…

    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 · D2023-02-02 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    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 dining adaptive equipment for three Residents (#2, #43, and #44) of three residents reviewed for dining assisstive devices. This deficient practice resulted in increased difficulty with food consumption and independent eating, as well as the potential for decreased food/fluid intake and risk for weight loss. Findings include: Resident #2 The Electronic Medical Record (EMR) revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including diverticulitis (infection or inflammation in the intestine), gastroesophageal reflux disease (GERD), hypertension, anxiety disorder and depression. The facility Registered Dietitian (RD) progress note of 10/25/2022 read in part: (Resident #2) was readmitted to facility after hospitalization for diverticulitis . Finger foods are provided as able also to help with her independence with meals as vision is extremely limited and she does well with finger foods . She does need…

    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

$63,492 in federal fines across 1 penalty. 2 Medicare payment denials on record.

  • $63,492 — penalty dated 2025-01-09
  • Medicare payment denial — starting 2025-02-08 for 12 days
  • Medicare payment denial — starting 2024-03-15 for 7 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
SCHOOLCRAFT COUNTYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 01/01/1968
GOUDREAU, ALECIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/29/2023
LANDER, KENDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/13/2015
NWANKWO, UCHEBIKEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/05/2025

CMS files one row per role, so the 8 rows in the source record cover these 4 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.

$6.1M
Net patient revenuemost recent cost report
-39.7%
Operating marginrevenue minus expenses
$73K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 56%Medicare 4%Other / private 40%

This home reported $73K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$480per resident / day
operating cost
$14,595per month
≈ monthly operating cost
$344per 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 235147. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-09, 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.

What to do next