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Munson Healthcare Otsego Memorial Hospital Ltcu

825 North Center Street, Gaylord, MI 49735 · Otsego County · (989) 731-2131

34 certified beds, about 27 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235006 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 1, 2026, inspectors cited 6 health deficiencies (the Michigan average is 9.9, the national average 9.2).

Of 15 health citations since March 2024, 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 5.14 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.95 of those hours.

36.1% 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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
1E
4F
Potential for minimal harm
0A
0B
0C
April 1, 2026Standard inspection, Complaint inspection · 6 citations
  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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteThis citation pertains to intake: 2614163Based on interview and record review, the facility failed to implement fall preventions for one Resident (R6) of two residents reviewed for falls. This deficient practice resulted in a fractured 5th digit for R6 when a fall mat and bed alarm were not in place and functioning.
  2. 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) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to:Implement an infection prevention and control program (IPCP) that included infection identification and surveillance to prevent the transmission of infectious organisms to all 24 residents in the facilityTrack and correlate a contagious and infectious organism for one Resident (R25) of five residents reviewed for infection prevention and control.
  4. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed toEnsure a discharge summary included a reconciliation of pre-discharge medications with the resident's post-discharge medications, and;Issue written notification of transfer for two Residents (R32 and R30) of four residents reviewed for closed records.
  5. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure Medication Regimen Reviews (MRR) were addressed by the attending physician for three Residents (R16, R3, & R4) of five residents reviewed for MRR and unnecessary medications.
  6. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide hospice documentation for two Residents (R2, and R22) out of two residents reviewed for hospice care services. This deficient practice resulted in incomplete documentation for services that were provided by hospice.
February 13, 2025Standard inspection · 4 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee met at least once per quarter with the required committee members resulting in the potential for quality-of-care concerns for all 27 residents in the facility.
  2. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on interview and record review the facility failed to provide evidence of documented monthly pharmacy medication regimen reviews (MRRs) and failed to appropriately follow a pharmacy recommendation for four Residents (3, 10, 15, 21) out of five residents reviewed for medication review. This deficient practice resulted in the potential for adverse medication side effects.
  3. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to: 1. Indicate a specific end date for as needed (PRN) psychotropic (drug that affects brain activity) medication for Residents #21. 2. Conduct an Abnormal Involuntary Movement Scale (AIMS) assessment (measures side effects of medications, i.e. tardive dyskinesia) for two Residents (#3 and #10), from a total of five residents reviewed for unnecessary medications.
  4. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a functional call light for one Resident (#129) of 12 residents reviewed for operational call lights. This deficient practice resulted in dissatisfaction with the timeliness of the provision of care and fear that care needs may not be met in an emergency.
March 27, 2024Standard inspection, Complaint inspection · 5 citations
  1. F
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide timely Electronic Medical Record (EMR) access for their annual recertification survey.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · 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) May 3, 2024
    Inspectors wroteThis citation pertains to intake: MI00143410 Based on interview and record review, the facility failed to prevent staff to resident verbal and physical abuse for three Residents (R3, R14, R19) of three residents reviewed for abuse. This deficient practice resulted in R19 expressing fear of exposure to continued rough treatment during cares and fear of retaliation and the likelihood of feeling degraded by derogatory and profane comments by R3 and R14 based on the reasonable person concept.
  3. 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) May 3, 2024
    Inspectors wroteThis citation pertains to intake: MI00143410 Based on interview and record review, the facility failed to report staff to resident verbal abuse for two Residents (R3, R14) of three residents reviewed for abuse.
  4. D
    Respond appropriately to all alleged violations.
    F610 · 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) May 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to conduct thorough investigations for allegations of verbal abuse for two Residents (R3, R14) of three residents reviewed for abuse. This deficient practice resulted in the potential for additional unidentified abuse.
  5. 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) May 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one Resident (R22) with limited mobility was appropriately set up for meal service to maintain mobility out of three residents reviewed for Range of Motion (ROM). This deficient practice resulted in R22 appearing to experience not being able to feed himself easily and the potential for decreased mobility and ROM.

Fire safety inspections

10 fire safety citations on file: 5 on April 1, 2026, 5 on March 27, 2024.

Every fire safety citation10 citations
  1. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · April 1, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · April 1, 2026 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 1, 2026 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 1, 2026 · Corrected (the home has a date of correction)
  5. D
    Have restrictions on the use of portable space heaters.
    K 781 · April 1, 2026 · Corrected (the home has a date of correction)
  6. F
    Address subsistence needs for staff and patients.
    E 15 · March 27, 2024 · Corrected (the home has a date of correction)
  7. F
    Establish policies and procedures including evacuation.
    E 20 · March 27, 2024 · Corrected (the home has a date of correction)
  8. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · March 27, 2024 · Corrected (the home has a date of correction)
  9. 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 · March 27, 2024 · Corrected (the home has a date of correction)
  10. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 27, 2024 · 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)5.143.993.86
Registered nurses1.950.780.69
All nursing staff on weekends4.803.503.42
Nurse aides2.96
Licensed practical nurses0.23
Nursing staff turnover (share who left in a year)36.1%44.1%45.8%
Registered nurse turnover38.5%39.2%42.9%
Administrators who leftnot reported

CMS expects 3.45 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 5.28 on weekdays and 4.80 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.30 in April to June 2025 to 5.14 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.141.955.284.80 0.0%0 of 9027
Oct to Dec 20254.471.434.574.21 0.0%0 of 9229
Jul to Sep 20254.261.634.483.69 0.0%0 of 9231
Apr to Jun 20254.301.544.503.79 0.0%0 of 9130
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.

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.

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
25.410.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.10.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.21.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.03.03.2
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 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
18.214.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.924.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.311.712.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Munson Healthcare Otsego Memorial Hospital Ltcu's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.5% 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

64.5% this home

Better than 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. 51 eligible stays.

Potentially preventable readmissions

10.2% 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. 63 eligible stays.

Infections that led to a hospital stay

6.2% 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. 26 eligible stays.

Self-care and mobility at discharge

23.4% 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. 47 residents counted.

Falls with major injury

1.8% 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. 56 residents counted.

New or worsened pressure ulcers

2.6% 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. 56 residents counted.

Medication list given at discharge

97.6% 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. 41 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: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL.

NameRoleTypeShareSince
Munson Healthcare5% or greater direct ownership interestOrganization100%10/02/2019
Bloem, KennethManaging control - governing bodyIndividual01/01/2022
Dixon, KathyManaging control - governing bodyIndividual01/01/2022
Hoppe, RuthManaging control - governing bodyIndividual01/01/2022
King, JenniferManaging control - governing bodyIndividual01/01/2024
Lanphier, EdwardManaging control - governing bodyIndividual01/01/2026
Menegebier, DavidManaging control - governing bodyIndividual01/01/2024
Nelson, TimothyManaging control - governing bodyIndividual01/01/2022
Ness, EdwinManaging control - governing bodyIndividual07/01/2004
Page, AndrewManaging control - governing bodyIndividual01/01/2024
Postma, BrianManaging control - governing bodyIndividual01/01/2022
Recchia, DinoManaging control - governing bodyIndividual01/01/2024
Roberts, OwenManaging control - governing bodyIndividual01/01/2022
Rowland, ClaudiaManaging control - governing bodyIndividual01/01/2026
Sanders, MaryManaging control - governing bodyIndividual01/01/2022
Schultz, VincentManaging control - governing bodyIndividual01/01/2024
Takano, SakuraManaging control - governing bodyIndividual01/01/2022
Thomas, KristineManaging control - governing bodyIndividual01/01/2022
Veryser, ThomasManaging control - governing bodyIndividual01/01/2022
Wood, ElaineManaging control - governing bodyIndividual01/01/2022
Zenner, BruceManaging control - governing bodyIndividual01/01/2022
Konopacki, PaulCorporate directorIndividual04/15/2025
Elliot, BenjaminOperational/managerial controlIndividual04/01/2025
Korth-White, KirstenOperational/managerial controlIndividual01/01/2025
Wisniewski, StevenOperational/managerial controlIndividual01/01/2024
Munson HealthcareTrustee of the SNFOrganization10/02/2019
Korth-White, KirstenTrustee of the SNFIndividual01/30/2023
Munson HealthcareAdp of the SNFOrganization05/15/2025
Bloem, KennethAdp of the SNFIndividual01/01/2022
Dixon, KathyAdp of the SNFIndividual01/01/2022
Elliot, BenjaminAdp of the SNFIndividual04/01/2025
Hoppe, RuthAdp of the SNFIndividual01/01/2022
King, JenniferAdp of the SNFIndividual01/01/2024
Konopacki, PaulAdp of the SNFIndividual04/15/2025
Korth-White, KirstenAdp of the SNFIndividual01/30/2023
Lanphier, EdwardAdp of the SNFIndividual01/01/2026
Menegebier, DavidAdp of the SNFIndividual01/01/2024
Nelson, TimothyAdp of the SNFIndividual01/01/2022
Ness, EdwinAdp of the SNFIndividual07/01/2004
Page, AndrewAdp of the SNFIndividual01/01/2024
Postma, BrianAdp of the SNFIndividual01/01/2022
Recchia, DinoAdp of the SNFIndividual01/01/2024
Roberts, OwenAdp of the SNFIndividual01/01/2022
Rowland, ClaudiaAdp of the SNFIndividual01/01/2026
Sanders, MaryAdp of the SNFIndividual01/01/2022
Schultz, VincentAdp of the SNFIndividual01/01/2024
Takano, SakuraAdp of the SNFIndividual01/01/2022
Thomas, KristineAdp of the SNFIndividual01/01/2022
Veryser, ThomasAdp of the SNFIndividual01/01/2022
Wisniewski, StevenAdp of the SNFIndividual01/01/2024
Wood, ElaineAdp of the SNFIndividual01/01/2022
Zenner, BruceAdp of the SNFIndividual01/01/2022

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 1, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on March 27, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 1, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on April 1, 2026: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."

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 Munson Healthcare Otsego Memorial Hospital Ltcu's Medicare star rating?
CMS rates Munson Healthcare Otsego Memorial Hospital Ltcu 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Munson Healthcare Otsego Memorial Hospital Ltcu get at its last inspection?
6 health deficiencies at the standard inspection on April 1, 2026. The Michigan average is 9.9.
Has Munson Healthcare Otsego Memorial Hospital Ltcu been fined?
CMS lists no fines in the last three years.
Does Munson Healthcare Otsego Memorial Hospital Ltcu 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 Munson Healthcare Otsego Memorial Hospital Ltcu?
CMS lists 52 owners and managers. Legal business name: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL.

Sources

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