1201 Harris Avenue, Tawas City, MI 48763 · Iosco County · (989) 362-4424
78 certified beds, about 47 residents a day · Government - City/county · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235011 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 8, 2026, inspectors cited 14 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 32 health citations since November 2023, 3 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 6.11 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
96.1% of nursing staff left within the year CMS measured (Michigan average 44.1%).
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.
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 32 health citations on file.
Inspectors wroteBased 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.
Inspectors wroteBased 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.
Inspectors wroteBased 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.
Inspectors wroteDeficient 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.
Inspectors wroteBased 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.
Inspectors wroteBased 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. [...]
Inspectors wroteBased 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.
Inspectors wroteBased 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.
Inspectors wroteBased 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.
Inspectors wroteBased 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. [...]
Inspectors wroteBased 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. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the provision of services, treatment and assistive devices to maintain vision and hearing abilities for one resident (Resident #15) of one resident reviewed for vision/hearing resulting in lack of equipment, audiology services, and Resident verbalization of difficulty and discontentment.
Inspectors wroteBased on interview and record review, the facility failed to ensure monitoring for anticoagulation (blood thinner) medication side effects for one resident (#37) of five residents reviewed for unnecessary medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.
Inspectors wroteBased on observation, interview and record review, the facility failed to issue a beneficiary notice (ABN/Nomnic) for one resident (Resident #155) of three residents reviewed for beneficiary notices to eligible resident/representative in writing of the items and services which are/are not covered under Medicaid or by the facility's per diem rate, including the cost of those items and services, resulting in the potential for financial hardship when changing to hospice services.
Inspectors wroteBased on observation, interview and record review, the facility failed to update care plans for 2 residents (Resident's #19 and #50) of a sample of 16 resident's reviewed for care plans, resulting in delayed nursing interventions, showers not given and proper wound care given for a pressure ulcer not done. Findings Include: Resident #19: Review of the face Sheet, diagnosis sheet, orders, nurse's notes and physician progress note's dated 9/24 through 11/24, revealed Resident #19 was 73 years-old, had a guardian in place, admitted to the facility on [DATE], dependent on staff for all Activities of Daily Living/ADL's, and resided on the Woodlands unit (locked Dementia unit). [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide Activities of Daily Living (ADL), including bathing/showering for one resident (Resident #50) of 13 residents reviewed for ADL's, resulting in missed bathing/showers and the potential for feelings of embarrassment.
Inspectors wroteBased on observation, interview and record review, the facility 1) Failed to prevent and implement preventive measures to avoid a pressure ulcer and 2) Failed to timely identify a pressure ulcer, for 1 resident (Resident #19) of 3 residents reviewed for pressure ulcers, resulting in a Stage II pressure ulcer on the coccyx, pain, increased potential for infection, antibiotic usage and hospitalization. Findings Include: Resident #19: Observation of wound care was done on 11/19/24 at 2:50 p.m. During the dressing change, Resident #19 complained of discomfort and pain when the pressure ulcer was cleaned and dressed. The resident had a Stage II pressure ulcer to his lower coccyx area that was red on the outside and a light pink to white in the center. At this time the dressing was coming off due to loose stool. When the nurse cleaned him up, he complained of pain. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain supervision of two residents (Resident #19 and Resident #37), of two residents reviewed for falls, resulting in Resident #19 and Resident #37 to have recurrent/repeated falls causing Resident #37 to have a head injury, pain and transfer to the emergency room and the potential for continuous falls and injuries.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that one resident (Resident #19) remain free from unnecessary medications (Ativan) and to obtain consent for antidepressant use for one resident (Resident #26) of two residents reviewed for Ativan usage, resulting in Resident #19 receiving Ativan medication as needed with no stop date and Resident #26 receiving antidepressant medications with no consent.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow policies and procedures for medication labeling and storage in 3 of 3 medication carts reviewed, resulting in opened and undated multi-dose medications, and an unclean and sanitary medication cart with the potential of administration of ineffective medications and the spread of infection.
Inspectors wroteBased 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, [...]
Inspectors wroteDeficient 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure PRN (as needed) anti-psychotic medications were ordered with a 14 day stop date, complete and document Gradual Dose Reductions (GDR) and psychoactive medications were not ordered per family request for Residents (#9,14, 29, 36), resulting in PRN unassessed antipsychotics for longer than 14 days. Findings inlcude On 11/16/23, at 4:02 PM, a record review of Resident #14's electronic medical record revealed an admission 9/27/2019 with diagnoses that included Heart Failure, Schizoaffective Disorder and epilepsy. Resident #14 had severely impaired cognition, required extensive assistance with all Activities of Daily Living and received hospice services. A review Medication Administration Record for 11/1/2023 - 11/30/203 revealed the following: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure respectful treatment of residents for one resident (Resident #7) of one resident reviewed resulting in Resident verbalization of not receiving timely care, and verbalization of emotional distress and feelings of frustration.
Inspectors wroteBased on interview and record review, the facility failed to provide a Notice of Medicare Non-Coverage (NOMNEC) for one resident (Resident #24) of three residents reviewed for Beneficiary Notices, resulting in the resident and/or the representative not being informed of the right to appeal and the potential for undue emotional and financial hardships.
Inspectors wroteBased on observation, interview and record review, the facility failed to operationalize their Abuse policy and investigate and report an injury of unknown origin to the State Agency for one resident (Resident #32), resulting in a forehead bruise going uninvestigated as to its origin with the likelihood of other injuries of unknown source going unreported and investigated.
Inspectors wroteBased on interview and record review, the facility failed to implement and operationalize policies and procedures for care coordination with Hospice services for one resident (Resident #9) of one resident reviewed resulting in lack of timely availability of Hospice documentation, lack of documented communication, and the likelihood for uncoordinated and unmet needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement and operationalize a comprehensive pain management program for one (#7) of one Resident reviewed for pain, resulting in lack of assessment, monitoring, and management of pain following an injury, Resident #7 experiencing unaddressed/untreated pain for greater than 24 hours, and the likelihood for ongoing pain and psychosocial distress.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive and resident centered dementia plan of care for one (#29) of one Resident reviewed resulting in lack of thorough assessment of Resident #29's physical, mental, and psychosocial needs, lack implementation of individualized interventions and adequate supervision to prevent elopement, the Resident experiencing multiple falls following initiation of psychoactive medication, and the likelihood for injury and psychosocial distress utilizing the reasonable person concept.
Inspectors wroteBased on interview and record review, the facility failed to follow physician orders and monitor a thyroid replacement hormone medication (Levothyroxine) for a dementia Resident #23, resulting in missed lab tests (TSH TF4 TF3) that measure the thyroid medication, increased efficacy, with the likelihood of signs of symptoms of too much medication going unnoticed and unassessed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food temperatures were obtained in a sanitary manner for the 36 of 47 residents, resulting in cross-contamination of the thermometer and food items with the likelihood of Gastrointestinal upset or illness.
22 fire safety citations on file: 1 on January 22, 2026, 15 on January 8, 2026, 3 on November 20, 2024, 3 on November 21, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 8, 2026 | Payment Denial | 6 days from February 7, 2026 |
| November 21, 2023 | Payment Denial | 7 days from December 22, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 6.11 | 3.99 | 3.86 |
| Registered nurses | 0.80 | 0.78 | 0.69 |
| All nursing staff on weekends | 5.70 | 3.50 | 3.42 |
| Nurse aides | 4.26 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 96.1% | 44.1% | 45.8% |
| Registered nurse turnover | 66.7% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 6.28 on weekdays and 5.70 on weekends, 9% 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 6.06 in April to June 2025 to 6.11 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 | 6.11 | 0.80 | 6.28 | 5.70 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 0.58 | 0.40 | 0.63 | 0.47 | 0.0% | 14 of 92 | 51 |
| Jul to Sep 2025 | 5.95 | 0.95 | 6.21 | 5.31 | 0.0% | 0 of 92 | 50 |
| Apr to Jun 2025 | 6.06 | 0.91 | 6.39 | 5.26 | 0.0% | 1 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 14.9 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.6 | 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 | 19.3 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.8 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.1 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Iosco County Medical Care Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.2% this home
No different from the national rate
US median of homes 51.5% · Michigan: 89 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 55 eligible stays.
11.3% this home
No different from the national rate
US median of homes 10.7% · Michigan: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 60 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.
44.8% this home
Median of homes: Michigan57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
0.0% this home
Median of homes: Michigan0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.
9.2% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 33 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: IOSCO MEDICAL CARE FACILITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Iosco | 5% or greater direct ownership interest | Organization | 10/24/2011 | |
| Look, Jon | Operational/managerial control | Individual | 06/29/2012 |
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.
Chosen from this home's own inspection record.
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