Bay Bluffs-Emmet County Medical Care Facility — nursing home in Harbor Springs, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 69.2 CMS, MDS-derived
CMS Certification Number: 235033
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: Government - County
Operator (legal business name): Emmet County Medical Care Facility
CMS chain: Not part of a CMS-reported chain
Phone: (231) 526-2161
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 13, 2026

Citations

36

19 health · 17 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E4	F17
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235033
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Michigan.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 13, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 13, 2026	Health	Health Standard	12	Potential harm	—	Open →
Apr 23, 2026	Fire safety	Fire Safety Complaint	1	Potential harm	—	Open →
Apr 17, 2025	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Apr 17, 2025	Health	Health Standard	5	Potential harm	—	Open →
Apr 17, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 17, 2024	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E4	F17
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 13, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 19, 2026
May 13, 2026	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 19, 2026
May 13, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 19, 2026
May 13, 2026	F-0571	Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Mar 27, 2026
May 13, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jun 19, 2026
May 13, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 19, 2026
May 13, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 19, 2026
May 13, 2026	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 19, 2026
May 13, 2026	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jun 19, 2026
Apr 23, 2026	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 29, 2026	Complaint
Apr 17, 2025	K-0100	Meet other general requirements. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 21, 2025
Apr 17, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 17, 2025
Apr 17, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 28, 2025
Apr 17, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 28, 2025
Apr 17, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 30, 2025
Apr 17, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Jun 30, 2025
Apr 17, 2025	K-0361	Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 30, 2025
Apr 17, 2025	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 30, 2025
Apr 17, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 18, 2025
Apr 17, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
Apr 17, 2025	F-0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
Apr 17, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
Apr 17, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 15, 2025
Apr 17, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 15, 2025
Apr 17, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 26, 2024
Apr 17, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 13, 2024
Apr 17, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 24, 2024
Apr 17, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 26, 2024
Apr 17, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	F · Potential harm Widespread	Corrected Apr 26, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.57

State avg 4.03US avg 3.90

Registered nurse (RN)1.74

State avg 0.78US avg 0.69

Licensed practical nurse0.71

State avg 0.89US avg 0.86

Nurse aide3.12

State avg 2.36US avg 2.35

Weekend total nurse4.40

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.62 (case-mix index 1.18).

Staff turnover

Total nursing staff turnover26.9%

State avg 44.6%US avg 45.3%

Registered nurse turnover17.9%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: May 13, 2026
Cycle 1 health score: 96
Total weighted score: 80

Operating entity

Emmet County Medical Care Facility

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

7

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
County of Emmet	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 1966

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
County of Emmet	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 1966
Lisa Ashley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 14, 2014
Sherry Becker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 26, 1983
Manuel Cordova	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 29, 2020
Carol Hansen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2018
Craig Lively	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 28, 2022
County of Emmet	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 1966
Lisa Ashley	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 18, 2025
Paul Blanchard	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2009

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 750 East Main Street, Harbor Springs, MI 49740
ZIP: 49740
County: Emmet County FIPS 26047
State: Michigan
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
The Villa at the Bay 1500 Spring Street, Petoskey, MI 49770 CCN 235429	8 km	110		Jul 16, 2026	764 harm1 open	$241k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235033	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235033	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 235033

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction