MyMichigan Skilled Nursing Facility
805 West Cedar, Standish, MI 48658 · Non profit - Corporation · 29 certified beds · (989) 846-4521 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 3 actual-harm citations
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $32,175 in federal fines (most recent 2024-03-06)
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 | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 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 | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating 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 | 16.3% | 10.8% | 15.4% | typical |
| Long-stay residents who lose too much weight | 2.0% | 5.4% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 15.0% | 0.8% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 4.9% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 3.8% | 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 | 1.6% | 3.0% | 3.3% | better |
| Long-stay residents on antianxiety or hypnotic medication | 30.0% | 19.4% | 18.9% | worse |
| Long-stay residents with pressure ulcers | 1.8% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 16.0% | 20.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.2% | 14.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.2% | 79.5% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.4% | 24.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 7.0% | 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.
69.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 66.7% 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 27 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 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 | 69.8%CMS range 57.9–80.0 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.6%CMS range 6.6–16.0 | 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 | 66.7% | 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 | 63.0% | 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 | 70.4% | 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 | 96.5% | 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 | 96.0% | 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 3.0–11.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.76 | 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 29 beds and averages 22.7 residents a day — about 78% occupied, or roughly 6 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.76 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.82 hrs/resident/day on weekends vs 6.30 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 2.34 to 1.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 23% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
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.
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.
18 citations, most serious first. The 13 most serious are shown; the remaining 5 are one tap away and print in full.
- Actual harm · G2024-03-06 · 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 prevent the development of facility-acquired pressure ulcer injuries for one resident (Resident #8), resulting in facility-acquired (in-house) development of pressure ulcers, pain, discomfort, and the likelihood for prolonged illness or hospitalization. Findings include: Record review of the facility provided 'Skilled Nursing Facility Skin Conditions Prevention and Treatment' policy, dated 11/20/2023, revealed the purpose was to promote the prevention of pressure ulcer development, healing of those that are present and prevention of additional pressure wounds. Pressure injury- is localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure or pressure in combination of shear. Stage II (2): Partial thickness skin loss with exposed…
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.
- Actual harm · Gcited before2024-03-06 · 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 Based on observation, interview and record review, the facility failed to implement and operationalize policies and procedures for fall prevention for one resident (Resident #6) of five residents reviewed, resulting in a lack of implementation of Physical Therapy recommendations, lack of enactment and reevaluation of planned care plan interventions, and Resident #6 experiencing a fall with a head laceration necessitating emergency medical treatment, staples, unnecessary pain, and the likelihood for additional falls with injury. Findings include: Resident #6: On 3/4/24 at 11:23 AM, Resident #6 was not in their room. An observation of their room was completed. There were no fall prevention interventions, including a fall mat observed in the room. Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses which included dementia, left hemiplegia and hemiparesis (one sided paralysis) following cerebral infarction (stroke), atrial fibrillation (irregular heart rhythm), and weakness.…
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.
- Actual harm · Gcited before2023-11-15 · 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 Number MI00140583. Based on observation, interview and record review, the facility failed to ensure necessary supervision for one resident (Resident #101), who was left in the dining room unsupervised with a hot cup of coffee, which did not have a lid on it. The resident spilled the hot coffee on her lower abdomen and upper thigh area, resulting in first and second degree burns, pain, wound care and prolonged healing time. Findings Include: Resident #101: Review of the Face Sheet, Minimum Data Set (resident assessment tool) dated 9/22/23, progress notes dated 10/20/23, physician's orders dated 10/20/23 through 11/16/23 and care plans dated 9/21/23, revealed that Resident #101 was 81 years-old, admitted to the facility on [DATE], had decreased cognition, (and thus was not able to be interviewed), dependent on staff for all Activities of Daily Living and required set-up with eating. The resident's diagnoses included, right-sided hemiplegia and weakness, hemorrhagic 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.
- Potential for harm · F2026-04-15 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens existing and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings include:On 04/14/2026 at 9:53am observed two spigots on dirty side of laundry room. During this observation, Housekeeping Manager C was interviewed on whether the spigots were used for anything, and she stated they are not used. On 04/14/2026 at 9:55am observed two dead-end lines coming down from the ceiling that are not connected to anything, adjacent to the washers. The unused piping looked identical to the washer hookups. During this observation, Housekeeping Manager C was interviewed on whether the lines were used for anything and stated they haven't used them since she's been working here. On 04/14/2026 at 9:57am observed a dead-end water line with what…
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 · E2026-04-15 · tag F0605 — failed to not use drugs as a restraint — patternPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 appropriate indications for use of chemical restraints for 5 residents (Residents #4, #11, #12, #17 and #23), of 12 residents reviewed for chemical restraints, resulting in, decreased communication between professional staff, the protentional for unmet resident needs, care not tailored toward residents' needs, and sedation with falls. Findings Include: Review of the facility Behavior Management Monitoring Policy and Procedure last reviewed on 4/2025, stated The Behavioral Management Committee (BMC) shall monitor weekly and more frequently as needed: use of psychoactive medications and for potential to reduce/eliminate psychoactive medications. The BMC will seek to determine if there is justification for the initiation of psychoactive medications. The Social Worker will review the progress notes (nursing notes) and POC (Care Plans) prior to BMC reviews. During an interview done on 4/14/26 at 10:30 a.m., Social Service RN E, stated Our…
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 · D2026-04-15 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
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 implement and operationalize policies and procedures to ensure that informed consent was obtained prior to initiation of psychotropic medications for one resident (Resident #2) of five residents reviewed for unnecessary medication use. Findings include:Resident #2:Record review revealed Resident #2 was admitted to the facility on [DATE] with diagnoses which included generalized anxiety disorder and depression. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was cognitively intact and required moderate to total assistance to complete Activities of Daily Living (ADLs) with the exception of supervision/set up for oral care and eating. The MDS further detailed the Resident displayed no behaviors. Review of Resident #2's Electronic Medical Record (EMR) revealed a care plan entitled, Psychotropic Drug Use: (Resident #2) is at risk for adverse consequence from receiving psychotropic medication: Lamictal (anticonvulsant…
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 · D2026-04-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement a restorative nursing program and ensure coordination with therapy services for one resident (Resident #6) of one resident reviewed for limited Range of Motion (ROM). Findings include:Resident #6: On 4/13/26 at 11:16 AM, Resident #6 was observed participating in an activity in the dining room. Resident #6 was in a highbacked wheelchair with both of their lower extremities positioned on the footrests of the wheelchair. Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses which included diabetes mellitus, saddle embolus (blood clot) of pulmonary artery, right and left foot drop foot contractures. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was cognitively intact, had impaired ROM in both lower extremities, and was dependent upon staff for bathing, toileting, and transferring. The MDS further detailed the Resident was not receiving any therapy and/or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-15 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure 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 ensure adequate monitoring for the presence of potential adverse consequences of anticoagulation medication therapy for one resident (Resident #6) of two residents reviewed for anticoagulation medication therapy. Findings include:Resident #6: Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses which included diabetes mellitus, right and left foot drop foot contractures, and saddle embolus (blood clot) of pulmonary artery. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was cognitively intact and required moderate to total assistance to complete Activities of Daily Living (ADLs) with the exception of oral care and eating. Review of Resident #6's Health Care Provider (HCP) orders and Medication Administration Record (MAR) revealed the Resident was receiving Eliquis (anticoagulant or blood thinner medication) 5 milligrams (mg) twice a day (BID) (Start Date: 3/24/25). A review 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 · D2026-04-15 · tag F0759 — failed to keep medication error rate low — isolatedEnsure 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 a medication administration error rate of less than 5% when two medication errors were observed for two residents (Resident #7 and Resident #16) from a total of 32 observations, resulting in a medication error rate of 6.25%. Findings include:Resident #7:On 4/15/26 at 7:27 AM, a medication pass observation for Resident #7 was completed with Registered Nurse (RN) K. RN K was observed preparing Resident #7's medication at the medication cart outside of the Resident's room. While preparing the medications, RN K removed one bethanechol chloride (medication commonly used to treat urinary retention) 10 milligram (mg) tablet from the blister pack and placed in a medication cup. The blister pack had a sticker on it with the instructions, Take on an empty stomach. Resident #7 was able to be visualized from the medication cart in the hallway. A food tray was observed on the overbed table in front of them. RN K proceeded to lock the medication cart and was stopped and asked if they were going to administer all the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
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 a call bell communication device was responded to for two residents (#9, #72), of 22 sampled residents, resulting in Resident #9 and #72 being seated in the dining room with a silver metal service bell which was rung with no response from facility staff. Findings include: Observation on 2/19/2025 during the initial tour of the facility resident dining room at the noon meal revealed that there was no electronic call bell system with resident push buttons noted in the dining room area. Observation and interview was made on 02/19/25 at 09:34 AM with Resident #9 who stated that she was thirsty and wet (wet brief) and wanted to lay down. Resident #9 was observed with a silver metal service bell in dining room on the table. Resident #9 was able to demonstrate ringing the bell which rang 3-4 times. The State surveyor observed two staff members seated across the hall at the nursing station, Certified Nurse Assistant (CNA)/ward clerk H and Registered Nurse (RN) E. Neither staff member responded to see what…
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 before2025-02-21 · 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 Based on observation, interview and record review, the facility failed to provide for safe wheelchair transport for two residents (#7 and 17) of two residents reviewed, resulting in residents being pushed in wheelchairs without footrests and the potential for injury. Findings include: Resident #7: On 2/19/25 at 10:14 AM, Activity Staff L was observed pushing Resident #7 down the hallway in their wheelchair without footrests. Record review revealed Resident #7 was admitted to the facility on [DATE] with diagnoses which included dementia, anxiety, left hip injury, and bone density disorder. Review of the Minimum Data Set (MDS) assessment, dated 1/31/25, revealed the Resident was severely cognitively impaired and required substantial assistance with toileting, personal hygiene, and dressing. The MDS specified the Resident was independent with wheelchair mobility. Review of Resident #7's Electronic Medical Record (EMR) revealed a care plan entitled, (Resident #7) is at risk of falls r/t (related to) history 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 · Dcited before2025-02-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to implement and operationalize policies and procedures for psychotropic medication use for one resident (Resident # 7) of five residents reviewed resulting in a lack of appropriate diagnoses and indications for treatment, a lack of Gradual Dose Reductions (GDR), and the potential for ineffective and inappropriate treatment. Findings include: Resident #7: On 2/19/25 at 10:00 AM, Resident #7 was observed sitting in their wheelchair in their room with a forlorn look on their face. An interview was completed at this time. When asked how they were doing, Resident #7 made eye contact but did not provide a verbal response. When asked if they were sad, Resident #7 shook their head yes and began to cry. On 2/19/25 at 10:05 AM, the Director of Nursing (DON) was informed the Resident began crying when asked if they were sad but did not provide any information regarding the reason they were sad. The DON stated, That is (Resident #7's) normal. (Resident #7) startles…
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 before2025-02-21 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility Failed to 1) Ensure that kitchen food items are dated with received by dates and use by dates and 2) Ensure that foods brought into the facility from family are dated, resulting in an increased likelihood for food borne illness with the potential to affect 22 Residents residing at the facility who consumed oral nutrition from the kitchen. Findings include: Review of the U.S. Public Health Service 2009 Food Code, as adopted by the Michigan Food Law, effective 10/1/2012, directs that open or partially used foods that are refrigerated. ready-to-eat and potentially hazardous are required to have use-by-date or date to be consumed. During the initial tour of the facility kitchen done on 2/19/2025 from 8:50 AM through 10:00 AM accompanied by Certified Dietary Manager I, the following was identified: Observation and interview on 02/19/25 at 08:50 AM with Certified Dietary Manager (CDM) I, of the line of in kitchen refrigerators revealed in a refrigerator clear elongated manual thermometers to be reading 8 degrees, and the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · Fcited before2024-03-06 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to label food items with Use by dates, resulting in an increased likelihood for food borne illness with hospitalization and potentially affecting all 24 residents who consume oral nutrition from the facility kitchen. Findings include: Record review of facility provided 'Food and Supply Storage' policy, dated 1/2024, revealed all food, non-food items and supplies used in food preparation be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption. Procedure: Most, but not all products contain an expiration date. The words sell-by, best-by or use-by should precede that date. The sell-by date is the last date that food can be sold or consumed: do not sell products in retail area or place on patient trays/residents' plates past the date on the product. Cover, label, and date unused portions and open packages. Complete all sections on a Touchpoint orange label or use and approved labeling system . Discard food past the use-by or expiration date.…
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 · D2024-03-06 · tag F0578 — failed to honor advance directives / code status — isolatedHonor 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 operationalize policies and procedures to ensure that appropriate notification of a resident's condition, per the resident's request, for one resident (Resident #6) of one resident reviewed, resulting in the potential for inappropriate and undesired communication of private healthcare information and a breach in confidentiality. Findings include: Resident #6: Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses which included dementia, left hemiplegia and hemiparesis (one sided paralysis) following cerebral infarction (stroke), atrial fibrillation (irregular heart rhythm), and weakness. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was moderately cognitively impaired and required substantial/maximum assistance for toileting hygiene and transferring. A review of Resident #6's face sheet included three family member contacts. The Notes section for one contact, Witness R detailed,…
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 · D2024-03-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 implement and operationalize policies and procedures to ensure sanitary storage of respiratory and oxygen equipment, oxygen administration per Health Care Provider (HCP) order, and comprehensive respiratory care planning for two residents (Resident #12 and Resident #16) of two residents reviewed, resulting in the likelihood for unmet respiratory needs, illness, and a decline in overall health status. Findings include: Resident #12: On 3/5/24 at 9:11 AM, Resident #12 was observed sitting in a wheelchair in their room. The Resident was receiving supplemental oxygen via nasal cannula from the portable tank attached to their wheelchair. The oxygen delivery rate was 3 Liters (L) per minute. An oxygen concentrator was present in the room but not in use. An interview was completed at this time. When queried how long they have had supplemental oxygen, Resident #12 replied, Oxygen is new to me. The Resident reviewed they had been sick for a while…
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 before2024-03-06 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to implement and operationalize policies and procedures for psychotropic medication management for two residents (Resident #6 and Resident #16) of five residents reviewed, resulting in a lack of a 14-day evaluation and stop date for as needed (PRN) psychotropic medications, lack of documentation of consent for use, and the potential for unnecessary psychoactive medication utilization and adverse reactions. Findings include: Resident #6: Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses which included dementia with mood disturbance, dementia, left hemiplegia and hemiparesis (one sided paralysis) following cerebral infarction (stroke), and weakness. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was moderately cognitively impaired and required substantial/maximum assistance for toileting hygiene and transferring. Review of Resident #6's current medication orders revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2024-03-06 · tag F0732 — widespreadPost nurse staffing information every day.
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 clinical staff posting of licensed and un-licensed staff was completed daily and posted with accurate and complete data, resulting in the inability for residents and visitors to know what clinical staff were working on those days. Findings include: Record review of the facility 'Skilled Nursing Facility posting of Nurse Staffing Information' policy, dated 12/16/2023, revealed that the purpose was to provide beneficiaries, their families, and the public with access to nurse staffing information on a daily basis. It was the policy of the facility to post nursing staff information in accordance with provisions specified in section 941 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). Procedure included: staffing form completed for each shift, updated census, and posted daily, printed in a size large enough to be easily read. and will be posted in a uniform manner in a clearly visible place. Observation on 03/04/24 at 10:43 AM of the staff report public posting…
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
$32,175 in federal fines across 1 penalty.
- $32,175 — penalty dated 2024-03-06
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MYMICHIGAN HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 08/01/2024 |
| MYMICHIGAN MEDICAL CENTER STANDISH | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 08/01/2024 |
| GORDE, TRICIA | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 08/02/2024 |
| ERICKSON, MICHAEL | Individual | CORPORATE OFFICER | — | since 08/01/2024 |
| JAMES, SARAH | Individual | CORPORATE OFFICER | — | since 11/04/2025 |
| HUNTER, SAMANTHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/04/2025 |
| LYNCH, BRODI | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/01/2024 |
| MCCORD, LAURILEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2019 |
| ZASKE, JEANETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/06/2025 |
CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
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.
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 235192. 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.