400 North Street West, Tawas City, MI 48763 · Iosco County · (989) 362-8645
85 certified beds, about 74 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235379 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 12, 2025, inspectors cited 10 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 31 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.90 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.
37.7% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Medilodge, an affiliated group of 53 nursing homes.
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 31 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure that two residents (Resident #9 and Resident #72) were adequately supervised to prevent falls out of 5 residents reviewed for falls, resulting in the likelihood of a fear of falling, skin tears, head injuries with hospitalization and repeated individual falls. Resident #9: Record review of the facility provided CMS-802 'Resident Matrix' identified Resident #9 as had a fall with injury. An observation and interview on 09/10/2025 at 10:19 AM with Resident #9 revealed that she was laying on the top of her bed with the room partition/privacy curtain pulled so that the resident could not be observed from the doorway of the room. Resident #9 stated that she did have a fall at her closet but could not recall when the fall had occurred. Resident #9 stated that she did have a broken arm from the fall and tailbone pain. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to implement and operationalize a comprehensive infection control program, encompassing accurate outcome and process surveillance, accurate data collection/documentation/analysis, failure to ensure readily accessible hand hygiene supplies/equipment, and appropriate use of Personal Protective Equipment (PPE) for transmission-based isolation precautions, resulting in a lack of accurate and comprehensive infection control tracking, surveillance and data monitoring/analysis, a lack of hand hygiene completion, PPE use, and the likelihood for the spread of microorganisms and illness to all 73 facility residents.
Inspectors wroteBased on interview, and record review the facility failed to implement and operationalize a comprehensive Antibiotic Stewardship Program including documentation and treatment for three residents (#31, #35, and #44) of three residents reviewed for antimicrobial treatment and the potential to affect all facility residents by means of unnecessary and inappropriate antibiotic and antimicrobial medication utilization, antibiotic resistance, and ongoing infection.
Inspectors wroteBased on interviews and record reviews, the facility failed to prevent facility-acquired urinary infections for 4 residents' (#31, # 35, #44, #70) of 4 sampled residents, resulting in likelihood for recurrent urinary tract infections with prolonged illness or hospitalization and antibiotic therapy.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe medication storage for 2 residents (Resident #30 and Resident #33) of 18 residents reviewed for medications left in rooms, resulting in the potential for ingestion of medications.
Inspectors wroteBased on observation, interview and record review, the facility failed to update/revise individualized, person-centered care plans to reflect changing care needs for 1 resident (Resident #9), of 18 residents reviewed for care plans.
Inspectors wroteBased on observation, interview and record review, the facility failed to identify skin breakdown for three residents (#3, #13, #70) resulting in the lack of implementation of interventions to prevent skin injury, the worsening of skin injuries, pain, discomfort, and the likelihood of prolonged illness or hospitalization.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that Peripherally Inserted Central Catheter (PICC) line care was provided, per professional standards of practice, for one resident (Resident #2) of one resident reviewed, resulting in a lack of sterile technique during dressing change and a lack of accurate measurement of arm circumference.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that respiratory care and oxygen therapy administration tubing was changed per Health Care Provider's (HCP) order for one resident (Resident #2) of one resident reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the appropriate backflow prevention was installed on cross connections. This deficient practice increases the likelihood of contamination of the water supply due to a backflow event, potentially affecting all residents, staff, and visitors who consume water at the facility.
Inspectors wroteThis Citation pertains to Intake Number 2580560. Based on interview and record review, the facility failed to ensure that professional standards of care were given (assess, monitor and promptly report to the physician a change of condition regarding surgical wounds) and follow the care plan for one resident (Resident #101) of 3 residents reviewed for professional standards of care resulting in sepsis, 2 surgeries (debridement's of sternum and left leg surgical wounds), antibiotics, and hospitalization stay. Findings Include:Resident #101:Based on Face Sheet, Minimum Data Set (MDS, dated [DATE], revealed Resident #101 was [AGE] years old, fully alert and able to make her own healthcare decisions and required assistance with Activities of Daily Living/ADL's. [...]
Inspectors wroteThis Citation Pertains to Intake Number MI00149747. Based on observation, interview and record review, the facility failed to ensure comprehensive assessment and timely implementation of a plan of care and interventions for one resident (Resident #703) of three residents reviewed, resulting in the lack of facility and staff knowledge of the resident's situation, history of inappropriate sexual behaviors, and the potential for unmet care needs and Resident #703 and other facility Residents to experience psychosocial injury.
Inspectors wroteThis Citation pertains to Intake Numbers MI00146271 and MI00146574. Based on observation, interview and record review, the facility failed to provide assistance with Activities of Daily Living (ADL) care (showers, nail care, hair care, general hygiene) in a timely manner for six residents (#6, #25, #27, #29, #31, and #178) of 19 residents reviewed, resulting in a lack of hygiene with showers, nail care, hair washing, and general hygiene of six residents to have unmet needs, anger/frustration, embarrassment, and complaints.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide palatable meals for four residents (Resident #7, Resident #9, Resident #36, Resident #57) of 30 residents reviewed for the dining task, resulting in complaints of dried food items and soggy bread with the likelihood of decreased food consumption.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a clean and sanitary kitchen, serve food sanitarily and discard expired foods for a census of 71 residents who consume food from the kitchen, resulting in the likelihood for food borne illness with possible hospitalization. Findings Include: Review of the U.S. Public Health Service 2009 Food Code, as adopted by the Michigan Food Law, effective October 1, 2012, revealed all potentially hazardous foods must have an open and use-by date. The food items must be disposed of on or after the use-by date. During the initial kitchen walk through done on 9/3/24 at 10:30 a.m., accompanied by Registered Dietitian A, the following concerns were observed: Kitchen initial tour: On 9/3/24 starting at 10:15 a.m., the initial tour of the kitchen accompanied by Registered Dietitian/RD A the following observations were made: [...]
Inspectors wroteThis Citation pertains to Intake Number MI00146574. Based on observation, interview and record review, the facility failed to ensure that the A-Hall (the Memory Care/Dementia/Behavioral secured unit) eliminated lingering odors, resulting in unsanitary environment, lingering foul odors, angry staff, with the likelihood of embarrassment from residents and staff. Findings Include: Observation of A-Hall locked unit was done on 9/3/24 at 10:53 a.m. The carpet starting at the door down to the main dining/activity room had a very strong odor of urine. During an interview done on 9/4/24 at 10:10 a.m., Staff K stated You have to use hot water and disinfectant and it will deactivate the glue, it will be deactivated (carpet will come up). It was stained on the first day it was put down with (BM). [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to include a Post Traumatic Stress Disorder (PTSD) diagnosis in the comprehensive admission assessment noted on the CMS 802 form, dated 9/3/2024 and on 9/5/2024, for one resident (Resident #178) out of 19 residents reviewed for assessments, resulting in the likelihood for an inaccurate assessment of the resident's abilities, treatments and unmet needs.
Inspectors wroteThis Citation pertains to Intake Number MI00146574. Based on observation, interview and record review, the facility failed to develop a comprehensive and individualized care plan related to Resident #178 required oxygen therapy at bedtime and Activities of Daily Living (showers) of 19 residents reviewed, resulting in Resident #178 to have the likelihood of unmet needs.
Inspectors wroteThis Citation pertains to Intake Number MI00146574. Based on observation, interview and record review, the facility failed to order and ensure the administration of oxygen at bedtime for one resident (Resident #178) out of 2 residents reviewed, resulting in the likelihood for oxygen desaturation at nighttime, confusion, and shortness of breath/hypoxia.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that three medication carts and one treatment cart were clean and sanitary of 5 medication carts and 2 treatment carts, resulting in the unsanitary condition of medication carts, cross contamination, and the unaccounted for loss of 1 medication. Findings Include: Observation of medication cart C and cart D was done on 9/3/24 at 9:48 a.m. and at 9:55 a.m., accompanied by Nurse, LPN J. During observation of medication cart C, drawers second and third were noted to have crushed medications and papers in the back of the drawers. During observation of medication cart D, the second drawer had white crushed medications and papers in the back of the drawer. During an interview done on 9/3/24 at 9:55 a.m., Nurse J stated Night's cleans it (6:00 p.m. to 6:00 a.m., cleans medication carts). [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow food preferences and food dislikes for two residents (Resident #31, Resident #57) of 2 residents reviewed for preferences and food dislikes, resulting in decreased food intake, and frustration with the possibility of hunger.
Inspectors wroteThis Citation pertains to Intake Number MI00145682 Based on observation, interview, and record review, the facility failed to ensure that residents were treated with dignity and respect and failed to ensure that residents' concerns/grievances were promptly reviewed for 7 of 9 residents (Resident #24, #8, #7, #11, #12, #13, and #14) and residents in attendance at a Resident Council Meeting, reviewed for dignity and respect, resulting in feelings of anxiety and frustration.
Inspectors wroteThis Citation pertains to Intake Numbers MI00136509 and MI00142061. Based on interview and record review the facility failed to follow professional standards of nursing practice for medication administration for 6 residents (Resident #17, #18, #19, #23, #14, and #21), out of 10 residents reviewed for the provision of nursing services, resulting in the lack of assessments, medications administered outside of the physician ordered parameters, and medication errors.
Inspectors wroteThis Citation pertains to Intake Numbers MI00136715 and MI00137985. Based on interview and record review, the facility failed to ensure that one resident (Resident #3), who had been deemed incompetent to make medical decisions, had a legal guardian in place to guide medical decision making according to the resident's Advanced Directives.
Inspectors wroteThis Citation pertains to Intake Number MI00142331. Based on interview and record review, the facility failed to ensure a resident who experienced a fall was assessed timely with adequate monitoring, assessments, and physician notification for 1 of 10 residents (R#11) reviewed for quality of care, resulting in a delay in care and treatment for an acute T11 spinal fracture.
Inspectors wroteBased on observation, interview and record review, the facility failed to 1) Ensure that staff treated residents with dignity and respect (honoring preferences and staff to resident dignified communication for 5 residents (Residents #35, #36, #50, #59, #165) and per confidential Resident Council Group meeting held on 9/20/23 at 11:00 a.m., and 2) Ensure that Activities of Daily Living (ADL/personal care) was completed for one resident (Resident #29), resulting in the likelihood for decreased self-esteem, verbalization of anger, fearfulness of staff and embarrassment with increased behaviors. Findings Include: Review of the facility Promoting/Maintaining Resident Dignity policy dated 1/1/22, reported All staff members are involved in providing care to residents to promote and maintain resident dignity and respect resident's rights. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to 1) Ensure proper reference checks upon hire, and 2) Ensure adequate staffing to meet resident needs and answer call lights per confidential resident counsel interviews and individual resident interviews, resulting in the potential for insufficient and unmet resident care needs, feelings of frustration, and facility census of 49 (9 in secure dementia unit) on the main resident living area to have 24 residents that required two person/staff assistance with daily care and the facility to only schedule one certified nurse assistant per hallway potentially affecting all 49 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to: 1) Correctly label and date medications for two residents (Resident #21 and Resident #31) and 2) Ensure that Medication Cart 'C' was free of loose tablet medications for 1 (C-hall) cart of 4 medication carts, resulting in the potential for medications to be mislabeled and expired due to the lack of open dates, and potential for cross contamination and ineffective medications.
Inspectors wroteBased on interview and record review, the facility failed to do a complete and accurate line list (tracking) of resident and staff infections/illnesses, and analysis of resident and staff infection control data for August 2023, resulting in the high likelihood for cross contamination, resident illnesses, increased antibiotic usage, an increase in multiple antibiotic resistant organisms with possible hospitalization. Findings Include: Review of the facility Monthly Analysis and Summary/QAPI Committee Infection Prevention/Control Report dated August 2023, revealed no documentation at all in sections: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that 10 residents (Residents #1, #9, #16, #21, #26, #32, #33, #43, #42 and #46) were up to date on their Prevnar 20/Pneumococcal 20/PVC 20) vaccine, resulting in the high likelihood for pneumonia infection (respiratory infection), hospitalization with possible death. Findings Include: Review of the facility Pneumococcal Vaccine policy dated 5/1/22, reported It is our policy to offer our residents, staff, and volunteer workers immunization against pneumococcal disease in accordance with current CDC guidelines and recommendations. Review of all facility resident's vaccination records (admission dates), revealed 10 resident's (Resident's #1, #9, #16, #21, #26, #32, #33, #43, #42 and #46) where not up to date with their PVC 20. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that two residents (Resident #46 & Resident #57) were assessed and removed from the floor per facility post-fall protocol, resulting in the likelihood for injury, and hospitalization with a fracture.
3 fire safety citations on file: 2 on September 12, 2025, 1 on September 10, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.90 | 3.99 | 3.86 |
| Registered nurses | 1.03 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.50 | 3.42 |
| Nurse aides | 2.57 | ||
| Licensed practical nurses | 0.30 | ||
| Nursing staff turnover (share who left in a year) | 37.7% | 44.1% | 45.8% |
| Registered nurse turnover | 0.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 4.17 on weekdays and 3.24 on weekends, 22% 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 4.07 in April to June 2025 to 3.90 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.90 | 1.03 | 4.17 | 3.24 | 0.0% | 0 of 90 | 74 |
| Oct to Dec 2025 | 4.22 | 0.98 | 4.53 | 3.45 | 0.0% | 0 of 92 | 75 |
| Jul to Sep 2025 | 4.18 | 0.87 | 4.49 | 3.41 | 0.0% | 0 of 92 | 75 |
| Apr to Jun 2025 | 4.07 | 0.88 | 4.36 | 3.34 | 0.0% | 0 of 91 | 72 |
| 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 | 6.9 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.4 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.8 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.9 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.4 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Medilodge of Tawas City's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.7% 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. 60 eligible stays.
10.5% 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. 70 eligible stays.
7.4% 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. 37 eligible stays.
66.7% 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. 39 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. 65 residents counted.
0.0% 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. 65 residents counted.
100.0% this home
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. 29 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: TAWAS CITY OPCO LLC. CMS links this home to Medilodge, a group of 53 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Everest Opco Group LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2018 |
| B&y Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 02/01/2018 | |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 02/01/2018 | |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 02/01/2018 | |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 02/01/2018 | |
| Norcross, Robert | Contracted managing employee | Individual | 02/01/2018 | |
| Rogers, Stacey | Contracted managing employee | Individual | 02/01/2018 | |
| Kirk, Kristine | W-2 managing employee | Individual | 02/01/2018 | |
| Flashner, Craig | Corporate director | Individual | 02/01/2018 | |
| Perlstein, Yitzchok | Corporate director | Individual | 02/01/2018 | |
| Flashner, Craig | Corporate officer | Individual | 02/02/2018 | |
| Perlstein, Yitzchok | Corporate officer | Individual | 02/02/2018 | |
| Blossom Healthcare Management LLC | Operational/managerial control | Organization | 02/01/2018 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 02/01/2018 | |
| Flashner, Craig | Operational/managerial control | Individual | 02/01/2018 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 02/01/2018 |
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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