288 Peace Blvd, St. Joseph, MI 49085 · Berrien County · (269) 556-9050
123 certified beds, about 113 residents a day · For profit - Corporation · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235623 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 16, 2025, inspectors cited 12 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 60 health citations since April 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $173,966 in the last three years; the largest was $121,186, and the latest is dated April 16, 2025.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
44.6% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 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 60 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1.) have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), 2.) maintain hydration carts' ice scoop holders in good repair and a sanitary manner, 3.) ensure facility staff use appropriate personal protective equipment (PPE) and enhanced barrier orders were in place in 2 of 2 residents (Resident #69 and Resident #1), reviewed for infection control practices, resulting in increased risk of transmission of multidrug-resistant organisms (MDROs), increased risk of infection among all residents in the facility or consumption of contaminated water.
Inspectors wroteBased on observation, interview, and record review, the facility to ensure urinary catheter equipment (internal urine drainage system) was maintained in a sanitary manner for 2 of 5 residents (R6 and R109) reviewed for urinary catheter care resulting in urinary catheter bags and tubing touching the floor resulting the potential for urinary tract infection (UTI).
Inspectors wroteThis citation pertains to intake 3028987. Based on interview and record review the facility failed to ensure facility staff obtained a resident's consent before searching through their personal property for 1 (Resident #5) of 7 residents reviewed for dignity resulting in feelings of anger and frustration.
Inspectors wroteThis citation pertains to intake 3027977. Based on observation, interview, and record review the facility failed to ensure the appropriate head of bed angle was maintained during tube feeding (delivers liquid nutrition through a flexible tube into the body) and as ordered between meals for 1 (Resident #14) of 1 resident reviewed for tube feeding resulting in the potential for aspiration (inhalation of substances into the airway), aspiration pneumonia (lung infection caused by inhaling foreign material), and/or discomfort.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1.) the published menu was served as planned, 2.) residents were informed of the menu change in advance and 3.) the Registered Dietitian (RD) was notified about these menu changes resulting in the potential for all residents that consume food from the kitchen to be dissatisfied with their meal service and for meals to not be nutritionally adequate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1.) hairnets were worn in the kitchen and 2.) desserts from the kitchen were covered that were transported across the facility, resulting in the potential for increased risk of foodborne illness and contamination of food.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure dignity with dining for 1 (Resident #110) of 3 residents reviewed for dignity with dining resulting in Resident #110 taking another resident's meal and consuming it.
Inspectors wroteThis citation pertains to intakes #2628754 and #2727216. Based on observation, interview, and record review, the facility failed to monitor the effectiveness of post elopement interventions for 1 resident (Resident #100) of 3 residents reviewed for accidents/hazards, resulting in Resident #100 who was assessed as an elopement risk and liked to have his door closed to potentially elope again.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure palatable and appetizing food was served to 2 (Resident #108 and Resident #109) of 2 residents reviewed for receiving palatable and appetizing food, resulting in potential for decreased oral intake.
Inspectors wroteThis citation pertains to MI00152746. Based on interview and record review, the facility failed to ensure nursing staff had appropriate skill sets for medication administration for 1 resident (Resident #1) of 4 residents reviewed for medication administration, resulting in the potential for residents residing in the facility to be unable to maintain the highest practicable physical, mental and psychosocial well-being and the potential for decreased resident safety.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was free from physical restraints imposed for the purpose of convenience in 1 of 1 resident (Resident #11) reviewed for restraints, resulting in the restriction of mobility, episodes of anxiety and frustration, a potential for decline in physical functioning, and an increased risk of injury.
Inspectors wroteBased on interview and record review, the facility failed to employ a staff with appropriate credentials to supervise and manage the dietary department resulting in the potential for food service sanitation failures, food borne illness and for clinical areas of dietary needs of all residents being compromised and unmet.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper label and dating of foods in the kitchen resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.
Inspectors wroteBased on observation and interview, the facility failed to maintain resident rooms (227, 216, 225, 222, 213) with clean floors, floors and dining chairs in the memory unit, and 2 of 2 residents (R6 and R87) with clean wheelchairs reviewed for environment resulting in decreased satisfaction of living conditions.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow professional standards of practice during medication administration for 2 (Resident #101 & #207) residents of 2 reviewed for medication administration, resulting in inaccurate documentation of medications, late/missed medications, and the potential for the worsening of medical conditions and residents not meeting their highest practicable level of wellbeing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all licensed nursing staff remained competent and possessed the technical and communication skill sets necessary to provide nursing and related services to meet the residents' needs in 2 of 2 resident (Resident #207 and Resident #101) resulting in mismanagement of controlled substances, and the potential for all residents residing in the facility to not attain or maintain their highest practicable level of physical, mental, functional and psychosocial well-being.
Inspectors wroteBased on interview and record review, the facility failed to maintain clear and concise controlled substance count and failed to accurately document administration of controlled substances impacting 9 residents (Resident #101, #207, #102, #36, #206, #86, #62, #43, #18) in 2 of 6 medication carts reviewed, resulting in the potential for overdose and/or ineffective management of pain, and the potential for drug diversion of controlled substances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1.) ensure adequate hand hygiene with Enhanced Barrier Precautions for 1 (R54) of 12 residents reviewed, 2.) ensure proper transportation of clean linen, 3.) maintain cleanliness of resident-shared equipment, and 4.) maintain an effective water management program to prevent Legionella, resulting in the potential for harborage and cross-contamination of infectious pathogens to a vulnerable population.
Inspectors wroteBased on interview and record review, the facility failed to ensure timely and consistent weight monitoring and complete and accurate documentation for 2 residents (Resident #100, Resident #31) of 5 residents reviewed for nutritional status resulting in undetected weight changes and potential for nutritional status decline and unmet nutritional needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere with professional standards of practice in assuring the appropriate aseptic, dating/labeling, and resident-specific treatment plan for infection control practices for IV (intravenous (within a vein)) fluids for 2 residents (R302 and R301) of two residents reviewed for PICC (a peripherally inserted central catheter inserted through a vein in the upper arm and moved to a large blood vessel near the heart) line dressing change, resulting in the potential of contracting an infection.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were eligible for recommended vaccines were offered vaccinations in a timely manner for 2 residents (Resident #101& #206) out of 5 residents reviewed for immunizations resulting in lack of documentation and the potential for developing vaccine preventable disease.
Inspectors wroteBased on interview and record review, the facility failed to ensure COVID-19 immunization were offered to 2 (Resident #101 & #206) of 5 residents, reviewed for COVID-19 immunizations, resulting in lack of documentation and the increased likelihood of severe infection and complications/death related to COVID-19.
Inspectors wroteThis citation pertains to MI00148844. Based on interview and record review, the facility failed to protect the resident's right to dignity and respect in 1 resident (Resident #5) of 4 residents reviewed for dignity, resulting in the potential for feelings of diminished self-worth, sadness, and frustration.
Inspectors wroteThis citation pertains to Intake #MI00146234 Based on interview and record review the facility failed to adhere to professional standards related to ensuring physician orders were in place, monitoring nephrostomy tubes, and providing timely nephrostomy tube care for 1 (Resident #3) of 8 residents reviewed for professional standards resulting in delayed order placement, monitoring, and care of nephrostomy tubes.
Inspectors wroteThis citation pertains to Intake #MI00146234 Based on interview and record review the facility failed to ensure proper care for nephrostomy catheter (tubes placed through the skin in the back directly into the kidneys to drain urine) in 1 (Resident #3) of 1 resident reviewed for nephrostomy catheter care resulting in the potential for decreased effectiveness, catheter dislodgement, and/or infection.
Inspectors wroteThis citation pertains to intake #MI00147013 Based on observations, interview, and record review the facility failed to provide prompt medical care after a fall for 1 (Resident #100) of 4 residents reviewed for falls resulting in Resident #100 experiencing significant pain, suffering, and a delay in emergent care after a fall with fracture.
Inspectors wroteThis citation pertains to intake MI00145692 Based on interview and record review the facility failed to ensure proper procedure for a facility-initiated discharge for 1 (Resident #106) of 1 resident reviewed for facility-initiated discharge resulting in the untimely and unapproved discharge of the resident from the facility.
Inspectors wroteBased on interview and record review the facility failed to provide written notice of transfer for 1 (Resident #101) of 2 resident reviewed for hospital transfers, resulting in the potential for the resident and/or the resident's representative to be unaware of the resident's transfer out of the facility, the reason for the resident's transfer out of the facility, and/or the resident's rights.
Inspectors wroteBased on interview and record review the facility failed to ensure professional nursing standards of documentation were maintained in 1 (Resident #101) of 12 reviewed for professional nursing standards resulting in the potential for inaccurate assessment, lack of monitoring a condition, and incomplete communication of care needs.
Inspectors wroteThis citation pertains to Intake MI00145627. Based on interview and record review, the facility failed to ensure a resident received timely treatment for an infection in 1 (Resident #103) of 4 residents reviewed for quality of care, resulting in Resident #103 not receiving antibiotic treatment for a urinary tract infection for 10 days after the infection was confirmed.
Inspectors wroteBased on interview and record review, the facility failed to consistently and timely monitor for antibiotic medication efficacy and adverse reaction in 1 (Resident #103) of 1 resident reviewed for medication monitoring, resulting in the potential for unrecognized side effects or ineffective treatment.
Inspectors wroteBased on interview and record review the facility failed to maintain clear, concise, and accurate medical records in 3 (Resident #101, Resident #106, and Resident #104) of 12 residents reviewed for clear, concise, and accurate medical records resulting in an incomplete record of care needs, and the potential for a diminished medical outcome.
Inspectors wroteBased on interview and record review, the facility failed to ensure safe transfer in 1 of 3 residents (Resident #101) reviewed for falls resulting in an unsafe transfer, fall and potential for injury.
Inspectors wroteThis citation pertains to intake #MI00137836 Based on observation, interview, and record review the facility failed to prevent the development of and worsening of pressure ulcers in 2 resident (Resident #9 and Resident #13) of 2 residents reviewed for pressure ulcers resulting in the development of (3) facility acquired pressure ulcers and the worsening of existing pressure ulcer.
Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure food product was stored off the floor; 2. Clean food and non-food contact surfaces to sight and touch; 2. Ensure general repair of the kitchen; and 4. Ensure staff practices to prevent service line contamination were followed. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 78 residents who consume food from the kitchen. Findings Include: 1. Food Storage: During an observation/interview on 3/24/24 at 9:26 AM during the initial kitchen/food service tour in the dry storage area, noted 3 stacked cases of canned food product placed directly on the floor. DM VV reported deliveries were received on Tuesdays and Thursdays and that he just hadn't had a chance to put those cases of food away yet. [...]
Inspectors wroteThis citation pertains to intake: MI00143316. Based on observations, interview, and record review, the facility failed to maintain the dignity and respond to resident call lights timely in 4 (Resident #79, Resident #77, Resident #11, and Resident #382 ) of 21 residents, resulting in residents experiencing a fear of falling, anxiety about potential bladder incontinence, and concern about receiving a timely response in the event of a medical emergency.
Inspectors wroteThis citation pertains to Intakes: MI00140381 and MI00139615. Based on interview and record review, the facility failed to implement policies and procedures for immediate reporting to the State Agency for 4 (Residents #10, #185, #38, and #68) of 9 residents reviewed for abuse reporting, resulting in the potential for further instances of abuse going undetected, unreported, or without thorough investigation.
Inspectors wroteBased on interview, and record review, the facility failed to complete annual performance reviews for 2 Certified Nursing Assistants (CNA's) (CNA's DD and FFFF) of 5 reviewed for regular in-service training, resulting in the potential for unidentified CNA performance concerns, a lack of training related to staff performance review outcomes, and the potential for unmet care needs.
Inspectors wroteBased on observation and interview, the facility failed to provide food in a palatable and appetizing temperature for four residents ( R45, R56, R382, and R40) of 21 residents reviewed for food temperature and palatability, resulting in reported meal dissatisfaction and the potential for decreased food acceptance and nutritional decline.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection prevention standards of practice for 1.) adequately identify positive and exposed Covid-19 residents for 2 of 3 residents (R66 and R18), 2.) appropriate use of personal protective equipment (PPE) for Transmission-Based Precautions residents for 3 of 3 residents (R382, R66, R18) of 21 residents reviewed for infection control, and 3.) cleaning, disinfection, maintaining resident-shared and resident-specific equipment, resulting in the potential for the spread of infection, cross-contamination, and disease transmission to a vulnerable population.
Inspectors wroteBased on observation, interview, and record review, the facility failed to keep the environment free from the accumulation of debris on resident's bathroom and bed area floors and toilets, resulting in the potential of bacterial harborage, a safe sanitary environment, and a possible decreased satisfaction of living conditions.
Inspectors wroteBased on interview and record review, the facility failed to implement an effective in-service training program for nurse aides that supported mandatory nurse aide attendance, tracked participation, and ensured continuing competence for 5 Certified Nurse Aides (identified as CNAs I, FFFF, F, HHHH and DD) of 6 CNAs whose in-service training files were reviewed, resulting in the potential for unmet resident care needs.
Inspectors wroteThis citation pertains to intake MI00143316 Based on observation, interview, and record review, the facility failed to ensure accommodations for specific care needs were meant for 1.) call light was accessible to 1 resident (R20) of 21 residents reviewed for accommodations of needs, resulting in the potential of unmeet care needs.
Inspectors wroteThis citation pertains to intake: MI00140381 Based on observations, interviews, and record review, the facility failed to protect the residents' right to be free from staff to resident physical and mental abuse for 1 resident (Resident #185) and resident to resident physical abuse for 1 (Resident #68) of 11 residents, resulting in abuse with the potential for psychosocial harm.
Inspectors wroteThis citation pertains to intake MI00137836 Based on observation, interview, and record review the facility failed to develop person centered care plans related to skin integrity and pressure ulcers for 1 resident (Resident #13) of 18 residents sampled for person centered care plans resulting in the the potiental for unmet care needs.
Inspectors wroteThis citation pertains to intake MI00137836. Based on observation, interview, and record review, the facility failed to update and revise the person-centered comprehensive care plan in a timely manner for two residents ( R186 and R9 ) of 21 residents reviewed for care plan revisions, resulting in the potential for physical, mental, and psychosocial unmet care needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents received care in accordance with professional standards of nursing practice (provide antibiotics and dressing changes as ordered) for 2 of 21 residents (Resident #79 and Resident #77) reviewed for following of physician's orders resulting in the potential for the worsening of a condition and a delay in treatment.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide sufficient organized group activities, variety of supplies and equipment, and meet activity needs and interests important to 2 (Resident #21, #36) of 7 residents reviewed for activities, resulting in potential for loss of interaction, joy, connectedness and identity in the facility's memory care unit.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate supra-pubic catheter care for 1of 2 residents (R40) reviewed for catheter care, resulting in the potential of an urinary tract infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to identify post traumatic stress disorder (PTSD) triggers and develop individualized care plan interventions to mitigate triggers for 1 (Resident #68) of 21 residents reviewed for trauma informed care, resulting in the potential of re-traumatization due to staff not being informed and knowledgeable of the resident's past trauma.
Inspectors wroteBased on interview and record review, the facility failed to ensure the attending physician reviewed and responded to the registered pharmacist's monthly medication regimen review recommendations for 1 (Resident #20) of 5 residents reviewed for medication regimen review, resulting in the registered pharmacist's recommendations not being addressed and the potential for negative medication side effects as a result of unaddressed recommendations.
Inspectors wroteBased on observation, interview, and record, the facility failed to ensure proper labeling and storage of medications in 2 of 2 medication rooms (medication room located on central and south unit) reviewed for medication labeling and storage, resulting in the potential for residents to receive expired medications with altered potency and decreased efficacy.
Inspectors wroteBased on observation, interview and record review, the facility failed to assess and provide foods that met the residents needs in 1 of 21 residents (Resident #12) reviewed for meals, resulting in the resident having weight loss and inability to maintain the ability to eat independently.
Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Adequately clean the main ice machine; 2. Ensure proper working order of the dish machine; 3. Properly store an item requiring refrigeration; and 4. Ensure potentially hazardous foods properly cool. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 65 residents who consume food from the kitchen. Findings Include: 1. During a tour of the kitchen, at 10:05 AM on 4/3/23, it was observed that an increased amount of black debris accumulation was observed on the plastic lip of the ice machine. When asked who cleans the ice machine, DM GG stated that maintenance takes care of the ice machine. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain resident dignity by responding to calls for assistance and/or providing necessary grooming in 4 of 4 residents (Resident #53, #5, #41, and #50) reviewed for dignity, resulting in the potential for decreased feelings of self-worth.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1) resident-shared equipment was properly cleaned/sanitized 2) commonly used/touched items were cleaned/sanitized 3) bathroom in the facility were maintained in sanitary conditions resulting in the potential for cross-contamination and bacterial harborage, and the spread of infection to a vulnerable population.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure confidential resident health information was protected and private for 3 of 6 residents (Residents #12, #26, and #32) reviewed for privacy and federally regulated HIPAA (Healthcare Insurance Portability and Accountability Act), resulting in the potential for unauthorized disclosure of protected health information.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an environment free from neglect for 1 resident (Resident #62) of 6 residents reviewed for abuse/neglect resulting in staff neglecting to serve Resident #62 her entire breakfast meal, causing stomach pain, feelings of hunger, frustration and the potential for increased hunger pains, weight loss, and loss of necessary nutrients.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision and effective interventions for 1 Resident (Resident # 24) of 4 reviewed for accidents, resulting in a potential for serious injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate staff on the memory care unit to meet resident needs for 1 residents (Resident #62) reviewed for staffing resulting in Resident #62 missing an entire breakfast meal, and resident care and needs not being consistently met and the potential for negative outcomes.
16 fire safety citations on file: 5 on April 16, 2025, 4 on April 3, 2024, 7 on April 5, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 16, 2025 | Fine | $121,186 |
| April 16, 2025 | Payment Denial | 29 days from May 14, 2025 |
| October 3, 2024 | Fine | $52,780 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.29 | 3.99 | 3.86 |
| Registered nurses | 0.77 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.50 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 44.6% | 44.1% | 45.8% |
| Registered nurse turnover | 58.3% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.52 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 3.50 on weekdays and 2.77 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.29 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 | 3.29 | 0.77 | 3.50 | 2.77 | 0.8% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.24 | 0.76 | 3.43 | 2.77 | 1.1% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.30 | 0.85 | 3.48 | 2.83 | 1.4% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.34 | 0.89 | 3.53 | 2.86 | 1.4% | 0 of 91 | 97 |
| 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.
| 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 | 28.6 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 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 | 37.8 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.1 | 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 | 25.3 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Royalton Manor, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (35.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
35.4% 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. 40 eligible stays.
9.8% 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. 47 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 36 eligible stays.
70.8% 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. 24 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. 50 residents counted.
1.3% 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. 50 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 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: ROYALTON MANOR, LLC. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Khan, Anis | Managing control - governing body | Individual | 12/16/1997 | |
| Qazi, Mohammad | Managing control - governing body | Individual | 12/16/2007 | |
| Ciena Healthcare Management Inc | Operational/managerial control | Organization | 12/16/2007 | |
| Khan, Anis | Operational/managerial control | Individual | 12/16/2007 | |
| Papendick, Keith | Operational/managerial control | Individual | 01/01/2025 | |
| Qazi, Mohammad | Operational/managerial control | Individual | 12/16/2007 | |
| Raza, Ali | Operational/managerial control | Individual | 03/19/2024 | |
| Ciena Healthcare Management Inc | Adp of the SNF | Organization | 03/21/2025 | |
| Mohammad a Qazi Living Trust Dated 09/26/97 | Adp of the SNF | Organization | 12/16/2007 | |
| Deutsch, Neal | Adp of the SNF | Individual | 08/01/2009 | |
| Gardina, Anna | Adp of the SNF | Individual | 08/01/2009 | |
| Khan, Anis | Adp of the SNF | Individual | 12/16/1997 | |
| Papendick, Keith | Adp of the SNF | Individual | 01/01/2025 | |
| Qazi, Mohammad | Adp of the SNF | Individual | 12/16/2007 | |
| Raza, Ali | Adp of the SNF | Individual | 03/19/2024 |
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.
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.