Gogebic Medical Care Facility
402 North Street, Wakefield, MI 49968 · Gogebic County · (906) 224-9811
100 certified beds, about 79 residents a day · Government - County · Medicare and Medicaid since 1967
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235026 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 6, 2026, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 10 health citations since March 2024, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated March 4, 2025.
Nurses and nurse aides worked 2.89 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
40.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
103/24
105/24
603/25
205/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
5D
0E
1F
Potential for minimal harm
0A
0B
0C
May 6, 2026Standard inspection · 2 citations
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and record review, the facility failed to assess and implement person centered interventions associated with trauma for one Resident (#71) of three residents reviewed for trauma informed care.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure appropriate hand hygiene during wound care for one Resident (#66) of three residents reviewed for pressure injuries. This deficient practice resulted in the potential for the transmission of infectious organisms and delayed wound healing.
March 4, 2025Standard inspection · 6 citations
- J Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteAll times are in Eastern Daylight Time (EDT) unless otherwise noted. Based on interview and record review, the facility failed to replace a feeding tube in accordance with professional standards of practice for one Resident (#1) of two residents reviewed for enteral nutrition, which resulted in Immediate Jeopardy when Resident #1 subsequently suffered aspiration pneumonia requiring admission to the Intensive Care Unit (ICU) and ultimately resulted in Resident #1 being placed on comfort care measures. The Immediate Jeopardy (IJ) began on 1/11/25 when Registered Nurse (RN) J inserted a urinary catheter with 30 cc (cubic centimeter) balloon into the gastrostomy site of Resident #1 (R1) to use as a feeding tube. After the urinary catheter was placed, R1 experienced blood-tinged vomiting, an oxygen saturation (SPO2) level of 82%, and a decreased heart rate of 42 beats per minute. [...]
- G 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment, services, and equipment to maintain and/or prevent avoidable reduction in Range of Motion (ROM) for one Resident (R76) of one resident reviewed for mobility. This deficient practice resulted in harm with incorrect application of a back brace and worsening of R76's L1 (spinal) compression fracture.
- G Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteAll times are in Eastern Daylight Time (EDT) unless otherwise noted. Based on interview and record review, the facility failed to ensure licensed nurses had the knowledge, competencies, and skill sets to replace the feeding tube of one Resident (#1) of one resident reviewed for nurse training and competency for feeding tube replacement. This deficient practice resulted in R1 being admitted to the ICU when the feeding tube was found to be lodged in R1's esophagus with the balloon inflated.
- G Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteAll times are in Eastern Daylight Time (EDT) unless otherwise noted. Based on interview and record review, the facility failed to offer and provide pneumococcal vaccinations to three Residents (#28, #44 & #1) of five residents reviewed for immunizations. This deficient practice resulted in R28 being hospitalized for pneumonia and subsequently expiring from pneumonia-associated complications.
- F 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.
Inspectors wroteAll times are Eastern Standard Time (EST) unless otherwise noted. Based on interview and record review, the facility failed to complete a comprehensive facility assessment that included training required to meet the needs of the resident population, resulting in the potential for unidentified resources necessary to provide care and services to all 80 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision for one Resident (R42) of one resident reviewed unsafe wandering, resulting in R42 entering a second-floor stairwell unattended and the potential for falls and injury.
May 16, 2024Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteThis deficiency pertains to intake #MI00144437. All times are in Eastern Daylight Time unless otherwise noted. Based on interview and record review, the facility failed to utilize a process for accurate inventory and accounting of controlled substances for One Resident (R1) of three residents reviewed for controlled substances.
March 13, 2024Standard inspection · 1 citation
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteAll times are in Eastern Standard Time (EST) unless otherwise specified. Based on interview and record review, the facility failed to ensure three alert and oriented residents (R12, R65, & R233) were afforded the opportunity to sign and determine their preferred code status out of four residents reviewed for advanced directives. This deficient practice resulted in the potential for residents to be unable to exercise medical related decisions regarding their care.
Fire safety inspections
3 fire safety citations on file: 1 on March 4, 2025, 2 on March 13, 2024.
Every fire safety citation3 citations
- F Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 4, 2025 | Fine | $16,153 |
| March 4, 2025 | Payment Denial | 1 days from April 1, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.89 | 3.99 | 3.86 |
| Registered nurses | 0.60 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.70 | 3.50 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.24 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 44.1% | 45.8% |
| Registered nurse turnover | 27.8% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.97 on weekdays and 2.70 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 2.89 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.89 | 0.60 | 2.97 | 2.70 | 10.2% | 30 of 90 | 79 |
| Oct to Dec 2025 | 4.12 | 0.86 | 4.26 | 3.76 | 13.9% | 0 of 92 | 82 |
| Jul to Sep 2025 | 4.17 | 0.86 | 4.30 | 3.83 | 11.4% | 0 of 92 | 81 |
| Apr to Jun 2025 | 4.21 | 0.90 | 4.33 | 3.92 | 14.0% | 0 of 91 | 80 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.7 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.5 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.3 | 14.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.6 | 1.8 |
Owners and operators
Legal business name: GOGEBIC MEDICAL CARE FACILITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Gogebic | Direct ownership interest | Organization | 01/01/1966 | |
| County of Gogebic | Operational/managerial control | Organization | 01/14/2025 | |
| Cooley, Nathan | Operational/managerial control | Individual | 01/28/2021 | |
| Jurakovich, Melissa | Operational/managerial control | Individual | 01/01/2022 | |
| Rocco, James | Operational/managerial control | Individual | 12/01/2019 | |
| Jurakovich, Melissa | Trustee of the SNF | Individual | 01/01/2022 | |
| Rocco, James | Trustee of the SNF | Individual | 12/01/2019 | |
| County of Gogebic | Adp of the SNF | Organization | 01/14/2025 | |
| Cooley, Nathan | Adp of the SNF | Individual | 01/28/2021 | |
| Jurakovich, Melissa | Adp of the SNF | Individual | 01/01/2022 | |
| Rocco, James | Adp of the SNF | Individual | 12/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 6, 2026: "Provide care or services that was trauma informed and/or culturally competent."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 6, 2026: "Provide and implement an infection prevention and control program."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on March 4, 2025: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 4, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Westgate Nursing & Rehabilitation Community Ironwood, 9.9 mi · 2 of 5 stars · 21 citations
- Sky View Nursing Center Hurley, 10.5 mi · 5 of 5 stars · 7 citations
- Villa Maria Health and Rehab Ctr Hurley, 10.7 mi · 5 of 5 stars · 6 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Gogebic Medical Care Facility's Medicare star rating?
- CMS rates Gogebic Medical Care Facility 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gogebic Medical Care Facility get at its last inspection?
- 2 health deficiencies at the standard inspection on May 6, 2026. The Michigan average is 9.9.
- Has Gogebic Medical Care Facility been fined?
- Yes. CMS lists 1 fine totaling $16,153 in the last three years.
- Does Gogebic Medical Care Facility accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gogebic Medical Care Facility?
- CMS lists 11 owners and managers. Legal business name: GOGEBIC MEDICAL CARE FACILITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.