Medilodge of Leelanau

Location & what’s nearby

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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

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.

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.

54.5% 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 66 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 77.4% 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 31 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 0.28 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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.

Staffing

How full it usually is: this home is certified for 72 beds and averages 69.4 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 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 2.93 hrs/resident/day on weekends vs 3.66 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.14 to 0.84 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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.

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

• Potential for harm · Ecited before2026-03-25 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store medications properly and maintain a clean medication cart for one of two medication carts and two Residents (R24 and R48) of six residents reviewed for medication storage. Findings include:Resident #24 (R24) On 3/23/26 at 11:27 AM, an observation was made of R24 in his room. R24 had a bottle of fluticasone propionate solution nasal spray sitting on top of his nightstand. Resident #48 (R48) On 3/23/26 at 11:21 AM, an observation was made of R48 in her room. R48 had a fluticasone furoate/vilanterol inhaler new inhaler on her bedside table. R48 was asked how long she had the inhaler and replied, It is new. I think it has been about two months. During an interview on 3/23/26 at 12:15 PM, with Registered Nurse (RN) G who was asked about medications left at the bedside and replied, My bad. I left them sitting in there. I went to circle back. I just did not make it back yet. On 3/23/26 at 12:25 PM, an audit was made of medication cart on Wharf unit and was found to be out of compliance with debris in the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a recapitulation of stay and the Long-Term Care Ombudsman were notified of a resident's discharge from the facility for one Residents (#74) of two residents reviewed for discharge practices.Findings include: Resident #74 (R74)Review of R74 Electronic Medical Record (EMR) revealed the resident was discharged from the facility on December 31, 2025, in police custody. Review of R74's EMR indicated there was not a recapitulation (a summary of the main points of the resident's treatments) of stay completed. Review of the documentation provided to the Long-Term Care Ombudsman in December 2025 indicated they were not notified of the resident's discharge from the facility. On 3/24/26 at 12:10 PM, an interview was conducted with the Nursing Home Administrator (NHA), when asked what discharges are expected to be on the Ombudsman list, he stated I have always been told emergency transfers only.On 3/24/26 at approximately 2:30 PM, during an interview with the Director of Nursing (DON) when asked if a recapitulation of stay 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-25 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to perform Activity of Daily Living (ADL) care (finger and toenail trimming services) for one resident (R12) of one resident reviewed for ADL care. Findings include: Review of R12's Electronic Medical Record (EMR) revealed admission to the facility on 1/28/25 with diagnosis of malignant neoplasm of brain. R12's Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 3/15, indicative of severe cognitive impairment. On 03/23/2026 at approximately 11:50 AM, R12 was observed sitting in her room. An interview was attempted with R12, but she was unable to answer questions appropriately. It was observed that R12 was not wearing any socks or shoes at the time of the interview, and R12's fingernails and toenails appeared to be very long. On 03/24/2026 at 1:07 PM, R12 was observed to be walking down the hallway returning her lunch tray. R12 was not wearing any socks or shoes and had visibly long…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to observe the consumption of medication for one Resident (R6) of one resident reviewed for quality of care. This deficient practice resulted in R6 consuming acetic acid with medications. Findings include:This citation pertains to intake 2788510 Resident #6 (R6) Review of a complaint received on 2/25/26 filed with the State Agency (SA) read in part, Complainant states a nurse.gave him his fluid, Acidic Acid, on 02/22/26, in a regular cup and didn't tell him what it was so he drank it. The acidic acid was for flushing out his catheter . On 3/23/26 at 4:00 PM, an interview was conducted with Registered Nurse (RN) G about R6 and receiving acetic acid and replied, (R6) was very upset about the situation and that is why I got called to talk with him and calm him down. What happened was (RN F) was training and brought in (R6's) medication including oral pills, a glass of water, and a glass of acetic acid in the same glass the water was in, so both glasses were identical with clear fluid. (RN F) forgot something and left (R6) with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide 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 provide restorative therapy services per the resident care plan for one Resident (R63) of one resident reviewed for restorative therapy. Findings include: Revealed admission to the facility on [DATE] with diagnoses including cerebral infarction. R63's 2/27/26 Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 6/15 indicative of moderate cognitive impairment. In Section O of the 2/27/26 MDS assessment, R63 received four days of Passive Range of Motion (PROM) and three days of splint or brace assistance.On 3/23/26 at 11:50 AM, R63 was observed sleeping in her bed with a hospital gown. It was observed that a wool therapy carrot (a specialized orthosis designed to position severely contracted hands) was on R63's bedside table. Residents' left hand noted to be severely contracted with no open space or view of R63's fingernails.On 3/24/26 at 9:51 AM, R63 was observed laying in bed, finishing her…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure accurate and standards of practice of medication administration for two Residents (R47 and R59) of four residents reviewed for medication administration with 4 errors out of 29 opportunities resulting in a medication error rate of 14%. Findings include:Resident #47 (R47)On 3/24/26 at 8:06 AM, an observation was made of Registered Nurse (RN) F during a medication pass with R47. RN F prepared R47's medications and went to administer the medications to R47 in her room which included oral pills and subcutaneous insulin. R47 asked RN F if her diuretic was within the medication cup and RN F replied, Yes. R47 asked RN F to remove the medication from the cup, and she would take it after her appointment when she later returned to the facility. RN F left R47's room and returned to her medication cart. RN F opened her medication cart to visually see what the diuretic looked like and proceeded to look through R47's pills unable to identify the diuretic in R47's medication cup. While RN F went through R47's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-21 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake number 2711126Based on interview and record review, the facility failed to protect the resident's right to be free from sexual abuse by a resident. This deficient practice resulted in Resident 1 (R1) inappropriately touching Resident 2 (R2) causing R2 to feel mental trauma based on the reasonable person concept.Findings include:Review of the facility's Investigation Summary/Action Taken report dated 1/7/26 read, in part, During routine cares on the AM (morning) of 12/30/25 resident, [name], reported to CNA (Certified Nurse Aide) A, that he observed a male resident, (R1), fondling a female resident, (R2), several weeks ago.he witnessed two instances, about four weeks ago that were two days apart. The first instance he witnessed (R1) squeeze (R2's) breast over her clothes at the puzzle table then rub her thigh.the second instance that occurred approximately two days later, (R1) squeeze (R2's) breast over the clothes then lift her shirt and bounce her breast in the hallway next 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2024-12-11 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This deficiency pertains to Intake MI00147043 Based on observation, interview, and record review, the facility failed to maintain sufficient staff for four (Resident #8, #37, #41, and #63) of seventeen residents reviewed for staffing. Findings include: Resident #37 (R37) An interview was conducted on 12/9/24 at 12:13 PM with R37, who stated the quality of care has gone down since last year. R37 stated they constantly witnessed one nurse taking care of half the building. One nurse for both Orchard and Wharf, and one nurse for Cabin and Cedar. R37 stated the facility never really has four nurses at the same time and stated that it seemed there were a lot of call ins from the Certified Nursing Aides (CNAs) and it screws everything up. R37 then stated there were times Residents could not have lunch in the dining room because the facility did not have the help to assist the residents. Resident #41 (R41) While conducting an interview on 12/9/24 at 3:11 PM, R41 stated there were long waits for call lights to be…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-11 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to conduct and document an annual facility wide assessment resulting in the potential for inadequate resources to meet the needs and care for all 68 facility residents. On 12/9/24 during the entrance conference at 11:50 AM the Nursing Home Administrator (NHA) was asked for a copy of the Facility Assessment. The NHA provided a Facility Assessment Tool for 7/2023 through 6/2024. The NHA was asked if there were any updates to the facility assessment to meet the requirement of being reviewed and updated annually. During a follow-up interview on 12/10/24 at 3:20 PM, the NHA stated all files provided were the most current. Review of the Facility Assessment tool section titled Average Daily Census Analysis indicated the patient population had an average of 63 which did not reflect the current resident population.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-11 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to update infection control policies annually. This deficient practice has the potential to affect all 68 residents regarding infection control practices. Findings include: On 12/10/24 at 3:20 PM, a review of the infection control policies was completed. The following infection control policies were found not to be updated annually: a. COVID-19 (virus capable of severe respiratory illness) Vaccination policy last updated on 10/20/23; b. Influenza (flu) Vaccination policy last updated on 10/26/23; c. Pneumococcal (pneumonia) Vaccine (Series) last updated on 10/30/23; d. Water Management Program undated and no last updated date; e. Transmission-Based (Isolation) Precautions last updated on 5/22/23; f. Laundry last updated on 10/26/23 and; g. Handling Clean Linen last updated on 10/30/23. On 12/11/23 at 12:21 PM, an interview was conducted with License Practical Nurse (LPN)/Infection Preventionist (IP) B who was asked if she was aware infection control policies should be updated annually and replied, No I was not aware that 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MEDILODGE — 53 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $421K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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