Jamieson Nursing Home
790 S U.s. Highway 23, Box 369, Harrisville, MI 48740 · Alcona County · (989) 724-6889
39 certified beds, about 21 residents a day · For profit - Corporation · Medicare and Medicaid since 2007
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235628 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 7, 2026, inspectors cited 3 health deficiencies (the Michigan average is 9.9, the national average 9.2).
None of its 16 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.87 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
15.4% 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.
602/24
701/25
301/26
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
7E
4F
Potential for minimal harm
0A
0B
0C
January 7, 2026Standard inspection · 3 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse (RN) was on duty for eight consecutive hours a day, seven days a week potentially affecting all 21 residents residing in the facility.
- E Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate assessments and documentation warranting the use of a physical restraint for four Resident (R #5, R #11, R #18, R #20) of twelve residents reviewed for restraints, resulting in the potential for feelings of helplessness, agitation, decreased physical functioning and injury.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement interventions, assess accurately, and prevent the development of a stage II pressure ulcer for one Resident (Resident #2) of two residents reviewed for pressure ulcer development.
January 24, 2025Standard inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor operation of the dish machine to assure dishes, utensils, and other food preparation equipment were properly sanitized. This deficient practice had the potential to promote food borne illness amongst any or all of the facility population of 18 Residents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement and develop an enhanced barrier precautions (EBP) policy, and update infection control policies annually based on standards of practice. This deficient practice has the potential to affect all residents regarding infection control practices.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to serve the correct portions as planned on the menu. This deficient practice had the potential to negatively affect the nutritional status of all 18 residents residing in the facility.
- E Ensure that paid feeding assistants have the training they need.
Inspectors wroteBased on observation, interview and record review the facility failed to train non-licensed employees with the State-approved training course for feeding assistance to residents. This deficient practice put vulnerable residents at risk of complications associated with being fed for all residents needing feeding assistance (approximately six residents).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review, the facility failed to regularly assess the nutritional needs and follow the physician's diet order for two Residents (#11 & #18) of three residents reviewed for nutritional needs. This deficient practice resulted in the potential for nutritional compromise, undetected physical decline, and weight loss.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to provide rationale on pharmacy medication regimen review (MRR) recommendations being declined by the physician for two Residents (#6 and #11) of five residents reviewed for MRR's.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to indicate a specific duration (end date) for PRN (as needed) psychotropic (drug that affects brain activity) medication, provide gradual dose reductions for psychotropic medications and include non-pharmacological interventions when psychotropic medications were prescribed for three Residents (#6, #11, and #12) of five residents reviewed for unnecessary medications.
February 7, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store potentially hazardous food and maintain a kitchen environment free of harborage conditions for pests, resulting in an increased risk of foodborne illness and potential for pests on the premise, affecting all residents that consume food from the kitchen.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure requirements for Preadmission Screening/Annual Resident Review (PASARR) were reviewed and revised annually for five Residents (R1, R11, R13, R14, and R16) of seven residents reviewed for PASSAR requirements, resulting in the potential for unmet mental health and/or intellectual/developmental disability care needs.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to maintain smooth floors, secure free-standing wardrobes, and secure riser lids for the septic system, resulting in the potential for falls and entrapment, affecting residents, staff, and the public.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication storage room was free of expired medications and failed to securely store medications, for one of one medication rooms and one of one medication carts reviewed for medication storage. This deficient practice resulted in the potential for administration of medications with reduced intended effect.
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on observation and interview, the facility failed to maintain exhaust ventilation in resident bathrooms, resulting in the potential for odors, affecting room #'s 167, 168, 169, and 170.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure appropriate monitoring and assessment for a change in condition for one Resident (#4) of one residents reviewed for hospitalization. This deficient practice resulted in the potential for worsening in condition and delay in treatment. Findings Include: Resident #4 (R4) Review of R4's medical record revealed initial admission to the facility on 8/28/21 with diagnoses including cerebral infarction (stroke), hypertension (high blood pressure), and frontotemporal neurocognitive disorder (a type of dementia) . Review of R4's most recent Minimum Data Set (MDS) assessment, dated 10/19/23, revealed a Brief Interview for Mental Status (BIMS) score of 1, indicative of severe cognitive impairment. Review of Resident Transfer Form revealed R4 was transferred from the facility to the local hospital on [DATE]. [...]
Fire safety inspections
21 fire safety citations on file: 9 on January 7, 2026, 7 on January 24, 2025, 5 on February 7, 2024.
Every fire safety citation21 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- D Install emergency lighting that can last at least 1 1/2 hours.
- F Have exits that are accessible at all times.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 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 Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have properly located and lighted "Exit" signs.
- 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.
- D Have power receptacles that are properly grounded.
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) | 2.87 | 3.99 | 3.86 |
| Registered nurses | 1.01 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.50 | 3.42 |
| Nurse aides | 1.51 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 15.4% | 44.1% | 45.8% |
| Registered nurse turnover | not reported | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.18 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 2.86 on weekdays and 2.90 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 3.30 in April to June 2025 to 2.87 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 | 2.87 | 1.01 | 2.86 | 2.90 | 0.0% | 2 of 90 | 21 |
| Oct to Dec 2025 | 2.87 | 0.92 | 2.87 | 2.86 | 0.0% | 1 of 92 | 20 |
| Jul to Sep 2025 | 3.04 | 0.86 | 3.12 | 2.82 | 0.0% | 4 of 92 | 21 |
| Apr to Jun 2025 | 3.30 | 1.15 | 3.35 | 3.17 | 0.0% | 0 of 91 | 18 |
| 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 | 16.7 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.1 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 15.6 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.8 | 14.8 | 15.4 |
Owners and operators
Legal business name: SMITH-JAMIESON INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Smith, James | Direct ownership interest | Individual | 07/01/2009 | |
| Smith, Sally | Direct ownership interest | Individual | 07/01/2009 | |
| Wilkins, Lori | Indirect ownership interest | Individual | 12/01/2016 | |
| Smith, Sally | Corporate director | Individual | 07/01/2009 | |
| Smith, Sally | Corporate officer | Individual | 07/01/2009 | |
| Rao, Raj | Operational/managerial control | Individual | 12/18/2018 | |
| Smith, James | Operational/managerial control | Individual | 07/01/2009 | |
| Smith, Sally | Operational/managerial control | Individual | 07/01/2009 | |
| Wilkins, Lori | Operational/managerial control | Individual | 12/01/2016 | |
| Smith, James | Trustee of the SNF | Individual | 07/01/2009 | |
| Smith, Sally | Trustee of the SNF | Individual | 07/01/2009 | |
| Rao, Raj | Adp of the SNF | Individual | 12/18/2018 | |
| Smith, James | Adp of the SNF | Individual | 07/01/2009 | |
| Smith, Sally | Adp of the SNF | Individual | 07/01/2009 | |
| Wilkins, Lori | Adp of the SNF | Individual | 12/01/2016 |
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 January 7, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on January 24, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 24, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Lincoln Haven Nursing & Rehabilitation Community Lincoln, 2.8 mi · 3 of 5 stars · 23 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 Jamieson Nursing Home's Medicare star rating?
- CMS rates Jamieson Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Jamieson Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on January 7, 2026. The Michigan average is 9.9.
- Has Jamieson Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Jamieson Nursing Home 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 Jamieson Nursing Home?
- CMS lists 15 owners and managers. Legal business name: SMITH-JAMIESON INC.
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.