Iosco County Medical Care Facility

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.

56.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.8% 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 29 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 78 beds and averages 47.1 residents a day — about 60% occupied, or roughly 31 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 6.11 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 4.26 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 5.70 hrs/resident/day on weekends vs 6.28 on weekdays — 9% thinner on weekends. RN hours go from 0.95 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 96% is well above 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.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Actual harm · Gcited before2026-01-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 implement interventions to prevent pressure ulcer development for two residents(R9 and R22) of two residents reviewed, resulting in R9 developing an unstageable DTI and Resident R22 developing a stage II (partial thickness loss of first and second layer of skin) and unstageable DTI, unnecessary pain, and the likelihood for infection and decline in overall health status.Findings include: Resident #9 On 1/6/26 at 10:38 AM, Resident #9 was observed sitting in a wheelchair in the central area of the facility. Resident #9 was unable to provide meaningful responses to questions when asked. A pull tab alarm was observed on the Resident's wheelchair and was connected to the back of their shirt. Licensed Practical Nurse (LPN) I was in the common area of the unit and an interview was completed. When queried, LPN I revealed Resident #9 has a wound on their buttocks. When asked if the wound was a pressure ulcer, LPN I replied, Yes. Resident #9 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 implement and operationalize a comprehensive skin management program and implement meaningful and timely interventions to prevent pressure ulcer (wounds caused by pressure) development for two residents (Resident #9 and Resident #24) of four residents reviewed, resulting in inconsistent, inaccurate, and unclear wound documentation and assessment, lack of implementation of meaningful, timely, and revised, interventions, care coordination, Resident #9 developing a Stage 3 (full thickness tissue loss with exposed subcutaneous tissue), Resident #24 developing Stage 2 (partial thickness tissue loss presenting as an open ulcer) and unstageable pressure ulcers (unknown depth), and the likelihood for lack of timely and accurate identification of pressure ulcers, additional pressure ulcer development, infection, unnecessary pain, and decline in overall health status. Findings include: Resident #9: Review of facility provided CMS-802 Resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Deficient Practice Statement (DPS) One: This Citation Pertains to Intake Number: MI00139609. Based on observation, interview, and record review, the facility failed to implement and operationalize policies and procedures to ensure appropriate supervision to prevent falls for one resident (Resident #24) of two residents reviewed, resulting in Resident #24 (R24) being left unattended in the Activity Room, falling, and suffering a right hip fracture, unnecessary pain, and the likelihood for decline in overall health status. Findings include: Resident #24: Record review revealed Resident #24 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included dementia, overactive bladder, weakness, and displaced femur fracture necessitating surgical intervention following a fall in the facility. A review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was severely cognitively impaired and required moderate to total assistance to complete Activities 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have policies and procedures for data collection, analysis and feedback procedures for 21 residents sampled of 49 residents, resulting in only one sheet of paper policy for the quality assurance program when the surveyor requested the program to review and the contracted pharmacy services failed to attend the quality assurance quarterly meetings for the last six months. Findings include: Quality assurance Task: Record review of the facility 'Quality Assurance Program' policy dated 12/13/2016 signed by a previous nursing home administrator, revealed that it is the policy of the facility to actively participate in a formalized and written Quality Assurance (QA)/ Quality Assurance Process Improvement (QAPI) program. The program is to be comprehensive (involving all departments) and coordinated, will include monitoring, evaluation, and appropriate follow-up action as needed. (5.) Implementation of an ongoing monitoring system that will provide data about actual care/services provided. (6.) Analysis of data to determine 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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 sustain a system to ensure corrective measures for 49 of 49 residents residing in the facility, related to prevention and treatment of pressure ulcers/injuries had been monitored, evaluated, and were effective as evidence by repeated deficiencies on pressure ulcers and antibiotic stewardship during the past two annual surveys. Findings include: In an interview and records review on 01/08/2026 at 11:33 AM with the Nursing Home Administrator (NHA)/Quality Assurance coordinator revealed that the facility only has one policy for the QA program from the previous administration signed on 12/13/2016. The NHA stated that there were no other policies for the QA program. The NHA revealed that she had been at the facility for the last year and had not updated the policy. The NHA stated that there were no other policies for data collection/analysis or feedback on QA issues/concerns that could be found. The state surveyor inquired if there were any Process improvement plans (PIPs) in progress? The NHA stated 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-01-08 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Deficient Practice Statement (DPS) One:Based on observation, interview and record review, the facility failed to implement and operationalize a comprehensive infection control program, encompassing outcome surveillance, accurate data collection/documentation/analysis and failed to ensure infection control measures during meal service for all residents residing in the Woodland 400 dementia and the Little House units, resulting in lack of accurate and comprehensive infection control tracking, surveillance and data monitoring/analysis, hand hygiene and Personal Protective Equipment (PPE) use during meal service, and the likelihood for cross contamination, spread of microorganisms and illness to all 49 facility residents. Findings include: DPS Two: Based on 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 to…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  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 a functional Antibiotic Stewardship program including monitoring to prevent unnecessary and inappropriate antibiotic use for three residents (#'3, #10, and #35) of three residents reviewed for antibiotic use and failed to ensure that antibiotics met criteria for use resulting in the potential for the development of antibiotic-resistant organisms and infections.Findings include:A review of facility Infection Control (IC) Data for December 2025 was completed. The documentation provided did not include documentation revealed two separate line listings titled, CAI (Community Acquired Infection) and HAI (Healthcare Acquired Infection). The CAI line list included five infections including one carry over infection from November 2025 and one prophylactic antibiotic related to a surgical incision infection. The HAI line list included 14 antibiotics including two carry-over infections and four prophylactic antibiotics. Neither line list specified if 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
• Potential for harm · Ecited before2026-01-08 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor 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 Based on Observation, interview and record review, the facility failed to ensure dignity regarding call light response times and accessibility for 4 resident's (Resident's #1, #10, #29, and #49), and 2 confidential Resident's from the Resident Group meeting (held on 1/7/26, at 11:00 a.m.), and 2 residents (Resident #4 and #44) not treated in a dignified manner by staff, resulting in 1 confidential resident being incontinent due to no one answering the call light, embarrassment, anger, fear of being left alone, with the potential for isolation. Findings Include:Review of the facility Call Light Policy dated June 30, 2012, stated A system to provide for the resident when in their rooms and toilet and bathing areas, have a means of directly contacting caregivers. If a call is not answered in a specified length of time (4 minutes), the initial group is re-paged. If the call continues to be unanswered; pages are escalated to back up and supervisory personnel (8 minutes). It is important to see that the resident'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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-08 · tag F0725 — failed to have enough nursing staff — pattern
  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 Based on observation, interview and record review, the facility failed to ensure sufficient and adequate staffing levels were in place to meet residents' needs in a timely manner for Resident #39 and seven out of seven residents residing in the Little House (separate building from main facility) unit of the facility. Findings include: Review of the facility call light response times for October, 25, revealed a total of 46 times resident's call light's were not answered for over an hour. Review of room [ROOM NUMBER]'s call light response time on 10/8/25, revealed it was answered in 8 hours 22 seconds. On 1/6/26 at 11:50 AM, there were no Residents observed in the central area of the Little House unit of the facility. On 1/6/26 at 12:14 PM, Dietary Staff EE was observed standing beside an open cart with food plates covered with tin foil in the kitchen area of the Little House unit. When queried, Dietary Staff EE revealed they delivered the food trays to the unit from the main building kitchen but do not distribute…

  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 · D2026-01-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that documentation of discharge and communication of information with receiving health care facility was complete in the Electronic Medical Record (EMR) for one (#52) of one resident reviewed for hospitalization. Findings include: Record review revealed Resident #52 was admitted to the facility on [DATE] with diagnoses which included surgical site infection, right sided hemiplegia and hemiparalysis (one sided paralysis) following cerebral infarction (stroke) and history of kidney transplant. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was moderately cognitively impaired and required supervision to moderate assistance for hygiene and transferring. Review of census documentation revealed Resident #52 was discharged from the facility on 11/28/25. Review of Resident #52's EMR revealed no assessment documentation pertaining to transfer and/or discharge from the facility on 11/28/25.Review of progress note…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-08 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review, the facility failed to implement and operationalize policies and procedures to ensure Pre-admission Screening and Resident Review (PASARR) completion for one resident (Resident #8) of one resident reviewed for PASSAR completion resulting in lack of annual evaluation completion and the potential for lack of comprehensive assessment and care coordination. Findings includeRecord review revealed Resident #8 was originally admitted to the facility on [DATE] with diagnoses which included dementia, anxiety, depression, psychosis, and adult personality and behavior disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was severely cognitively impaired and required substantial to moderate assistance to complete Activities of Daily Living (ADLs) with the exception of eating. Review of Resident #8's Electronic Medical Record (EMR) revealed the Resident was receiving antianxiety, antidepression, and atypical antipsychotic medications. 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-08 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that 1 resident (Resident #1) of 1 resident sampled for implementing indwelling urinary catheter care plan, resulting in cross contamination due to catheter bag being on the resident's floor. Findings Include: Resident #1:Review of the Face Sheet, physician orders dated 12/25, and care plans dated 9/22 to 1/26, revealed Resident #1 was [AGE] years old, admitted to the facility on [DATE] and re-admitted on [DATE], was his own person, and required extensive assistance from staff for all Activities of Daily Living/ADL's. The residents diagnosis included, myocardial infarction, anemia, pneumonia, back pain, malignant neoplasm of kidney, chronic lung and heart failure, acute kidney failure with a urinary catheter in place, shortness of breath, history of falling, and stroke.Review of the residents Urinary Catheter care plan dated 12/10/25, stated Ensure indwelling urinary catheter drainage bag is not touching floor.Observation made on 1/6/26 at 10:54…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-08 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to update care plan interventions for 1 resident (R22) of two residents reviewed, resulting in the likelihood for missed interventions in treatment and unmet needs. Resident #22:In an interview on 01/06/2026 at 10:34 AM with the Resident #22's family member revealed that the Resident #22 got a pressure ulcer here at the facility, they have a bandage on the bottom, and they are changing it every other day. She came from Saginaw hospital after surgery on her left leg fracture then she got cellulitis. Observation on 01/06/2026 at 10:38 AM the state surveyor observed a heel up device/pad to end of bed, the family member removed the socks and the state surveyor observed the left heel had a large brown/purple deep tissue injury noted. The family member stated that the Registered Nurse Z, who stopped working at the facility back in December, before Christmas she stopped working, found the dark spot on the heel and put the foot/leg cushion (Hells-up device) on the bed and said to keep her heels off the bed. Observation…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“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. 2 Medicare payment denials on record.

• Medicare payment denial — starting 2026-02-07 for 6 days
• Medicare payment denial — starting 2023-12-22 for 7 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

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

Follow the money — this home’s finances

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

This home reported $26K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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