Paul Oliver Memorial Hospital Ltcu
224 Park Avenue, Frankfort, MI 49635 · Benzie County · (231) 352-2200
35 certified beds, about 28 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987
CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235460 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 6, 2026, inspectors cited 5 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 17 health citations since February 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 5.86 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.74 of those hours.
22.5% 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.
1002/24
106/24
103/25
505/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
2E
3F
Potential for minimal harm
0A
0B
1C
May 6, 2026Standard inspection · 5 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medication reconciliation was completed shift to shift per standards of practice for two of two medication carts and one of one medication rooms reviewed for pharmaceutical services.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to store medications in a safe manner for two of two medication carts and one of one medication rooms reviewed for medication storage.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure a Level II PASARR (Preadmission Screening and Annual Record Review) evaluation was completed on 1 Resident (#7) of 1 sampled residents for preadmission screening and annual record review for mental health needs or intellectual disabilities.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent the development of a pressure ulcer and document measurements per standards of practice for one Resident (#4) of three residents reviewed for pressure ulcer development.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure respiratory equipment was stored in a clean and sanitary manner between resident use for three Residents (#5, # 37, #38) of four residents reviewed for respiratory care.
March 20, 2025Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety as evidenced by failing to ensure that potentially hazardous foods were dated and disposed of when expired and failed to maintain equipment and serving utensils in a sanitary manner. This deficient practice had the potential to result in food borne illness among any of the 29 residents in the facility.
June 27, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect one Resident (Resident #1) from sexual abuse by a facility employee of 3 residents reviewed for abuse and neglect. This deficient practice resulted in Resident #1 experiencing feelings of embarrassment, anxiety, and fear.
February 28, 2024Standard inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety potentially resulting in a food borne illness among any or all 24 residents.
- F 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 provide a safe, functional and sanitary environment for residents, staff and the public potentially affecting all 24 residents.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review, the facility failed to ensure written information was provided to two Resident/Representatives (#8 and #16) of two residents reviewed for written notice of bed hold. This deficient practice resulted in the potential for residents/representatives being unaware of incurring expenses related to reserve payment.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure interventions for turning/repositioning were implemented and accurately documented for one Resident (#8) of three residents reviewed for pressure ulcers. This deficient practice resulted in the potential for worsening of an existing pressure ulcer for a high-risk resident [Resident #8].
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide timely urinary catheter (tube designed to drain bladder) care for one Resident (#11) of one resident reviewed for urinary catheter care. This deficient practice resulted in the potential for complications related to urinary tract infection.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review the facility failed to coordinate behavioral health services for one Resident (#19) of two residents reviewed for mood and behavior. This deficient practice resulted in the potential for continued unstable mood/behaviors and impaired psychosocial well-being.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure follow-up for the highest practicable mental and psychosocial well-being for one Resident (R276) of one resident reviewed for mental health services. This deficient practice resulted in adjustment difficulty and a lack of participation in both therapy and dialysis services.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview, and record review the facility failed to provide evidence of documented monthly pharmacy medication regimen reviews (MRRs) for two residents (R6 and R22) out of five residents reviewed for unnecessary medications. This deficient practice resulted in the potential for unnecessary medications and/or adverse medication side effects.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain administration error rate less than 5% for 2 of 30 medication administrations. This deficient practice resulted in a medication error rate of 6.67% with the potential for medication complications related to resident medication treatments for various conditions.
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform appropriate infection control practices for 3 residents (Resident #22, Resident #11, Resident #276) of 24 residents reviewed for infection control as evidenced by failure to: 1. Failure to date distilled water for use in C-pap. 2. Set up and administer medications to prevent cross contamination. 3. Failure to store medications in cart to prevent cross contamination. This deficient practice resulted in the potential of transmission of infectious organisms and disease within the facility.
Fire safety inspections
5 fire safety citations on file: 1 on May 6, 2026, 2 on March 20, 2025, 2 on February 28, 2024.
Every fire safety citation5 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 27, 2024 | Payment Denial | 8 days from July 26, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.86 | 3.99 | 3.86 |
| Registered nurses | 1.74 | 0.78 | 0.69 |
| All nursing staff on weekends | 5.35 | 3.50 | 3.42 |
| Nurse aides | 3.55 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 22.5% | 44.1% | 45.8% |
| Registered nurse turnover | 28.6% | 39.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.72 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 6.07 on weekdays and 5.35 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.04 in April to June 2025 to 5.86 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 | 5.86 | 1.74 | 6.07 | 5.35 | 0.4% | 0 of 90 | 28 |
| Oct to Dec 2025 | 6.58 | 1.83 | 6.89 | 5.77 | 0.0% | 0 of 92 | 25 |
| Jul to Sep 2025 | 6.21 | 2.15 | 6.53 | 5.37 | 0.0% | 2 of 92 | 26 |
| Apr to Jun 2025 | 6.04 | 2.07 | 6.38 | 5.17 | 0.6% | 0 of 91 | 28 |
| 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 | 11.5 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 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 | 0.0 | 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 | 19.7 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.8 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.4 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 11.7 | 12.0 |
Owners and operators
Legal business name: PAUL OLIVER MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bloem, Kenneth | Managing control - governing body | Individual | 01/01/2022 | |
| Dixon, Kathy | Managing control - governing body | Individual | 01/01/2022 | |
| Hoppe, Ruth | Managing control - governing body | Individual | 01/01/2022 | |
| King, Jennifer | Managing control - governing body | Individual | 01/01/2024 | |
| Menegebier, David | Managing control - governing body | Individual | 01/01/2024 | |
| Nelson, Timothy | Managing control - governing body | Individual | 01/01/2013 | |
| Ness, Edwin | Managing control - governing body | Individual | 07/01/2004 | |
| Page, Andrew | Managing control - governing body | Individual | 01/01/2024 | |
| Postma, Brian | Managing control - governing body | Individual | 01/01/2022 | |
| Recchia, Dino | Managing control - governing body | Individual | 01/01/2024 | |
| Roberts, Owen | Managing control - governing body | Individual | 01/01/2022 | |
| Sanders, Mary | Managing control - governing body | Individual | 01/01/2022 | |
| Schultz, Vincent | Managing control - governing body | Individual | 01/01/2024 | |
| Takano, Sakura | Managing control - governing body | Individual | 01/01/2022 | |
| Thomas, Kristine | Managing control - governing body | Individual | 01/01/2022 | |
| Veryser, Thomas | Managing control - governing body | Individual | 01/01/2022 | |
| Wood, Elaine | Managing control - governing body | Individual | 01/01/2022 | |
| Zenner, Bruce | Managing control - governing body | Individual | 01/01/2022 | |
| Konopacki, Paul | Corporate director | Individual | 12/27/2024 | |
| Lanphier, Edward | Corporate director | Individual | 01/01/2026 | |
| Rowland, Claudia | Corporate director | Individual | 01/01/2026 | |
| Konopacki, Paul | Corporate officer | Individual | 12/27/2024 | |
| Lanphier, Edward | Corporate officer | Individual | 01/01/2026 | |
| Marinoff, Peter | Corporate officer | Individual | 01/01/2024 | |
| Rowland, Claudia | Corporate officer | Individual | 01/01/2026 | |
| Munson Healthcare | Operational/managerial control | Organization | 08/09/1985 | |
| Marinoff, Peter | Operational/managerial control | Individual | 01/01/2024 | |
| Munson Healthcare | Adp of the SNF | Organization | 02/28/2010 | |
| Bloem, Kenneth | Adp of the SNF | Individual | 01/01/2022 | |
| Dixon, Kathy | Adp of the SNF | Individual | 01/01/2022 | |
| Hoppe, Ruth | Adp of the SNF | Individual | 01/01/2022 | |
| King, Jennifer | Adp of the SNF | Individual | 01/01/2024 | |
| Marinoff, Peter | Adp of the SNF | Individual | 01/01/2024 | |
| Menegebier, David | Adp of the SNF | Individual | 01/01/2024 | |
| Nelson, Timothy | Adp of the SNF | Individual | 01/01/2013 | |
| Ness, Edwin | Adp of the SNF | Individual | 07/01/2004 | |
| Page, Andrew | Adp of the SNF | Individual | 01/01/2024 | |
| Postma, Brian | Adp of the SNF | Individual | 01/01/2022 | |
| Recchia, Dino | Adp of the SNF | Individual | 01/01/2024 | |
| Roberts, Owen | Adp of the SNF | Individual | 01/01/2022 | |
| Sanders, Mary | Adp of the SNF | Individual | 01/01/2022 | |
| Schultz, Vincent | Adp of the SNF | Individual | 01/01/2024 | |
| Takano, Sakura | Adp of the SNF | Individual | 01/01/2022 | |
| Thomas, Kristine | Adp of the SNF | Individual | 01/01/2022 | |
| Veryser, Thomas | Adp of the SNF | Individual | 01/01/2022 | |
| Wood, Elaine | Adp of the SNF | Individual | 01/01/2022 | |
| Zenner, Bruce | Adp of the SNF | Individual | 01/01/2022 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on May 6, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 6, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 20, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 6, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
Other nursing homes nearby
- Maples Benzie County Medical Care Frankfort, 2.1 mi · 5 of 5 stars · 19 citations
- Maple Valley Nursing Home Maple Valley, 23.4 mi · 3 of 5 stars · 45 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 Paul Oliver Memorial Hospital Ltcu's Medicare star rating?
- CMS rates Paul Oliver Memorial Hospital Ltcu 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Paul Oliver Memorial Hospital Ltcu get at its last inspection?
- 5 health deficiencies at the standard inspection on May 6, 2026. The Michigan average is 9.9.
- Has Paul Oliver Memorial Hospital Ltcu been fined?
- CMS lists no fines in the last three years.
- Does Paul Oliver 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 Paul Oliver Memorial Hospital Ltcu?
- CMS lists 47 owners and managers. Legal business name: PAUL OLIVER MEMORIAL HOSPITAL.
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.