Eastwood Nursing Center
900 Maas Street, Negaunee, MI 49866 · For profit - Corporation · 100 certified beds · (906) 475-7500 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — 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 (4/5)
- a high number of inspection citations overall (16) — 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.3% | 10.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.6% | 5.4% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 5.4% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.6% | 3.0% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 7.8% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 21.8% | 19.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.8% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 15.9% | 20.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 16.6% | 14.8% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 79.5% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 6.3% | 24.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 19.7% | 11.7% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 0.52 | 1.84 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.98 | 1.64 | 1.80 | 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.
48.6% 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 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 69.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 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 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 14% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 48.6%CMS range 39.6–57.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 7.8–15.9 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 69.2% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 59.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 69.2% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.0%CMS range 3.4–12.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 100 beds and averages 91.0 residents a day — about 91% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.35 hrs/resident/day on weekends vs 4.25 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.99 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% 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
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.
- Potential for harm · D2025-04-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to implement interventions to address range of motion (ROM) for one resident (#15) of one resident reviewed for limited range of motion. This deficient practice resulted in the potential for pain, discomfort, and worsening of contractures. Findings include: Resident #15 (R15) On 4/1/25 at 1:42 p.m., R15 was observed sleeping in her bed. R15 was noted to have a left hand contracture with fingers inside her palm, with no palm grip or splint observed. Review of R15's Electronic Medical Record (EMR) revealed admission to the facility on 2/23/19 with diagnosis including Lewy bodies, Parkinson's disease, dementia and muscle weakness. Review of R15's 2/20/25 Minimum Data Set (MDS) assessment revealed severely impaired cognition, and Section GG revealed R15 had ROM impairment on both upper extremities. Review of R15's 'progress note' dated 3/3/25, written by Registered Nurse (RN) B revealed the following: Resident with bilateral hand contractures. [R15] has palm grips to (B) (bilateral) hands at all times except for…
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.
- Potential for harm · Dcited before2025-04-03 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and 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 provide behavioral health care needs to maintain the highest practicable level of physical, mental and psychosocial well-being, for one Resident (#59) of 19 residents reviewed for behavioral care. This deficient practice had the potential to result in worsening signs and symptoms of depression, anxiety, and psychosocial decline. Findings include: Resident #59 (R59) On 4/1/25 at 10:52 a.m., R59 was interviewed and stated, I am blind, and I can't see. My favorite hobby is astronomy, and I would like to learn something new and talk to someone about it. I am bored . I have my tablet and it is the only thing that keeps me sane .I know if I had someone to talk to me I hurt less and don't think about my constant pain . no one comes to sit and visit with me and since you have been in here talking to me I have not had any pain . there is nothing to do but lay here . I am so glad that you came to see me, please don't leave because I don't have any pain since you…
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.
- Potential for harm · D2024-03-27 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 interview and record review, the facility failed to revise care plans after multiple falls for two Residents (#10 and #83) of 18 residents reviewed for care planning. Findings include: Resident #10 (R10) Review of R10's Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on 6/5/19, with active diagnoses including: dementia, anxiety disorder, depression, coronary artery disease, hypertension, and peripheral vascular disease. R10 scored 5 of 15 on the Brief Interview for Mental Status (BIMS) assessment, reflective of severe cognitive impairment. Review of facility fall reports revealed R10 had four falls in March. One fall on 3/8/24, two falls on 3/11/24, and one fall on 3/12/24. The care plan for R10 was not revised after each fall. Review of R10's fall prevention care plan revealed no updated interventions for any of the four falls R10 sustained in March. R10's care plan was initiated 6/5/19 and last care plan evaluation was on 3/12/24. During an interview on 3/26/24 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.
- Potential for harm · D2024-03-27 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on record review, and interview the facility failed to document and/or complete post-fall assessments in accordance with professional standards of care and per facility protocol related to fall with head injury for one (Resident #22) of three residents reviewed for falls. Findings include: Resident #22 (R22) Review of facility provided matrix provided on 3/25/24 indicated R22 had a fall with major injury. Review of R22's face sheet revealed admission to the facility on 3/11/24 from an acute care hospital with muscle weakness, hemiplegia (paralysis of one side of the body) affecting right dominant side, and acute respiratory failure with hypoxia. Review of the 2/27/24 Minimum Data Set (MDS) assessment indicated R22 had a brief interview for mental status (BIMS) score of 14 out of 15 indicating intact cognition. A review of the care plan for R22 indicated she was at a risk for falls related to hemiplegia, with interventions including: (R22) is noted to have had some forgetfulness and impulsiveness at times. Remind (R22) to use (R22's) call light if needing assistance. Staff 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.
- Potential for harm · Dcited before2024-03-27 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 ensure enteric precautions (recommended personal protective equipment (PPE), isolation procedure, and hand hygiene method) were followed for one Resident (R55) of three residents reviewed for infection control practices. This deficient practice resulted in the potential for spread of Clostridium Difficile (C. diff: a bacterial infection of the colon with symptoms that can range from diarrhea to life-threatening) within the facility resident population. Findings include: During an observation on 3/25/24 at 1:55 p.m., Certified Nurse Aide (CNA Trainee) F donned an isolation gown, gloves, and a surgical mask to enter R55's enteric isolation room. R55 shared the room with Resident R47, who was not exhibiting any signs or symptoms of C. diff. Minutes later CNA Trainee F exited R55's room wearing the same isolation gown, gloves, and surgical mask worn into the resident's room. CNA Trainee F forcibly pulled and ripped the tie closure at the neck to remove the isolation gown while standing in the hallway with CNA G…
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.
- Potential for harm · E2023-02-17 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intakes: #MI00132484 and #MI00132428 Based on interview and record review, the facility failed to answer call lights timely for five Residents (#37, #C-2, #C-4, #C-5, and #C-7) of 12 residents reviewed for dignity and resident rights. This deficient practice resulted in incontinence, and feelings of frustration and discouragement. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 12/09/22, revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including coronary artery disease, peripheral vascular disease, obstructive uropathy, acquired below knee amputation, myocardial infarction (heart attack), and arthritis. The assessment revealed Resident #37 required two-person assistance for bed mobility, transfers, and toileting. Resident #37 was always continent of bowel and bladder and had three Unstageable Deep Tissue Injuries (DTI's). The Brief Interview for Mental Status (BIMS) assessment revealed a score of 15/15, indicating Resident #37 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-02-17 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to intake # MI00132437. Based on observation, interview and record review, the facility failed to ensure monitoring of environmental cleaning processes resulting in inadequate concentration of disinfectant in solutions used for cleaning resident rooms, including those designated with Transmission Based Precaution (TBP) conditions. This deficient practice has the potential to result in the transmission of disease causing organisms and pathogens to all 82 residents in the facility. Findings include: On 2/15/23 at approximately 9:45 AM, observations were made with Housekeeping (HK) supervisor A related to the solutions used to disinfect resident rooms, including TBP designated (Also known as isolation rooms). Three housekeeper's supply rooms were located, with HK A, each having a chemical dispenser/mixer used by staff to clean resident rooms. These dispensers were used to fill buckets on the mobile cleaning carts, and the solution used to disinfect surfaces in residents' rooms. The disinfectant used for infection control and the elimination pathogens was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-02-17 · tag F0885 — failed to notify residents/families about COVID-19 — patternReport COVID19 data to residents and families.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, and record review, the facility failed to ensure effective communication including notification to residents regarding positive cases of COVID-19 (a highly transmissible viral infection). This deficient practice resulted in the potential for residents to be unaware of the COVID-19 status within the facility. Findings include: During an interview on 2/16/23 at 10:43 AM, the Infection Preventionist Registered Nurse (RN) B stated, I am not aware the residents are told of Covid positive cases. The facility had a system to inform the Resident Representatives, but RN B was not aware of a procedure or policy to inform the residents. Cumulative updates were also done but did not go to residents. During an interview on 2/16/23 at 1:33 PM, Resident # 65 stated, My daughter gets messages and gets a robo call when there is Covid in the building. Resident #65 said she had asked a nurse aide one time about Covid-19 in the building after the residents were being tested. The nurse aide said she wasn't supposed to tell the residents. During an interview on 2/16/23 at 2:00 PM,…
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.
- Potential for harm · D2023-02-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interview and record review, the facility failed to develop appropriate Care Planning for two Residents (#37 and #46) of 19 residents reviewed for Care Plans. This deficient practice had the potential to cause limitations in care coordination and adverse outcomes. Findings include: Resident #37 Review of the Minimum Data Set (MDS) admission assessment, dated 09/08/22, revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including coronary artery disease, peripheral vascular disease, osteomyelitis (bone infection) of the right ankle and foot, obstructive uropathy, acquired below knee amputation, myocardial infarction (heart attack), and arthritis. The assessment revealed Resident #37 required two-person assistance for bed mobility, transfers, and toileting, and was non-ambulatory. Resident #37 was always continent of bowel and bladder and had no pressure injuries and was at risk for pressure injuries. The Brief Interview for Mental Status (BIMS) assessment revealed a score of…
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.
- Potential for harm · D2023-02-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide adequate pressure ulcer care and treatment to prevent two facility acquired pressure ulcers for two Residents (#37 and #52) of six residents reviewed for pressure ulcers. This deficient practice resulted in the development of a pressure injury for Resident #52, and the development and progression of a pressure ulcer for Resident #37, including infection and pain, and the potential for additional adverse outcomes. Findings include: Resident #37 Review of the Minimum Data Set (MDS) admission assessment, dated 09/08/22, revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including coronary artery disease, peripheral vascular disease, osteomyelitis (bone infection) of the right ankle and foot, obstructive uropathy (excess urine in the kidneys causing swelling), acquired below knee amputation, myocardial infarction (heart attack), and arthritis. The assessment revealed Resident #37 required two-person…
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.
Show the remaining 6 citations
- Potential for harm · D2023-02-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 citation pertains to intake # MI00132484 Based on interview and record review, the facility failed to ensure resident safety by implementing care, planned interventions, monitoring residents, and implementing safety intervention for residents at high risk for falls for two residents (Residents #38 and #333) out of five residents reviewed for accidents, hazards, and supervision, resulting in ongoing falls, and the potential for serious injury, and deterioration in health status. Findings include: Resident #333 Review of Resident #333's face sheet revealed Resident #333 was admitted to the facility on [DATE], with diagnoses including displaced fracture of base of neck of right femur, encounter for closed fracture with routine healing, weakness, encounter for other orthopedic aftercare, pain in left knee, and benign prostatic hyperplasia (enlarged prostate and excessive need to urinate worsens). The Minimal Data Set (MDS) assessment, dated 11/2/22, revealed Resident #333 required extensive two-person…
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.
- Potential for harm · Dcited before2023-02-17 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and 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 meet the behavioral health care needs of one Resident (#46) of one resident reviewed for behavioral health care. This deficient practice resulted in Resident #46 demonstrating ongoing physical and verbal behaviors, with the potential for an adverse outcome, and psychosocial decline. Findings include: Review of Resident #46's Minimum Data Set (MDS) assessment, dated 12/16/22, revealed Resident #46 was admitted to the facility on [DATE], with diagnoses including stroke, arthritis, malnutrition, anxiety, depression, and vision impairment (from glaucoma). Resident #46 required two-person assistance for bed mobility, transfers, toileting, and dressing, one-person assistance with eating, and supervision with wheelchair locomotion. The Brief Interview for Mental Status (BIMS) assessment revealed a score of 5/15, which indicated Resident #46 had severe cognitive impairment. The sensory assessment showed Resident #46 was usually understood 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.
- Potential for harm · D2023-02-17 · tag F0745 — failed to provide medically-related social services — isolatedProvide medically-related social services to help each resident achieve the highest possible quality of life.
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 provision of adequate medically related social services for one Resident (#46) of one resident reviewed for behavioral care needs and social services. This deficient practice resulted in limited coordination of care for Resident #46 related to behavioral care needs, lack of interventions for physical and verbal behaviors towards others, and the potential for psychosocial decline. Findings include: Review of Resident #46's Minimum Data Set (MDS) assessment, dated 12/16/22, revealed Resident #46 was admitted to the facility on [DATE], with diagnoses including stroke, arthritis, malnutrition, anxiety, depression, and vision impairment (from glaucoma). Resident #46 required two-person assistance for bed mobility, transfers, toileting, and dressing, one-person assistance with eating, and supervision with wheelchair locomotion. The Brief Interview for Mental Status (BIMS) assessment revealed a score of 5/15, which indicated Resident #46 had severe…
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.
- Potential for harm · D2023-02-17 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
This citation pertains to Intake #MI00132484. Based on interview and record review, the facility failed to ensure medications were administered correctly for one Resident (#37) of 10 residents reviewed for unnecessary medications and medication administration during the survey. This deficient practice resulted in the Resident #37 consuming medications prescribed to another facility resident and the potential of medication interactions and adverse outcomes with ingestion of unprescribed medications to Resident #37. Findings include: During an interview on 2/16/23 at 10:33 a.m., Resident #37 confirmed he had taken (ingested) medication prepared and offered to him by Registered Nurse (RN) X. Resident #37 said the medication administration error occurred several months ago when there were two Residents with the same first name. Resident #37 stated, They had me confused with another patient, whose name was [same as Resident #37's name] . It was [RN X], and they insisted that I take that medication. I took the medication that one time, and that was all . Resident #37 said it almost…
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.
- Potential for harm · D2023-02-17 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to Intake #MI00132428. Based on observation, interview, and record review, the facility failed to provide food that accommodated the preferences of one Resident (#8) of three residents reviewed for food preferences. This deficient practice resulted in food dissatisfaction, decreased food consumption and potential weight loss when food preferences were not provided as requested. Findings include: Observation on 2/16/23 at 12:32 p.m., of Resident #8's lunch meal tray, and meal tray card revealed Resident #8 was served Polish Sausage Coins, GF (gluten free) Mac and Cheese, and Winter Blend Vegetables. Resident #8's meal plate contained the Polish Sausage Coins and broccoli, with approximately half of the plate filled with sausage, and the other half with broccoli. During an interview at this same time, Resident #8 was asked about her enjoyment of the food. Resident #8's plate appeared untouched, with very little to nothing consumed from the sausage or the broccoli. Resident #8 said she did not like the sausage, and she does not like broccoli. When asked if she…
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.
- Potential for harm · D2023-02-17 · tag F0809 — failed to serve meals on a reasonable schedule — isolatedEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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 evening snacks per policy for three confidential interviewable Residents (#C-5, #C-7, #C-8) of eleven residents reviewed. This deficient practice resulted in missed snacks, with the potential for nutritional and medical outcomes, and feelings of frustration. Findings include: During a group interview on 02/15/23 at 1:18 p.m., Confidential Group residents were asked about receiving an evening snack. Residents responded as follows: #C-5: Reported they had not been offered or received evening snacks. #C-7: Reported they had not been offered or received evening snacks. Resident #C-7 stated, I can't get an evening snack; they [staff] ignored me [when they requested]. #C-8: Reported they had not been offered or received evening snacks. Resident #C-8 stated, They [nursing staff] said the dietary department cut it out, and reported they went hungry in the evenings. During an interview on 02/15/23 at 03:49 p.m., the Assistant Director of Nursing (ADON), Registered Nurse C, was asked about the three confidential group…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BUCK, LINDA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; TRUSTEE OF THE SNF | 33% | since 01/31/2002 |
| JOHNSON, ERIC | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; TRUSTEE OF THE SNF | 33% | since 01/31/2002 |
| JOHNSON, LEE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNF | 33% | since 01/31/2002 |
| CARLSON, SHARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 03/01/2022 |
| CARLSON, WAYNE | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNF | — | since 05/19/2025 |
CMS files one row per role, so the 15 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.
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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MI
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.
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 235554. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-03, 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.