North Woods Nursing Center
2532 Cadillac Drive, Farwell, MI 48622 · Clare County · (989) 588-9928
71 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235464 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 8, 2026, inspectors cited 7 health deficiencies (the Michigan average is 9.9, the national average 9.2).
None of its 16 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.08 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
58.5% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to The Peplinski Group, an affiliated group of 10 nursing homes.
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.
403/24
310/24
203/25
704/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
7E
1F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard inspection · 7 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to implement an effective and current system of surveillance for staff illnesses to identify possible communicable diseases and infections to prevent the spread of an illness/outbreak, resulting in the potential for an outbreak to go undetected.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and record review, the facility failed to ensure call lights were within reach for one of three residents reviewed (Resident #60) for accommodation of needs.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were administered in accordance with physician orders and nursing professional standards of practice of 4 residents (Resident #1, #5, #47, and #57) out of 15 residents reviewed for medication administration.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement the facility policy for pressure injury prevention and management for 3 residents (Resident #32, #50, and #55) out of 5 reviewed for pressure injuries.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to maintain general cleanliness and repair of the premises. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living for residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to safely transport residents in wheelchairs for 2 residents (Resident #7 and #5) out of 15 residents reviewed for accidents and hazards.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to change and store oxygen tubing per physician orders and facility policy for three of five residents residents (Resident #42 , Resident #52, and Resident #73) reviewed for oxygen storage.
March 6, 2025Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control practices when providing peri-care for two residents (Resident #46 and Resident #2) of four reviewed for infection control, and when preparing medications for administration to residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to obtain and document vital signs prior to medication administration for 2 of 6 residents (Resident #6 and #51) reviewed for professional standards of practice.
October 1, 2024Complaint inspection · 3 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThis citation pertains to intake M100147294. Based on interviews and record review, the facility failed to ensure facility staff responded to (reported), and investigated, a witnessed staff to resident physical and verbal abuse timely for one resident (R4) of four residents reviewed for abuse, resulting in the staff member working several more shifts exposing (R4) and other vulnerable residents to further possible abuse.
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteThis citation pertains to intake M100147294. Based on interview and record review, the facility failed to provide an advanced written notification of a room change and obtain consent for 1 (R4) of 1 resident reviewed, resulting in the potential of a nonconsensual room change and emotional distress for the resident.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteThis citation pertains to intake M100147294. Based on interviews and record review, the facility failed to protect the resident's right to be free from staff to resident verbal and physical abuse for one (R4) of 4 residents reviewed for abuse.
March 27, 2024Standard inspection · 4 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to follow professional standards of nursing practice for medication administration for 4 of 11 residents (Resident #10, #11, #35, and #30), reviewed for the provision of nursing services, resulting in lack of vital sign and blood sugar assessments prior to medication administration, medications improperly administered, and management of controlled substances.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure that pre-admission screening/annual resident review (PASARR) level I and level II's were completed on admission and at the annual review for 1 of 1 resident (Resident #28) reviewed for PASARR screening/assessment.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to address the root causes of multiple falls and implement meaningful interventions for 1 (Resident #60) of 3 residents reviewed for falls, resulting in repeated falls.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to accurately monitor and prevent a significant weight loss for one (Resident #17) of two residents reviewed for nutrition and hydration. This deficient practice resulted in the potential for unmet nutritional needs and unnecessary weight loss.
Fire safety inspections
10 fire safety citations on file: 6 on April 8, 2026, 2 on March 6, 2025, 2 on March 27, 2024.
Every fire safety citation10 citations
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.08 | 3.99 | 3.86 |
| Registered nurses | 0.75 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.76 | 3.50 | 3.42 |
| Nurse aides | 2.82 | ||
| Licensed practical nurses | 0.51 | ||
| Nursing staff turnover (share who left in a year) | 58.5% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 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 4.21 on weekdays and 3.76 on weekends, 11% 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 4.03 in April to June 2025 to 4.08 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 | 4.08 | 0.75 | 4.21 | 3.76 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.93 | 0.78 | 4.04 | 3.64 | 9.4% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.91 | 0.82 | 4.06 | 3.55 | 3.5% | 0 of 92 | 62 |
| Apr to Jun 2025 | 4.03 | 0.80 | 4.15 | 3.74 | 9.8% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.9 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.0 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.3 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.8 |
Owners and operators
Legal business name: J & A HEALTH CARE SYSTEMS, INC.. CMS links this home to The Peplinski Group, a group of 10 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ackerman, Amy | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Ackerman, Ricky | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Baumgarten, Michael | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Baumgarten, Therese | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Peplinski, Sheli | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Peplinski, Todd | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Schade, Jeffery | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Schade, Tamara | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Thompson, Brian | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Thompson, Shelly | 5% or greater indirect ownership interest | Individual | 10% | 01/01/2012 |
| Peplinski, Todd | Corporate director | Individual | 01/01/2012 | |
| Schade, Jeffery | Corporate director | Individual | 01/01/2012 | |
| Thompson, Brian | Corporate director | Individual | 01/01/2012 | |
| Ackerman, Ricky | Corporate officer | Individual | 01/01/2012 | |
| Peplinski, Todd | Corporate officer | Individual | 01/01/2012 | |
| Schade, Jeffery | Corporate officer | Individual | 01/01/2012 | |
| Thompson, Brian | Corporate officer | Individual | 01/01/2012 | |
| Plante & Moran PLLC | Operational/managerial control | Organization | 01/01/2012 | |
| Ackerman, Ricky | Operational/managerial control | Individual | 01/01/2012 | |
| Painter, Dawn | Operational/managerial control | Individual | 07/10/2023 | |
| Schade, Jeffery | Operational/managerial control | Individual | 01/01/2012 | |
| Solarewicz, Maciej | Operational/managerial control | Individual | 06/01/2024 | |
| Thompson, Brian | Operational/managerial control | Individual | 01/01/2012 | |
| Winkels, Kathy | Operational/managerial control | Individual | 07/06/2016 | |
| Nwnc Estates, LLC | Adp of the SNF | Organization | 01/01/2012 | |
| Plante & Moran PLLC | Adp of the SNF | Organization | 04/03/2025 | |
| The Peplinski Group Inc | Adp of the SNF | Organization | 03/10/2025 | |
| Ackerman, Amy | Adp of the SNF | Individual | 01/01/2012 | |
| Ackerman, Ricky | Adp of the SNF | Individual | 01/01/2012 | |
| Baumgarten, Michael | Adp of the SNF | Individual | 01/01/2012 | |
| Baumgarten, Therese | Adp of the SNF | Individual | 01/01/2012 | |
| Painter, Dawn | Adp of the SNF | Individual | 07/10/2023 | |
| Peplinski, Sheli | Adp of the SNF | Individual | 01/01/2012 | |
| Peplinski, Todd | Adp of the SNF | Individual | 01/01/2012 | |
| Schade, Jeffery | Adp of the SNF | Individual | 01/01/2012 | |
| Schade, Tamara | Adp of the SNF | Individual | 01/01/2012 | |
| Solarewicz, Maciej | Adp of the SNF | Individual | 06/01/2024 | |
| Thompson, Brian | Adp of the SNF | Individual | 01/01/2012 | |
| Thompson, Shelly | Adp of the SNF | Individual | 01/01/2012 | |
| Winkels, Kathy | Adp of the SNF | Individual | 01/01/2012 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on April 8, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 8, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- 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 April 8, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 8, 2026: "Reasonably accommodate the needs and preferences of each resident."
Other nursing homes nearby
- Medilodge of Clare Clare, 7.7 mi · 5 of 5 stars · 8 citations
- Medilodge of Mt. Pleasant Mt. Pleasant, 18.7 mi · 3 of 5 stars · 21 citations
- The Laurels of Mt. Pleasant Mt. Pleasant, 19.2 mi · 5 of 5 stars · 10 citations
- Isabella County Medical Care Facility Mt. Pleasant, 19.2 mi · 5 of 5 stars · 4 citations
- Gladwin Pines Nursing and Rehabilitation Center Gladwin, 21.8 mi · 2 of 5 stars · 30 citations
- Gladwin Nursing and Rehabilitation Community Gladwin, 22.7 mi · 4 of 5 stars · 20 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is North Woods Nursing Center's Medicare star rating?
- CMS rates North Woods Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did North Woods Nursing Center get at its last inspection?
- 7 health deficiencies at the standard inspection on April 8, 2026. The Michigan average is 9.9.
- Has North Woods Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does North Woods Nursing 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 North Woods Nursing Center?
- CMS lists 40 owners and managers, and links the home to The Peplinski Group. Legal business name: J & A HEALTH CARE SYSTEMS, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.