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Kalkaska Memorial Health Center

419 South Coral Street, Kalkaska, MI 49646 · Kalkaska County · (231) 258-7500

104 certified beds, about 74 residents a day · Government - Hospital district · Medicare and Medicaid since 1980

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235407 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2025, inspectors cited 3 health deficiencies (the Michigan average is 9.9, the national average 9.2).

Of 13 health citations since October 2023, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $10,549 in the last three years; the largest was $10,549, and the latest is dated September 19, 2025.

Nurses and nurse aides worked 4.98 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.23 of those hours.

17.4% 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.

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
5D
3E
1F
Potential for minimal harm
0A
0B
0C
May 14, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteThis deficient practice pertains to Intake 3005509. Based on observation, interview, and record review, the facility failed to prevent, detect, and respond to an elopement resulting in the likelihood of serious harm, injury, impairment, or death for one Resident (#1) of three residents reviewed for elopement.
January 2, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 27, 2026
    Inspectors wroteThis citation pertains to intake 2692547Based on observation, interview and record review the facility failed to monitor and assess three residents (R1, R2, and R3) for safety with hot liquid beverages. This deficient practice resulted incomplete assessments for safety of handling hot liquid beverages for R2 and R3, and resulted in harm when R1 sustained second degree burns from a hot coffee spill .
November 26, 2025Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 23, 2025
    Inspectors wroteBased on interview and record review, the facility failed to notify a resident's Power of Attorney (POA; a legal document that authorizes a trusted person, called an agent, to make legal, financial, and/or medical decisions on their behalf) of a change in condition in a timely manner for one Resident (#3) of three residents reviewed for notification of changes. This deficient practice resulted in an 8-hour delay in notifying the POA of the resident's significant change in condition and the potential for delays in treatment. Resident #3 (R3)A review of the Electronic Medical Record (EMR) revealed R3 was admitted to the facility on [DATE] with diagnoses including dementia with unspecified severity and other behavioral disturbance. On 5/9/25, R3 was given a BIMS (Brief Interview for Mental Status) score of 5 out of 15 indicating severe cognitive impairment. [...]
September 19, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2025
    Inspectors wroteThis citation pertains to intake: 2621196Based on interview and record review, the facility failed to follow fall interventions for one Resident (#4) of five residents reviewed for falls. This deficient practice resulted in a fall with major injury requiring surgery.
July 31, 2025Standard inspection · 3 citations
  1. E
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure written consent and education was provided prior to administration of psychotropic medications for 5 Residents (#3, #8, #9, #40, & #72) of 5 residents reviewed for psychotropic consents.
  2. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders for an upper extremity orthotic for one Resident (#1) of two residents reviewed for range of motion, positioning, and mobility.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow nursing standards of practice for wound care for one Resident (R5) of two Residents reviewed for pressure injuries.
May 2, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteThis deficient practice pertains to Facility Reported Incident (FRI) MI00152479. Based on observation, interview, and record review, the facility failed to prevent, detect, and respond to an elopement resulting in the likelihood of serious harm, injury, impairment, or death for one Resident (#1) of four residents reviewed for elopement.
February 19, 2025Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteThis citation pertains to intake MI00150384. Based on record review and interview, the facility failed to notify the legal guardian of one Resident (#6) of one resident reviewed for notification of change in condition. Findings Include: Resident #6 (R6) A review of the medical record indicated R6 had a court appointed guardian, who was listed as the #1 emergency contact and a private caretaker who was listed as #2 emergency contact. A nurse's note on [DATE] at 6:33 PM charted by Registered Nurse (RN) A read in part: . (R6) deceased at 1333 (1:33 PM) today. (R6) had a bed bath at 1100. (R6) was wearing O2 (Oxygen) at 4 LPM (Liters Per Minute) via nasal cannula. (R6) was not awake during bath. (R6) resp (respiratory) were reg (regular) but he was blue when HOB (Head of Bed) was flat. O2 sat 72 on 4 LPM (R6) is on Hospice care for Pulmonary Hypertension. [...]
August 28, 2024Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among any and all 81 residents.
  2. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an appropriate therapeutic diet was implemented for two Residents (#67 and #70) of 2 residents reviewed for nutrition and hydration. This deficient practice resulted in the potential for unmet nutritional needs.
October 5, 2023Standard inspection · 2 citations
  1. 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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow menus developed by the registered dietitian for 10 residents, of a total 78 residents. This deficient practice has the potential to result in nutritional deficiency to these 10 residents.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: A. Failing to ensure a staff person washed their hands after being potentially contaminated. B. Failing to ensure the dish machines used for the washing, rinsing and sanitizing of food contact surfaces were tested for proper sanitizing. This deficient practice was observed on a [NAME] House unit housing 10 of the 78 facility residents, with this unit preparing the meals for only these 10 residents.

Fire safety inspections

12 fire safety citations on file: 5 on July 31, 2025, 4 on August 28, 2024, 3 on October 5, 2023.

Every fire safety citation12 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 31, 2025 · Corrected (the home has a date of correction)
  2. E
    Meet other general requirements.
    K 100 · July 31, 2025 · Corrected (the home has a date of correction)
  3. E
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · July 31, 2025 · Corrected (the home has a date of correction)
  4. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 31, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 31, 2025 · Corrected (the home has a date of correction)
  6. F
    Install a two-hour-resistant firewall separation.
    K 133 · August 28, 2024 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 28, 2024 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 28, 2024 · Corrected (the home has a date of correction)
  9. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 28, 2024 · Corrected (the home has a date of correction)
  10. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · October 5, 2023 · Corrected (the home has a date of correction)
  11. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 5, 2023 · Corrected (the home has a date of correction)
  12. D
    Have power receptacles that are properly grounded.
    K 912 · October 5, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 19, 2025Payment Denial 1 days from October 16, 2025
May 2, 2025Fine $10,549
May 2, 2025Payment Denial 1 days from May 29, 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.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)4.983.993.86
Registered nurses1.230.780.69
All nursing staff on weekends4.403.503.42
Nurse aides3.34
Licensed practical nurses0.41
Nursing staff turnover (share who left in a year)17.4%44.1%45.8%
Registered nurse turnover30.8%39.2%42.9%
Administrators who left1

CMS expects 3.20 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 5.21 on weekdays and 4.40 on weekends, 16% 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 4.78 in April to June 2025 to 4.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.981.235.214.40 0.0%0 of 9074
Oct to Dec 20254.111.134.333.56 0.0%0 of 9277
Jul to Sep 20254.681.294.854.24 0.0%0 of 9273
Apr to Jun 20254.781.334.994.26 0.0%0 of 9174
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%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.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.110.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.80.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.71.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.73.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.412.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.05.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.614.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.024.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.311.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.51.61.8

Owners and operators

Legal business name: KALKASKA MEMORIAL HEALTH CENTER.

NameRoleTypeShareSince
Kalkaska Memorial Health Center5% or greater direct ownership interestOrganization100%01/01/1990
Banker, GeorgeManaging control - governing bodyIndividual11/01/2016
Barr, RobertManaging control - governing bodyIndividual06/23/2020
Bradley, GregoryManaging control - governing bodyIndividual10/01/2020
Brenner, MatthewManaging control - governing bodyIndividual01/14/2025
Broering, NoreenManaging control - governing bodyIndividual01/15/2024
Cannon, NelsonManaging control - governing bodyIndividual08/30/2010
Cervone, LynnetteManaging control - governing bodyIndividual02/20/2024
Cox, JanetManaging control - governing bodyIndividual01/16/2024
De Korne, DaleManaging control - governing bodyIndividual06/23/2020
Gentelia, GayenellManaging control - governing bodyIndividual02/13/2024
Hart, AlanManaging control - governing bodyIndividual03/20/2024
Hendricks, EricManaging control - governing bodyIndividual02/02/2014
Klimek, KarlManaging control - governing bodyIndividual07/05/2021
Needham, DianaManaging control - governing bodyIndividual03/11/2019
Nichol, TeresaManaging control - governing bodyIndividual02/01/2020
Pauch, MelanieManaging control - governing bodyIndividual06/23/2020
Stephens, KimberlyManaging control - governing bodyIndividual06/23/2020
Stiehl, CharlesManaging control - governing bodyIndividual02/20/2024
Stobert, RogerManaging control - governing bodyIndividual02/15/2023
Zenner, BruceManaging control - governing bodyIndividual02/02/2014
Finkbeiner, CindyOperational/managerial controlIndividual12/04/2023
Raymond, AndrewOperational/managerial controlIndividual12/19/2016
Kalkaska Memorial Health CenterAdp of the SNFOrganization12/27/2024
Banker, GeorgeAdp of the SNFIndividual11/01/2016
Barr, RobertAdp of the SNFIndividual06/23/2020
Bradley, GregoryAdp of the SNFIndividual10/01/2020
Brenner, MatthewAdp of the SNFIndividual01/14/2025
Broering, NoreenAdp of the SNFIndividual01/15/2024
Cannon, NelsonAdp of the SNFIndividual08/30/2010
Cervone, LynnetteAdp of the SNFIndividual02/20/2024
Cox, JanetAdp of the SNFIndividual01/16/2024
De Korne, DaleAdp of the SNFIndividual06/23/2020
Finkbeiner, CindyAdp of the SNFIndividual12/04/2023
Gentelia, GayenellAdp of the SNFIndividual02/13/2024
Hart, AlanAdp of the SNFIndividual03/20/2024
Hendricks, EricAdp of the SNFIndividual02/02/2014
Klimek, KarlAdp of the SNFIndividual07/05/2021
Needham, DianaAdp of the SNFIndividual03/11/2019
Nichol, TeresaAdp of the SNFIndividual02/01/2020
Pauch, MelanieAdp of the SNFIndividual06/23/2020
Phillips, AmberAdp of the SNFIndividual03/14/2022
Raymond, AndrewAdp of the SNFIndividual12/19/2016
Stephens, KimberlyAdp of the SNFIndividual06/23/2020
Stiehl, CharlesAdp of the SNFIndividual02/20/2024
Stobert, RogerAdp of the SNFIndividual02/15/2023
Zenner, BruceAdp of the SNFIndividual02/02/2014

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on May 14, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on November 26, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. 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 August 28, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 31, 2025: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Kalkaska Memorial Health Center's Medicare star rating?
CMS rates Kalkaska Memorial Health Center 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kalkaska Memorial Health Center get at its last inspection?
3 health deficiencies at the standard inspection on July 31, 2025. The Michigan average is 9.9.
Has Kalkaska Memorial Health Center been fined?
Yes. CMS lists 1 fine totaling $10,549 in the last three years.
Does Kalkaska Memorial Health Center 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 Kalkaska Memorial Health Center?
CMS lists 47 owners and managers. Legal business name: KALKASKA MEMORIAL HEALTH CENTER.

Sources

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