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Fisher Senior Care and Rehabilitation

521 Ohmer Road, Mayville, MI 48744 · For profit - Limited Liability company · 53 certified beds · (989) 843-6185 Medicare & Medicaid certified

Call the home — (989) 843-6185 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • 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

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

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

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

Location & what’s nearby

Urgent care / clinic
2180 E Ohmer Rd · (989) 843-5135 · Call to confirm hours
Pharmacy
315 E Main St · (989) 843-5440 · Call to confirm hours
Grocery
315 E Main St · (989) 843-6141 · Call to confirm hours
Park
Ohmer 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 5 of 5
Long-stay residentspeople who live here 5 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 held steady at 5 stars. From monthly CMS archive snapshots.

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

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.6%10.8%15.4%better
Long-stay residents who lose too much weight3.5%5.4%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.6%1.5%2.0%better
Long-stay residents with depressive symptoms0.7%4.3%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.5%3.0%3.3%better
Long-stay residents whose ability to walk worsened13.0%12.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.7%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 control7.7%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table13.6%14.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%79.5%79.4%better
Short-stay residents rehospitalized after admission21.2%24.0%22.6%typical
Short-stay residents with an outpatient ER visit3.7%11.7%12.0%better

§ 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.

52.2% 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 71 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

52.2%U.S. median 51.5%
Got home and stayed home
11.1%U.S. median 10.7%
Went back to hospital
63.3%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 63.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 30 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF52.2%CMS range 39.0–61.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.1%CMS range 7.2–17.210.7%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 discharge63.3%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 discharge40.0%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 discharge66.7%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 identified97.8%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 setting87.9%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 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.4%CMS range 3.7–11.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.641.02Oct 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

0.81
RN hours/ resident / day
0.41
LPN hours/ resident / day
2.56
Aide hours/ resident / day
3.78
Total nurse hours/ resident / day
0.49
RN hoursweekends
37.0%
Total nursing turnover
10.0%
RN turnover

How full it usually is: this home is certified for 53 beds and averages 50.7 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 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 3.40 hrs/resident/day on weekends vs 3.94 on weekdays — 14% thinner on weekends. RN hours go from 0.95 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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

5
deficiencies at the latest standard inspection (2026-04-15)
4
at the previous standard inspection (2025-02-13)

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · D2026-04-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that advance directives were updated in a timely manner and explained in clear language for one resident (Resident #42) of one resident reviewed for code status.Findings Include:Resident #42:On [DATE] at 9:15 AM, a review was conducted of Resident #42's medical record and it revealed she was admitted to the facility on [DATE] with diagnoses that included Anxiety, Intellectual Disabilities and Dementia. Resident #42 her own responsible party. Further review of record yielded the following:Physician Orders:DNR-Do Not Resuscitate - placed on [DATE]Code Status Form:On [DATE] Signed by Resident #42, two physicians and two witnesses that .in the event my heart and breathing stop, no person shall attempt to resuscitate me.Care Plan: .Advance Directives have been discussed & the following has been decided DNR. I am my own decision maker .Care Conferences:[DATE]: .Care plan and code status reviewed, and she wishes to remain a CPR (Cardiopulmonary…

    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 · D2026-04-15 · 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 ensure that oxygen was administered as ordered for 1 resident (Resident #43) of 1 resident reviewed for respiratory care. Findings Include: Respiratory Care Resident #43:A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #43 was admitted to the facility on [DATE] with diagnoses: Respiratory failure, Primary Pulmonary hypertension, Emphysema, COPD, dependence on supplemental oxygen, and heart failure. The MDS assessment dated [DATE] revealed the resident had full cognitive ability with a Brief Interview for Mental Status/BIMS score of 15/15 and the resident needed some assistance with care. On 4/13/2026 at 1:28 PM, Resident #43 was observed sitting in her room in a wheelchair. She had on a nasal cannula connected to an oxygen concentrator that was set at 6 Liters/L of oxygen per minute. There was no humidification bottle to provide moisture that would aid in preventing her nose from becoming dried out.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-15 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 a clinical rationale for administration of duplicate antidepressant therapy for two residents (Resident #4 & Resident #37) and ensure accurate indication for use of an antipsychotic medication for one resident (Resident #43) of seven residents reviewed for unnecessary medications.Findings Include:Resident #4: On 4/14/2026 at approximately 12:00 PM, a review was conducted of Resident #4's medical records and it revealed she readmitted to the facility on [DATE] with diagnoses that included, Metabolic Encephalopathy, Atrial Fibrillation, Major Depressive Disorder and Mood Disorder. Furter review of the record yielded the following:Physician Orders:Mirtazapine Oral Tablet 45 MG (milligrams) for Major Depressive Disorder- started on 9/13/2025Zoloft Oral Tablet 2.5 MG for Major Depressive Disorder. Ordered on 3/24/2026Review was conducted of Resident #4's nursing, physician and psychiatric progress notes were and there was no documentation located…

    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 · D2026-04-15 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 administer insulin per professional standards for one resident (Resident #43) of one resident reviewed for insulin administration, resulting in inaccurate site administration with the likelihood of malabsorption of insulin. Findings include. Resident #43: On 4/14/2026, at 8:26 AM, During medication administration task, Nurse K gathered morning medications for Resident #43 including their Insulin Glargine (Lantus) pen. Nurse K prepared the pen, entered the resident's room prepared the resident's right arm approximately 1 and 1/2 inches below the center of the deltoid muscle and injected the 10 units of insulin. On 4/14/2026, at 9:30 AM, Nurse K approached surveyor and asked if they did something wrong and Nurse K was asked if they felt where they injected the insulin pen/needle if there was enough subcutaneous tissue and Nurse K offered, the needle is so small. On 4/14/2026, at 1:45 PM, a record review of Resident #43'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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-15 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that Personal Protective Equipment (PPE) was worn during high contact care for one resident (Resident #4) of one resident reviewed for enteral feeding [a method of delivering liquid nutrients directly into the stomach via a percutaneous gastrostomy tube (PEG)], resulting in the likelihood of transmission of Multi-Drug Resistant Organisms (MDRO). Findings include:Resident #4: On 4/13/2026, at 3:30 PM, a record review of Resident #4's electronic medical record (EMR) revealed an admission on [DATE] with diagnoses that included feeding tube, Stroke and hypotension. Resident #4 required assistance with all Activities of Daily Living (ADL's) and had intact cognition. A record review of the Kardex revealed INFECTION Enhanced barrier precautions for MDRO prevention, includes gown and gloves for high-contact resident care activities . On 4/15/2026, at 8:54 AM, Prior to entry into Resident #4's room there was a 3-drawer caddy that housed…

    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 · E2025-02-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 clean and homelike environment for four residents (#'s 28, 37, 100, 101), of seven reviewed for environmental concerns, resulting in personal items not labeled with Resident identification, food not labeled with an open date or refrigerated and the potential for spread of infection and food borne illness. Findings include: Resident #28: On 2/11/25 at 12:16 PM, an interview was conducted with Resident #28 who was sitting up in their wheelchair. The Resident answered questions and engaged in limited conversation. The Resident had a bathroom that was shared with the room next door. There was not a resident in that room at this time. There were a pair of TED hose (Anti-Embolism stockings used to reduce the risk of deep vein thrombosis (blood clot)). The Resident was asked if he wore the TED hose and reported sometimes them put them on, not sure why they are not on at this time. The TED hose did not have a room number or 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 · E2025-02-13 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    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 accurately administered for three residents (R4, R14, R25) of four residents reviewed for medication administration resulting in a medication error rate of 7.69%. Findings include: On 2/12/25 at 7:41am, Licensed Practical Nurse (LPN) 'C' prepared and administered medications for R25. The medications included: Acidophilus, Acetaminophen 500mg, pro-stat, Abilify 2mg, Buspar 5mg, Eliquis 5mg, Glipizide 10mg, Potassium Chloride 10mEq, Senna-S 8.6mg-50mg, Vitamin D 1000mcg, Metoprolol 100mg, Myrbetriq 25mg, Tamsulosin 0.4mg, Cymbalta 30mg, Lasix 40mg and Humalog 2units from an insulin pen. LPN 'C' prepared the insulin pens by dialing in the units to be administered to the resident. LPN 'C' did not prime the insulin pens prior to administering the prescribed units. On 2/12/25 at 8:02am, LPN 'C' prepared and administered medications for R4. The medications included: Novolog 7units from an insulin pen, Lantus 25units from an insulin pen, Amantadine 100mg, Chewable Aspirin 81mg, Gabapentin 100mg,…

    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 · D2025-02-13 · tag F0553 — failed to let residents help plan their care — isolated
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    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 Number MI00147136. Based on interview and record review, the facility failed to hold a scheduled 72-hour care conference for one resident (R150) of one reviewed for care conferences, resulting in missing a care conference and lack of information for the family and resident. Findings include: Resident #150: R150 is [AGE] years old and admitted to the facility on [DATE] with diagnoses that include pneumonia, atrial fibrillation, chronic kidney disease and a malignant neoplasm of the bladder. R150 expired at the facility on [DATE]. R150 had a brief interview for mental status (BIMS score of 15, indicating they were cognitively intact. On [DATE] at 1:13PM, an interview was conducted with a confidential family member of R150. Family 'A' stated that a care conference was supposed to be held on Friday [DATE], Family 'A' wanted to join by phone and the facility said they would call her when it was time for the conference. Family 'A' stated that R150 eventually called them and said 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 revise care plans for two residents (R19, R39) of a total sample of 17 residents, resulting in missing care plan updates and the potential for unmet needs. Findings include: Resident #19: R19 is [AGE] years old and admitted to the facility on [DATE] with diagnoses that include cerebral infarction, seizures, major depressive disorder and anxiety. R19 has a brief interview for mental status (BIMS) score of 5, indicating severe cognitive impairment. On [DATE] at 09:20AM, observation revealed that R19 is thin looking in appearance. On [DATE] at 03:19PM, record review of the electronic medical record (EMR) revealed R19's weight on [DATE] was 167.2lbs and on [DATE], R19's weight was 141.4lbs, this was a loss of 25.8lbs, 18% in 30 days. On [DATE] at 03:29PM, record review revealed that the care plan for nutrition didn't reflect weight loss until [DATE]. The last review of R19's nutrition care plan was [DATE]. Review of a dietary progress note…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · 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 that Resident #13 received vision services and that recommendations were addressed for one resident (Resident #13) of one resident reviewed for vision services, resulting in the lack of follow-up care for vision issues and the potential for vision abnormalities to be untreated or unidentified. Findings include: Resident #13: A review of Resident #13's medical record revealed an admission into the facility on 8/25/23 and re-admission on [DATE] with diagnoses that included Parkinson's Disease, dementia, heart disease, high blood pressure and diabetes. A review of the Minimum Data Set assessment revealed the Resident had intact cognition with a Brief Interview for Mental Status score of 13/15. On 2/12/25 at 8:50 AM, the Resident was dressed, seated in a wheelchair in their room. The Resident was interviewed, answered questions and engaged in limited conversation. The Resident was asked about any concerns he had and stated, My eyes are…

    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
Show the remaining 9 citations
  • Potential for harm · Fcited before2024-02-22 · 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 ensure that Infection Prevention and Control standards of practice were followed for 1) Transmission Based Precautions, Hand Hygiene and Central Venous Catheter care for 1 resident (Resident #97), 2) Personal Protective Equipment (PPE) use during medication administration, and 3) Management of soiled and clean linen, resulting in the potential for spread of infection, which could cause serious illness. Findings Include: On 2/20/2024 at 10:46 AM, during a tour of the facility, Resident #97 was observed lying in bed, awake and alert; He readily answered questions. The resident said he was at the facility because he had sores on his left shoulder and bottom. An IV pole was near the bed and the resident said he was receiving IV antibiotics. The resident lifted his right arm and showed that he had a PICC (Peripherally Inserted Central Line) IV for his antibiotic therapy. A record review of the Face sheet indicated Resident #97 was admitted to…

    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 · E2024-02-22 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 maintain the ambient air temperature at a comfortable level, resulting in the potential for uncomfortable living conditions and a non-homelike environment, affecting resident's rooms (#'106, #104, #105, #101 and #203). Findings include: On 2/21/24 at 1:43 PM, Resident #11 was observed to be voicing a complaint to staff regarding their room being too hot. At this time, using an infrared thermometer, the hall outside of the resident's room was observed to be 81.1 degrees F. On 2/21/24 at 1:45 PM, the bathroom of room [ROOM NUMBER] was observed to be 86.0 degrees F. During an interview on 2/21/24 at 1:46 PM, Resident #11 stated that it is hot in their room and if they don't have a fan, they aren't able to sleep at night. Resident #11 continued to say that they talked to maintenance, and they tried to fix it a few months ago but they haven't heard anything else about it. Using an infrared thermometer, the residents bed area was observed to be 85.0 degrees F.…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-22 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to provide documentation of adequate notice of Medicare Part A benefits of non-coverage for one resident (Resident # 296) of three residents reviewed for notice of non-coverage of Medicare Part A benefits, resulting in the resident's inability to exercise the right to file an appeal in a timely manner. Findings include: During a review of the Notice of non-coverage for Medicare part A benefits on 2/21/2024 at 10:30 AM, the facility provided a document titled, Beneficiary Notice- Residents discharged Within the Last Six Months. The form revealed Resident #296 was discharged to Home/Lesser Care on 9/6/2023. On 2/21/2024 at 10:40 AM, during an interview with Accounts Coordinator A, she said (Resident #296) did not have a Notice of Medicare Non-Coverage form. She provided an Active Discharge Planning Note dated 9/5/2023 that said the resident's LCD/Last covered day, was 9/5/2023 and the resident was to be discharged home on 9/6/2023. The note said, Resident and family aware. When asked who was responsible for providing the Notice…

    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 · D2024-02-22 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 complete Minimum Data Set (MDS) assessments timely for two residents (Resident #13, Resident #97) of 19 sampled for MDS assessments, resulting in late annual and admission MDS assessments. Findings include: Resident #13: On 02/20/24 record review revealed that resident #13 is [AGE] years old, was readmitted on [DATE] with diagnoses of hypertension(high blood pressure) gastroesphoageal reflux disease (heartburn), neurogenic bladder, stroke, dementia, anxiety and depression. On 02/21/24 at 04:10 PM, record review revealed an MDS assessment dated [DATE] Annual None PPS that was due by 2/21/24. On 02/22/24 at 08:05 AM, record review revealed the same MDS assessment dated [DATE] Annual None PPS that was due by 2/21/24 and was currently not completed. On 02/22/24 at 01:30 PM, record review revealed an MDS assessment dated [DATE] Annual None PPS was showing that the MDS assessment was completed on 2/20/24. Review of Section M revealed that answers from the DON…

    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 · D2024-02-22 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that transmitted quarterly Minimum Data Set (MDS) assessments were accepted for four residents (Resident #18, Resident #26, Resident #27, Resident #33) of 19 residents sampled for MDS concerns resulting in quarterly MDS assessments being rejected. Findings include:, On 02/22/24 at 01:50 PM the Director of Nursing (DON) was interviewed about why some MDS assessment from 10/18/23 were showing as rejected, the DON replied that there was an issue with Section O of the MDS from October and that is why they were rejected. When asked if anyone was aware of the assessments being rejected the DON replied that a corporate office person usually audits to ensure that assessments were accepted and they must have missed these assessments. Resident #18: On 02/22/24 record review revealed that Resident #18 is [AGE] years old and was admitted on [DATE] with diagnoses of hypertension (high blood pressure), diabetes, hyperlipidemia (high cholesterol), stroke,…

    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 · D2024-02-22 · 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 observation, interview and record review, the facility failed to follow the care plan, assess and monitor blood pressure and the heartrate (pulse) for one resident (Resident #31, resulting in unassessed vital signs with the likelihood of blood pressure or pulse changes going unnoticed. Findings include: Resident #31: On 2/21/24, at 2:45 PM, a record review of Resident #31's electronic medical record revealed an admission on [DATE] with diagnoses that included Chronic Obstructive Pulmonary Disease (COPD), Hypertension (HTN), Anemia and Diabetes. Resident #31 had intact cognition and required assistance with Activities of Daily Living. A review of the care plan actual alteration in oxygen exchange r/t COPD Date Initiated: 08/11/2023 Goal Resident will be free of respiratory distress Date Initiated: 08/11/2023 . Observe for s/sx (signs and symptoms) of respiratory distress and report to MD PRN (as needed): Abnormal respiratory rate, pulse ox, increased heart rate . A review of the vitals section revealed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-22 · 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 ensure supervision, call light accessibility and document an unassisted transfer for one resident (Resident #36), resulting in the likelihood of an injury and/or a fall and continued self-transfers going unassessed. Findings include: Resident #36: On 2/20/24, at 3:49 PM, Resident #36 was sitting in their wheelchair next to their bed. The foot pedals were hooked to the wheelchair. Resident #36 put their feet on the floor and was attempting to stand up. CNA G was asked if Resident #36 was able to get up on their own and CNA G stated, no, but tries to and we catch her. She's a sneaky one. On 2/21/24, at 9:30 AM, a record review of Resident #36's electronic medical record revealed an admission on [DATE] with diagnoses that included CVA (Stroke affecting left dominant side), Aphasia and Multiple Sclerosis. A review of the most recent Minimal Data Set assessment revealed Resident #36 had severely impaired cognition and required extensive…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-22 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 Nystatin (oral antifungal medication) timely for one resident (Resident #297), resulting in delayed treatment with the likelihood of continued infection and/or a return of the infection. Findings include: Resident #297: On 2/20/24, at 11:40 AM, during medication administration task, Nurse H prepared medications for Resident #297. Nurse H looked in the medication cart for the Nystatin medication. Nurse H was unable to locate the Nystatin. Nurse H was asked where the medication could be and Nurse H reviewed the order form in the electronic medical record which revealed On Order and stated, it should be here by 3:00 PM today. On 2/21/24, at 11:00 AM, a record review of Resident #297's electronic medical record revealed an admission on [DATE] with diagnoses that included Recurrent lung cancer, recent Acute Respiratory Failure and Hypertension. Resident #297 had intact cognition and required assistance with Activities of Daily Living. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-22 · 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 that narcotic storage for the East Medication Cart and narcotic reconciliation was completed legibly for East and [NAME] Medication Carts, resulting in scribbled numbers, unsafe narcotic storage with the likelihood of misappropriation going unnoticed. Findings include: On 2/21/24, at 8:31 AM, During medication administration task, Nurse E prepared medications for Resident #27. Nurse E opened up the bottom drawer and lifted up the narcotic drawer lid which was not locked. Nurse E removed 1 dose of Adderall medication, replaced the pack of Adderall and closed the narcotic drawer lid without engaging the lock. Nurse E closed the bottom drawer gathered the medications and provided them to the resident. Once Nurse E returned to the medication cart, Nurse E opened up the bottom drawer and was asked to open the narcotic drawer lid. The lid was not locked. Nurse E was asked why the narcotic drawer lid was not locked and Nurse E stated, we lock in every time with the medication cart but I'm not used to an…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NEXCARE HEALTH SYSTEMS — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 53.8+1.2 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 5 of 53.8+1.2 vs chain
Quality measures 5 of 54.4+0.6 vs chain
The other 19 homes this chain runs (chain average 3.8★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
ROBIN EISENBERG 2014 FAMILY TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST31%since 04/01/2014
BRANSCUM, JAMESIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST31%since 12/01/2013
WRONSKI, FRANKIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST31%since 04/01/2014
GOLD, ANDREAIndividualW-2 MANAGING EMPLOYEEsince 02/15/2021
SANGSTER, TODDIndividualCORPORATE OFFICERsince 11/04/2013
NEXCARE HEALTH SYSTEMS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/05/2011
PERRY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/01/2015

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

Follow the money — this home’s finances

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

$5.4M
Net patient revenuemost recent cost report
-9.7%
Operating marginrevenue minus expenses
$615K
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 6%Other / private 24%

About 70% 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 $615K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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

$383per resident / day
operating cost
$11,639per month
≈ monthly operating cost
$349per 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 235606. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-15, 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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