Marshall Nursing and Rehabilitation Community
A nursing home in Marshall, Michigan 49068
575 N Madison Street, Marshall, Michigan 49068. (269) 781-4281.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 19 health citations at the latest inspection cycle Michigan average: 9.9
- 3.63 nurse hours per resident per day Michigan average: 4.03
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
19 health citations at the latest inspection cycle
The Michigan average is 9.9.
Last standard inspection Aug 6, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Sep 20, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
74 citations in 12 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 74 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 31 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 6, 2026: standard inspection5 citations
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Ensure each resident receives an accurate assessment.
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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.
Aug 6, 2026: standard and complaint inspection7 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Assist a resident in gaining access to vision and hearing services.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
May 14, 2026: complaint inspection1 citation
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
Mar 24, 2026: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
Mar 4, 2026: complaint inspection2 citations
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Feb 5, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Sep 8, 2025: standard inspection18 citations
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Assess the resident when there is a significant change in condition
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Ensure each resident receives an accurate assessment.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Ensure the activities program is directed by a qualified professional.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Provide or obtain dental services for each resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 20, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 29, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
Feb 12, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide and implement an infection prevention and control program.
Sep 20, 2024: standard inspection20 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate pain management for a resident who requires such services.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Ensure each resident receives an accurate assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Ensure medication error rates are not 5 percent or greater.
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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.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 30, 2024: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
May 24, 2024: complaint inspection7 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Observe each nurse aide’s job performance and give regular training.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Mar 14, 2024: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 29, 1969.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $52,007 in all.
- 2 Medicare payment denials in the last three years.
- 31 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 20, 2025 | Medicare payment denial | Not given |
| Aug 30, 2024 | Medicare payment denial | Not given |
| Aug 30, 2024 | Fine | $52,007 |
Who does the caring?
3.63 nurse hours per resident per day
The Michigan average is 4.03.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Michigan average |
|---|---|---|
| Nurse hours per resident per day | 3.63 | 4.03 |
| Of which registered nurses | 0.60 | 0.78 |
| At weekends | 2.90 | 3.50 |
| Nursing staff turnover | 63.2% | 44.6% |
| Registered nurse turnover | 75% | 39.2% |
| Administrators who left | 3 | Not given |
Who owns it?
- Atrium Centers, LLC owns 100% directly since Oct 1, 2007.
- Amicus Capital Holdings Inc. and Atrium Centers Management LLC and Atrium Centers, LLC run it.
- 21 owners or officers are people: Miguel Paredes (owns 5% or more through other companies, 100%); Essel W Bailey (corporate director, 74.06%); Donald D Finney (corporate director, 24.94%); Cindy Johnson (runs it (operational or managerial control)); Cindy Johnson (on the governing body (managing control)); Cindy Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Jill Cherry (runs it (operational or managerial control)); Jill Cherry (additional disclosable party (controls, leases property to, or provides services to the home)); Miguel Paredes (additional disclosable party (controls, leases property to, or provides services to the home)); Leslie Gardner (runs it (operational or managerial control)); Leslie Gardner (additional disclosable party (controls, leases property to, or provides services to the home)); Curt Anderson (runs it (operational or managerial control)); Curt Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Albright Ross (runs it (operational or managerial control)); Susan Albright Ross (additional disclosable party (controls, leases property to, or provides services to the home)); Robert N Israel (runs it (operational or managerial control)); Robert N Israel (additional disclosable party (controls, leases property to, or provides services to the home)); Chrissie La Rocco (runs it (operational or managerial control)); Chrissie La Rocco (additional disclosable party (controls, leases property to, or provides services to the home)); Neil Hendershot (runs it (operational or managerial control)); Neil Hendershot (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Atrium Centers (26 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Owns 5% or more through other companies | 100% | Aug 18, 2021 |
| Amicus Capital Holdings Inc. | Owns 5% or more through other companies | 100% | Aug 18, 2021 |
| Atrium Centers, LLC | Owns 5% or more directly | 100% | Oct 1, 2007 |
| Lument Real Estate Capital LLC | Holds 5% or more of the mortgage | 76% | May 1, 2022 |
| Evergreen Two LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 9, 2026 | |
| Omnicare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Orion Properties Sixteen Alpha LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2022 | |
| Plante & Moran PLLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Broad River Rehabilitation | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2021 | |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 18, 2021 | |
| Amicus Capital Holdings Inc. | Runs it (operational or managerial control) | Aug 18, 2021 | |
| Amicus Capital Holdings Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 18, 2021 | |
| Ocs Real Estate Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 | |
| Leaderstat Ltd | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2023 | |
| Atrium Centers Management LLC | Runs it (operational or managerial control) | Oct 1, 2007 | |
| Atrium Centers, LLC | Runs it (operational or managerial control) | Aug 20, 2019 | |
| Amicus Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Michigan average 3.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 23.7 miles, this one had the 4th most health citations at the latest inspection cycle (19; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Marshall Nursing and Rehabilitation Community This nursing home | 19 | |
| Medilodge of Marshall | 0.9 | 20 |
| Calhoun County Medical Care Facility | 8.8 | 3 |
| Pinnacle Care of Battle Creek | 10.5 | 41 |
| The Oaks at Battle Creek | 12.1 | 3 |
| Majestic Care of Battle Creek | 12.3 | 7 |
| The Laurels of Bedford | 14.7 | 13 |
| Evergreen Manor Senior Care Center | 15.9 | 6 |
| Arbor Manor Rehabilitation and Nursing Center | 21.4 | 9 |
| Eaton County Medical Care Facility | 21.4 | 6 |
| Faith Haven Senior Care Centre | 22.8 | 4 |
| The Laurels of Coldwater | 23.7 | 20 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.