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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D19 | E8 | F12 |
| Minimal | A· | B1 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 8, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 8, 2025 | Health | Health Standard | 8 | Actual harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 28, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 14, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 14, 2024 | Health | Health Complaint, Health Standard | 7 | Actual harm | — | Open → |
| Mar 16, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 16, 2023 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 8, 2025 | Civil money penalty (fine) | $35,282 | — | 235256|Fine|135882 |
| Jun 14, 2024 | Denial of payment for new admissions | — | Jul 17, 2024 · 9 days | 235256|Payment Denial|2024-07-17 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D19 | E8 | F12 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 8, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 23, 2025 | |
| Jul 8, 2025 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 23, 2025 | |
| Jul 8, 2025 | K-0353 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
20 facilities in 1 states. CMS chain ID 369.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Nexcare Health Systems, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2004 |
| Michael Perry | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2015 |
| Todd Sangster | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 4, 2013 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Evergreen Manor Senior Care Center 111 Evergreen, Battle Creek, MI 49015 CCN 235054 | 91 | Apr 2, 2026 | 32 | — | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 128 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Holt Senior Care and Rehab Center 5091 Willoughby Road, Holt, MI 48842 CCN 235279 | 6.8 km | 101 | Apr 9, 2026 | 311 harm | — | |
| Aria Nursing and Rehabilitation 707 Armstrong, Lansing, MI 48911 CCN 235561 | 8.9 km | 110 | Jul 28, 2026 | 885 harm3 open | $76k | |
| Medilodge of Capital Area 2100 E Provincial House Drive, Lansing, MI 48910 CCN 235653Abuse icon | 11.5 km | 120 | Jun 26, 2026 | 541 IJ | $23k | |
| Medilodge of Lansing 731 Starkweather Drive, Lansing, MI 48917 CCN 235285 | 13.2 km | 85 | Dec 4, 2025 | 43 | — | |
| Regency at Lansing West 12200 Broadbent, Lansing, MI 48917 CCN 235706 | 14 km | 120 | Mar 5, 2026 | 302 harm | — | |
| The Willows at East Lansing 3500 Coolidge Road, East Lansing, MI 48823 CCN 235700 | 19 km | 65 | Mar 20, 2026 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235256 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235256 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Aug 13, 2025 |
| Jul 8, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 23, 2025 |
| Jul 8, 2025 | 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 Jul 23, 2025 |
| Jul 8, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2025 |
| Jul 8, 2025 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2025 |
| Jul 8, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2025 |
| Jul 8, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 23, 2025 |
| Jul 8, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 23, 2025 |
| Jul 8, 2025 | 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 | D · Potential harm Isolated | Corrected Jul 23, 2025 |
| Jul 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 23, 2025 |
| Jul 8, 2025 | 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 | F · Potential harm Widespread | Corrected Jul 23, 2025 |
| May 7, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2025 | Complaint |
| May 7, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Past non-compliance Apr 26, 2025 | Complaint |
| Mar 6, 2025 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 10, 2025 | Complaint |
| Feb 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 4, 2025 | Complaint |
| Jun 28, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 29, 2024 | Complaint |
| Jun 14, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 26, 2024 | Complaint |
| Jun 14, 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 | F · Potential harm Widespread | Corrected Jun 29, 2024 |
| Jun 14, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 29, 2024 |
| Jun 14, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 29, 2024 |
| Jun 14, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 29, 2024 |
| Jun 14, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 29, 2024 |
| Jun 14, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 29, 2024 |
| Jun 14, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 29, 2024 |
| Jun 14, 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 | D · Potential harm Isolated | Corrected Jun 29, 2024 |
| Jun 14, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Jun 29, 2024 |
| Mar 16, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 6, 2023 |
| Mar 16, 2023 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 6, 2023 |
| Mar 16, 2023 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 6, 2023 |
| Mar 16, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 6, 2023 |
| Mar 16, 2023 | 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 Apr 6, 2023 |
| Mar 16, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | 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 Apr 6, 2023 |
| Mar 16, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | 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 6, 2023 |
| Mar 16, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 16, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 6, 2023 |
| Mar 16, 2023 | 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 | F · Potential harm Widespread | Corrected Apr 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.40 (case-mix index 1.19).
| Hollie Stambersky | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 28, 2019 |
| Jul 9, 2026 |
493 harm |
| $31k |
| South Lyon Senior Care and Rehab Center 700 Reynolds Sweet Parkway, South Lyon, MI 48178 CCN 235065 | 74 | Jun 15, 2026 | 153 harm | — |
| Wexford Senior Care Center 460 Pearl Street, Cadillac, MI 49601 CCN 235094 | 131 | Jun 22, 2026 | 31 | — |
| Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113 | 71 | Dec 4, 2025 | 403 harm | $68k |
| Durand Senior Care and Rehab Center 8750 E Monroe Road, Durand, MI 48429 CCN 235123 | 141 | Jun 11, 2026 | 194 harm | $54k |
| Oakpointe Senior Care and Rehab Center 18901 Meyers Rd, Detroit, MI 48235 CCN 235207 | 106 | Aug 27, 2026 | 331 open | — |
| Holt Senior Care and Rehab Center 5091 Willoughby Road, Holt, MI 48842 CCN 235279 | 101 | Apr 9, 2026 | 311 harm | — |