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Manistee County Medical Care Facility

1505 East Parkdale Avenue, Manistee, MI 49660 · Manistee County · (231) 723-2543

78 certified beds, about 35 residents a day · Government - County · Medicare and Medicaid since 1967

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235003 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 1 health deficiency (the Michigan average is 9.9, the national average 9.2).

None of its 13 health citations since November 2023 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 6.28 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 2.32 of those hours.

30.9% 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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
0F
Potential for minimal harm
0A
0B
1C
December 4, 2025Standard inspection · 1 citation
  1. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure one Resident (#31) of five residents reviewed for eligible immunizations was offered a pneumococcal vaccine as recommended by the Centers for Disease Control and Prevention (CDC). Findings Include:Resident #31 (R31)Review of the electronic medical record (EMR) for R31, revealed initial admission to the facility on 7/19/16 with diagnoses including multiple sclerosis, dementia, and failure to thrive. The most recent pneumococcal immunization for R31 was administered on 6/27/17. The status of the next pneumococcal immunization read, refused. Review of R31's vaccination history on the Michigan Care Improvement Registry (MCIR), revealed the recommended date for the PCV20/PCV21(Pneumococcal 20-valent Conjugate/Pneumococcal 21-valent conjugate) vaccine was 6/27/22. [...]
October 9, 2024Standard inspection, Complaint inspection · 9 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the provision of dignified care and services for five Confidential Residents (C1, C2, C3, C4, and C5)) out of 13 residents reviewed for dgnity. This deficient practice resulted in feelings of intimidation, frustration, and fear of retaliation from facility staff.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteThis deficiency pertains to Intake MI00147245 and MI147343 Based on interview and record review, the facility failed to notify the state agency timely of reportable occurrences for one Residents (R199) of two residents reviewed for abuse.
  3. D
    Provide care by qualified persons according to each resident's written plan of care.
    F659 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure invasive blood sugar (glucometer) testing and insulin injections were administered by licensed nursing staff for one Resident (R19) out of 13 residents reviewed for qualified staffing. This deficient practice resulted in Certified Nurse Aide (CNA) B providing care outside the scope of practice when they administered insulin via injection and completed invasive blood glucose monitoring for R19.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary standards of care and services for diabetes management in one Resident (Resident #37) of one resident reviewed for diabetic management. This deficient practice resulted in the potential for diabetic related complications including organ damage, stroke, and death.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate support surfaces for residents with wounds, develop care plan interventions for pressure-reducing support surfaces, accurately document the stage of a pressure injury, and provide ongoing weekly skin assessments for one (Residents R43) of four residents reviewed for pressure injury, resulting in the potential for worsening pressure ulcers.
  6. 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) November 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions to address range of motion (ROM) for one resident (Resident #11) of two residents reviewed for limited range of motion. This deficient practice resulted in the potential for extreme pain, discomfort, and worsening of positions.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all medications and biologicals were stored in locked compartments accessible only by authorized personnel in one medication room, of one medication storage room reviewed during the medication storage task. This deficient practice resulted in the potential for medication diversion when the medication room door was propped open without supervision and the medication refrigerator was unlocked and utilized for staff food items.
  8. 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) November 4, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to adhere to Enhanced Barrier Precautions and follow infection control standards of practice in 2 of 2 residents (Resident #43 and Resident #12) review for infection control, resulting in the potential for the spread of infection.
  9. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete, post, and retain the required daily nurse staffing information. This deficient practice resulted in the inability of residents and visitors to determine the number of staff available to provide resident care and had the potential to affect all 45 residents in the facility.
November 15, 2023Standard inspection · 3 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent proper supervision of coffee carts for three of four hallways during an observation of the lunch service meal. This deficient practice resulted in the potential for residents who were deemed unsafe to handle hot liquids independently, to subsequently suffer burns and burn related medical complications.
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to securely store medications, for Resident #6 (R6), two of two medication rooms and one of two medication carts reviewed. This deficient practice resulted in the potential for expired medication use and misappropriation of Resident property.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication administration error rate less than 5%, for 3 of 25 medication administrations. This deficient practice resulted in a medication administration error rate of 12.00%, with the potential for medical complications in resident treatment and conditions.

Fire safety inspections

20 fire safety citations on file: 10 on December 4, 2025, 7 on October 9, 2024, 3 on November 15, 2023.

Every fire safety citation20 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · December 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · December 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 4, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 4, 2025 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 4, 2025 · Corrected (the home has a date of correction)
  7. E
    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 · December 4, 2025 · Corrected (the home has a date of correction)
  8. E
    Have exits that are accessible at all times.
    K 271 · December 4, 2025 · Corrected (the home has a date of correction)
  9. E
    Install proper backup exit lighting.
    K 281 · December 4, 2025 · Corrected (the home has a date of correction)
  10. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 4, 2025 · Corrected (the home has a date of correction)
  11. F
    Provide properly protected cooking facilities.
    K 324 · October 9, 2024 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 9, 2024 · Corrected (the home has a date of correction)
  13. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 9, 2024 · Corrected (the home has a date of correction)
  14. 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 · October 9, 2024 · Corrected (the home has a date of correction)
  15. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 9, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 9, 2024 · Corrected (the home has a date of correction)
  17. E
    Have proper medical gas storage and administration areas.
    K 923 · October 9, 2024 · Corrected (the home has a date of correction)
  18. 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 · November 15, 2023 · Corrected (the home has a date of correction)
  19. E
    Provide properly protected cooking facilities.
    K 324 · November 15, 2023 · Corrected (the home has a date of correction)
  20. E
    Install an approved automatic sprinkler system.
    K 351 · November 15, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)6.283.993.86
Registered nurses2.320.780.69
All nursing staff on weekends4.893.503.42
Nurse aides3.85
Licensed practical nurses0.10
Nursing staff turnover (share who left in a year)30.9%44.1%45.8%
Registered nurse turnover11.8%39.2%42.9%
Administrators who left0

CMS expects 3.56 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 6.84 on weekdays and 4.89 on weekends, 29% 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 5.59 in April to June 2025 to 6.28 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20266.282.326.844.89 0.0%0 of 9035
Oct to Dec 20256.012.246.454.87 0.0%0 of 9236
Jul to Sep 20255.521.965.964.39 0.0%0 of 9237
Apr to Jun 20255.591.926.064.42 0.0%0 of 9138
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.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for Michigan

JobMedianMiddle halfEmployed
Michigan, all employers
CNAs (nursing assistants)$19.03$18.35 to $21.5943,290
LPNs and LVNs$31.47$29.83 to $35.5210,880
Registered nurses$45.34$39.46 to $49.74104,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Manistee County Medical Care Facility. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
29.610.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.43.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
33.512.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.55.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.314.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.324.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.211.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Manistee 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 (50.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.1% 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. 68 eligible stays.

Potentially preventable readmissions

11.5% 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. 72 eligible stays.

Infections that led to a hospital stay

6.3% 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.

Self-care and mobility at discharge

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: 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. 13 residents counted.

Falls with major injury

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: 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. 15 residents counted.

New or worsened pressure ulcers

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: 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. 15 residents counted.

Medication list given at discharge

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. 2 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.

Owners and operators

Legal business name: MANISTEE COUNTY MEDICAL CARE.

NameRoleTypeShareSince
Bielski, LarryManaging control - governing bodyIndividual11/10/2014
McElrath, HattieManaging control - governing bodyIndividual10/01/2017
Parkes, DouglasManaging control - governing bodyIndividual11/01/2012
Manistee CountyOperational/managerial controlOrganization01/01/1960
Cabot, CassandraOperational/managerial controlIndividual07/05/2023
Cole, ShannonOperational/managerial controlIndividual09/27/2021
Coleman, JoeOperational/managerial controlIndividual07/21/2014
Falk, CrystalOperational/managerial controlIndividual08/26/2024
Hilliard-Johnson, MellissaOperational/managerial controlIndividual02/28/2022
McCann, MichaelOperational/managerial controlIndividual07/31/2023
McElrath, HattieOperational/managerial controlIndividual10/01/2017
Neal, TracyOperational/managerial controlIndividual03/21/2024
Parkes, DouglasOperational/managerial controlIndividual11/01/2012
Schlafley, JillianOperational/managerial controlIndividual07/19/2024
Sekuris, DawnOperational/managerial controlIndividual04/24/2023
Sullivan, RyanOperational/managerial controlIndividual03/16/2018
Taylor, BethOperational/managerial controlIndividual11/13/2008
Wissner, JackieOperational/managerial controlIndividual07/10/2023
Coleman, JoeAdp of the SNFIndividual07/21/2014
Falk, CrystalAdp of the SNFIndividual08/26/2024
Sullivan, RyanAdp of the SNFIndividual02/18/2025

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 4 problems in this area, most recently on October 9, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on October 9, 2024: "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."
  3. 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 December 4, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 9, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."

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Michigan contacts for a concern about a nursing home

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Common questions

What is Manistee County Medical Care Facility's Medicare star rating?
CMS rates Manistee County Medical Care Facility 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Manistee County Medical Care Facility get at its last inspection?
1 health deficiency at the standard inspection on December 4, 2025. The Michigan average is 9.9.
Has Manistee County Medical Care Facility been fined?
CMS lists no fines in the last three years.
Does Manistee County Medical Care Facility accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Manistee County Medical Care Facility?
CMS lists 21 owners and managers. Legal business name: MANISTEE COUNTY MEDICAL CARE.

Sources

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