Grayling Nursing & Rehabilitation Community
331 Meadows Drive, Grayling, MI 49738 · Crawford County · (989) 348-2801
72 certified beds, about 52 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235432 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 11, 2026, inspectors cited 7 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 17 health citations since January 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
37.0% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Atrium Centers, an affiliated group of 26 nursing homes.
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.
201/24
302/24
401/25
703/26
105/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
11D
1E
3F
Potential for minimal harm
0A
0B
0C
May 21, 2026Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThis Citation Pertains to Intake 3009239. Based on interview and record review, the facility failed to implement and operationalize policies and procedures to ensure timely and comprehensive assessment, treatment, and documentation, per professional standards in practice, for change in condition for two Residents (#701 & #702) of three residents reviewed. This deficient practice resulted in: Delay in diagnostic testing and treatment for a Urinary Tract Infection (UTI) causing sepsis for Resident #701, and;Lack of monitoring and follow up of laboratory testing, causing Acute Kidney Injury (AKI) and need for emergency dialysis for Resident #702.
March 11, 2026Standard inspection · 7 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and record review the facility failed to properly dispose of waste and maintain dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to maintain general repair of the premise. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents in the facility.
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and record review, the facility failed to ensure psychotropic medications were used to treat a specific, diagnosed, and documented condition for four residents (R8, R19, R46, and R49) of five residents reviewed for unnecessary medications.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to update or revise mobility and dietary care plan interventions in a timely manner for one Resident (#15) of fourteen residents reviewed for care plans resulting in the potential for unmet care needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure functional positioning to carry out activities of daily living for one Resident (#15) of one resident reviewed for positioning.
- 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 implement fall interventions per the resident care plans for two residents (R19 and R49) of five residents reviewed for falls.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed infection prevention and control practices when a nurse failed to properly don required Personal Protective Equipment(PPE), prior to providing treatment for one Resident (#32) of 5 residents reviewed for Enhanced Barrier Precautions(EBP). This deficient practice had the potential to increase the risk for spreading infection within the facility. Resident #32 (R32)Review of R32's Electronic Medical Record (EMR) indicated R32's latest admission was on 3/1/25. [...]
January 16, 2025Standard inspection · 4 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to obtain consent for a psychotropic medication prior to initiation for one Resident (#31) of five residents reviewed for psychoactive medications.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or resident representative in writing with the reason for a transfer out of the facility for one Resident (#35) of five residents reviewed for transfer and/or discharge.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide a physician order, care plan, and implement interventions to aide with edema (swelling due to excess fluid trapped in the body tissues) for one Resident (#12) of two residents reviewed for non-pressure related skin conditions. This deficient practice resulted in the potential for increase pain, swelling, and increase risk of skin ulcers.
- 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 ensure appropriate assessment, interventions, and supervision were in place after a hot liquid spill for one Resident (#48) of 7 residents reviewed for accidents and hazards. This deficient practice resulted in the potential for continued spills and subsequent burns.
February 14, 2024Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow transmission-based precautions for five (Residents #3, #5, #14, #35, and #41) of 14 residents reviewed for a gastrointestinal illness. This deficient practice resulted in the potential for transmission of infectious organisms to all 56 residents of the facility.
- 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 properly secure an oxygen tank (a metal cylinder that stores oxygen under pressure) for one Resident (#26) of two residents reviewed for oxygen services. This deficient practice resulted in the potential for an oxygen tank valve to become damaged and turn into a projectile with the potential for serious injury, harm, or death.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide proper infection control measures pertaining to indwelling catheters (a tube inserted into the bladder to accommodate emptying of the bladder) for two Residents (#2, #50) of three residents reviewed for indwelling catheters. This deficient practice resulted in the potential for infections and illness due to improper catheter care.
January 16, 2024Complaint inspection · 2 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adequately monitor a change in condition after a fall for one (Resident #1) of three residents reviewed for a fall with injury. This deficient practice resulted in a delay in the treatment of a hip fracture and a prolonged period of sustained intractable pain.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteThis citation pertains to intake MI00142046 Based on observation, interview, and record review the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for one (Resident #1) of three residents reviewed.
Fire safety inspections
19 fire safety citations on file: 5 on March 11, 2026, 4 on January 16, 2025, 10 on February 14, 2024.
Every fire safety citation19 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Develop Emergency Preparedness policies and procedures.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Meet other general requirements that are deficient.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have restrictions on the use of portable space heaters.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.41 | 3.99 | 3.86 |
| Registered nurses | 0.76 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.50 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 44.1% | 45.8% |
| Registered nurse turnover | 30.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 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 3.53 on weekdays and 3.11 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.41 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 | 3.41 | 0.76 | 3.53 | 3.11 | 0.0% | 0 of 90 | 52 |
| Oct to Dec 2025 | 3.39 | 0.75 | 3.52 | 3.08 | 0.0% | 0 of 92 | 50 |
| Jul to Sep 2025 | 3.40 | 0.80 | 3.54 | 3.03 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.37 | 0.80 | 3.50 | 3.05 | 0.0% | 0 of 91 | 53 |
| 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 | 6.1 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 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 | 5.4 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.6 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: ATRIUM GRAYLING, LLC.. CMS links this home to Atrium Centers, a group of 26 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Orion Operating Services LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2007 |
| Bailey, Essel | 5% or greater indirect ownership interest | Individual | 74% | 12/27/2012 |
| Finney, Donald | 5% or greater indirect ownership interest | Individual | 25% | 12/27/2012 |
| Bailey, Essel | Corporate director | Individual | 10/01/2007 | |
| Finney, Donald | Corporate director | Individual | 08/22/2012 | |
| Lockhart, Dennis | Corporate director | Individual | 08/01/2018 | |
| Albright Ross, Susan | Corporate officer | Individual | 01/02/2018 | |
| Ferkany, James | Corporate officer | Individual | 08/01/2018 | |
| Atrium Centers Management LLC | Operational/managerial control | Organization | 10/01/2007 | |
| Albright Ross, Susan | Operational/managerial control | Individual | 01/02/2018 | |
| Lockhart, Dennis | Operational/managerial control | Individual | 08/01/2018 | |
| Malcomson, Jennifer | Operational/managerial control | Individual | 06/28/2015 |
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 8 problems in this area, most recently on May 21, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 March 11, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 16, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 11, 2026: "Dispose of garbage and refuse properly."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Munson Healthcare Crawford Continuing Care Center Grayling, 1.1 mi · 5 of 5 stars · 26 citations
- Intersect Healthcare of Roscommon Roscommon, 11.7 mi · 5 of 5 stars · 16 citations
- Kalkaska Memorial Health Center Kalkaska, 24.1 mi · 3 of 5 stars · 13 citations
- King Nursing & Rehabilitation Community Houghton Lake, 24.4 mi · 3 of 5 stars · 17 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 Grayling Nursing & Rehabilitation Community's Medicare star rating?
- CMS rates Grayling Nursing & Rehabilitation Community 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grayling Nursing & Rehabilitation Community get at its last inspection?
- 7 health deficiencies at the standard inspection on March 11, 2026. The Michigan average is 9.9.
- Has Grayling Nursing & Rehabilitation Community been fined?
- CMS lists no fines in the last three years.
- Does Grayling Nursing & Rehabilitation Community 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 Grayling Nursing & Rehabilitation Community?
- CMS lists 12 owners and managers, and links the home to Atrium Centers. Legal business name: ATRIUM GRAYLING, LLC..
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.