1285 Cleaver Road, Caro, MI 48723 · Tuscola County · (989) 673-4117
159 certified beds, about 135 residents a day · Government - County · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235089 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 12, 2025, inspectors cited 7 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 23 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.95 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
24.5% of nursing staff left within the year CMS measured (Michigan average 44.1%).
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 23 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area, resulting in the potential to spread food borne illness to all residents who consume food from the kitchen. Findings Include:On 12/9/25 at 10:15 AM, an initial tour of the kitchen was conducted with Dietary Manager (DM) C. The following observations were made: -A drain from the walk-in freezer drained into a hole in the floor. The tube was lower than the floor. -A drain that the DM reported she thought it was for the ice machine, was observed going into a cut out from the floor drain area and did not have an air gap. The drainpipe was below the level of the floor. There was another plastic tubing in the cut-out floor drainage area that was wrapped around the inside of the drain box in the floor. [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure appropriate backflow prevention was installed at plumbing fixtures, resulting in the potential for contamination of the water supply, affecting all residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents' rights were being met by 1) Ensuring that call lights were within reach or easily accessible to residents and/or 2) Ensuring that call lights were responded to in a timely manner for four residents (R11, R74, R78 and R121) of four residents sampled for accommodation of needs and also a Confidential Group of Residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that food was palatable and maintained at a palatable temperature for one resident (Resident #68) of three residents reviewed for food palatability and a group of confidential residents.
Inspectors wroteBased on interview and record review the facility failed to ensure ongoing collaboration with hospice care for one resident (R56) of two residents sampled for hospice care, resulting in the absence of documentation of care provided by hospice.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement and operationalize policies and procedures for pressure ulcer management for one resident (Resident #33) of five residents reviewed resulting in lack of comprehensive identification and assessment of wound etiology and lack of correct application of pressure reduction devices.
Inspectors wroteBased on interview and record review, the facility failed to ensure that daily posted nurse staffing data included delineation of licensed nursing staff and accurate documentation of actual hours worked, resulting in incomplete and inaccurate nurse staffing information.
Inspectors wroteBased on observation, interview and record review, the facility 1) Failed to ensure analyzed observational data of personal cares with a continued spread of a Multi-Drug Resistant Organism (MDRO), 2) Failed to ensure proper Personal Protection Equipment (PPE) use, 3) Failed to ensure proper hand hygiene, 4) Failed to ensure proper wound care, 5) Failed to ensure proper perineal (peri) care for two residents (Resident #40, Resident $45) of two residents reviewed for peri-care and 6) Failed to prevent a wound infection for one resident (Resident #45) of three residents reviewed for wound care, resulting in the continued in-house spread of Proteus Mirabilis infections, staff not following enhanced barrier precautions and providing clean cares with the likelihood of the further spread of infections.
Inspectors wroteBased on interview and record review, the facility failed to develop person-centered comprehensive care plans for Code Status preferences for five residents (Resident #4, Resident #17, Resident #22, Resident #66, Resident #68) of 29 residents reviewed for care plans, resulting in the potential for residents not to receive individualized care, which could lead to a decline in condition, and/or a negative outcome. Findings Include: A record review of the facility policy titled, Comprehensive Care Plan, Care plan review and Care Plan Conferences, date implemented [DATE], date reviewed [DATE] and date revised [DATE], provided (The facility) will ensure that all residents have a Baseline Care Plan completed per the Baseline Care Plan Policy, and a comprehensive Care Plan in the e- chart within 7 days of completion of section Z of the admission MDS assessment . [...]
Inspectors wroteBased on observation interview and record review the facility failed to follow facility policy for indwelling catheter use for five residents (R17, R22, R51, R52, R106) of six residents reviewed, resulting in physician's orders not having catheter size, dignity bags touching the floor and recurrent UTI's (urinary tract infections).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that medications and medical supplies were stored and disposed of per professional standards of practice in two of five medication rooms resulting in expired medications and medical supplies, lack of refrigerated vaccine temperature monitoring per CDC recommendations, and the potential for residents to have procedures and testing completed with expired supplies and to receive expired medications with altered potency and efficacy.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure care that was dignified and respectful treatment for two residents (Resident #96 and Resident #114) of two residents reviewed, resulting in a lack of acknowledgement and/or response to Resident #96's verbalization of discomfort and Resident #114's request for assistance, and the likelihood for feelings for insignificance and psychosocial distress utilizing the reasonable person concept.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a safe environment to prevent skin tears and bruising for one resident (Resident #22) of 8 residents reviewed for accidents, resulting in Resident #22 suffering repeated skin tears and bruising. Findings Include: Resident #22: Accidents A record review of the Face sheet and Minimum Data Set/MDS assessment for Resident #22 identified a readmission to the facility on 8/18/2023 with diagnoses: Diabetes, heart disease, heart failure, COPD, arthritis, Alzheimer's, and a history of falls. The MDS assessment dated [DATE] indicated the resident had a BIMS score of 9/15 with moderate cognitive decline and needed assistance with all care. On 10/14/2024 at 11:53 AM, Resident #22 was observed lying in bed; there were two handrails on the sides of the bed (grab bars). [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to update and follow care planned interventions for one resident (Resident #51) of two residents reviewed for tube feeding, resulting in the head of the bed being at 19 degrees during tube feeding with the likelihood of decreased tube feeding dose, aspiration and/or pneumonia.
Inspectors wroteBased on observation, interview and record review the facility failed to follow physician's orders for oxygen administration for one resident (Resident #117) of one resident reviewed for oxygen administration, resulting in the oxygen flow rate being administered not matching the [NAME] or care plan.
Inspectors wroteBased on interview and record review, the facility failed to implement a yearly Quality Assessment Process Improvement (QAPI) Plan specific to the facility's population and concerns to ensure correction of deficiencies necessary to ensure resident safety and quality of life for 127 residents of the facility, resulting in the potential for negative physical and psychosocial outcomes for all 127 residents of the facility. Findings Include: FACILITY QAPI and QAA On 10/17/24 at 2:23 PM, the Administrator was interviewed about the facilities QAA/QAPI program. The Administrator said he oversaw the QAPI program at the facility; he said the committee met monthly, except for December. He said they met the quarterly meeting requirements. When asked to review the committee attendance forms. The Administrator provided a document with 3 paragraphs; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to prevent development and worsening of pressure ulcers for two residents (Resident #24, Resident #37), resulting in the worsening of a skin injury for Resident #24 and a facility-acquired Stage III pressure ulcer for Resident #37.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow professional standards of practice by ensuring four residents' (#11, #35, #79 and #83) comprehensive quarterly assessment progress notes were inputted timely, resulting in the four residents having 2-3 missed assessment progress notes due to lack of oversight and time management.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the provision and care of indwelling urinary catheter drainage bags per professional standards of practice for five residents (Resident #24, Resident #37, Resident #46, Resident #61, and Resident #235) of six residents reviewed, resulting in urinary catheter drainage bags and tubing being maintained in an unsanitary conditions and a lack of comprehensive assessment and monitoring of urinary catheters for residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement policies and procedures to ensure the provision of Peripherally Inserted Center Catheter (PICC- intravenous [IV] catheter inserted in the body through the arm that extends to the heart utilized for long term administration of medications) care per professional standards of practice for one resident (Resident #50) of one resident reviewed, resulting in a lack of appropriate port cleaning prior to access, inappropriate flushing technique including Resident #50's PICC line being flushed unnecessarily with heparin 41 times during October 2023, and the potential for PICC complications and infection.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure clean respiratory equipment storage for four residents (Resident #41, Resident #57, Resident #122, Resident #135), resulting in exposed Continues Positive airway Pressure (CPAP) mask and oxygen equipment with the likelihood of cross contamination of the equipment causing respiratory infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 4 of 5 medication carts were free from loose tablets and capsules, and ensure proper labeling of medications, resulting in opened and undated medications, the likelihood of cross contamination and ineffective medications.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement procedures for tube feeding equipment storage, per professional standards of practice for one resident (Resident #57) of one resident reviewed, resulting in a lack of cleaning and sanitary storage of tube feeding equipment and the likelihood for contamination and illness.
8 fire safety citations on file: 4 on December 12, 2025, 3 on October 17, 2024, 1 on October 27, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.95 | 3.99 | 3.86 |
| Registered nurses | 1.00 | 0.78 | 0.69 |
| All nursing staff on weekends | 5.12 | 3.50 | 3.42 |
| Nurse aides | 3.87 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 24.5% | 44.1% | 45.8% |
| Registered nurse turnover | 20.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 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 6.28 on weekdays and 5.12 on weekends, 18% 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 5.74 in April to June 2025 to 5.95 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 | 5.95 | 1.00 | 6.28 | 5.12 | 0.0% | 0 of 90 | 135 |
| Oct to Dec 2025 | 5.81 | 0.98 | 6.11 | 5.05 | 0.0% | 0 of 92 | 138 |
| Jul to Sep 2025 | 5.70 | 1.00 | 6.01 | 4.91 | 0.0% | 0 of 92 | 140 |
| Apr to Jun 2025 | 5.74 | 1.07 | 6.07 | 4.91 | 0.0% | 0 of 91 | 135 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.5 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.8 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.9 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 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 Tuscola County Medical Care Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.9% 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. 117 eligible stays.
9.4% 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. 123 eligible stays.
5.7% 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. 83 eligible stays.
55.6% 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. 54 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. 68 residents counted.
0.0% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 68 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. 9 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: TUSCOLA COUNTY MEDICAL CARE FACILITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tuscola County | 5% or greater direct ownership interest | Organization | 100% | 01/18/1987 |
| Boulton, Alissa | Managing control - governing body | Individual | 12/01/2025 | |
| Dewald, Cheryl | Managing control - governing body | Individual | 07/14/2025 | |
| Morris, Sue Ann | Managing control - governing body | Individual | 09/01/2017 | |
| Aqil, Arshad | Operational/managerial control | Individual | 01/20/2006 | |
| Huizar, Candi | Operational/managerial control | Individual | 08/10/2015 | |
| McDaniel, Jimmy | Operational/managerial control | Individual | 08/18/2019 | |
| Palmer, Mandy | Operational/managerial control | Individual | 01/30/2022 | |
| Rabideau, Robert | Operational/managerial control | Individual | 01/01/2023 | |
| Root, Margaret | Operational/managerial control | Individual | 09/23/1996 | |
| Tuscola County | Adp of the SNF | Organization | 01/01/1957 | |
| Aqil, Arshad | Adp of the SNF | Individual | 03/25/2022 | |
| Huizar, Candi | Adp of the SNF | Individual | 08/10/2015 | |
| McDaniel, Jimmy | Adp of the SNF | Individual | 08/18/2019 | |
| Palmer, Mandy | Adp of the SNF | Individual | 01/30/2022 | |
| Rabideau, Robert | Adp of the SNF | Individual | 02/10/2025 |
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.