The Laurels of Fulton — nursing home in Perrinton, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 50 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: 38.7 CMS, MDS-derived
CMS Certification Number: 235513
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 26, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Laurel Health Care Company of Perrinton
CMS chain: Ciena Healthcare/Laurel Health Care 80 facilities
Phone: (989) 236-5433
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Apr 2, 2026

Citations

41

25 health · 16 fire

Harm or worse

5

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G4	H·	I·
Potential harm	D17	E5	F14
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

2

$51,943

Payment denials

0

Latest

Oct 8, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235513
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Dec 26, 1991
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
Apr 2, 2026	Fire safety	Fire Safety Complaint	1	Potential harm	—	Open →
Dec 18, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Dec 18, 2025	Health	Health Standard	13	Potential harm	—	Open →
Oct 8, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Nov 21, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Nov 21, 2024	Health	Health Complaint, Health Standard	7	Actual harm	—	Open →
Aug 23, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 9, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Nov 9, 2023	Health	Health Standard	3	Actual 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.

Date	Type	Amount	Payment denial	Record
Oct 8, 2025	Civil money penalty (fine)	$12,428	—	235513\|Fine\|138209
Nov 9, 2023	Civil money penalty (fine)	$39,515	—	235513\|Fine\|58830

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G4	H·	I·
Potential harm	D17	E5	F14
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 2, 2026	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 3, 2026	Complaint
Dec 18, 2025	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 23, 2026
Dec 18, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 23, 2026
Dec 18, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 23, 2026
Dec 18, 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 Jan 23, 2026
Dec 18, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 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 Jan 23, 2026
Dec 18, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 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	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 2025	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 Jan 23, 2026
Dec 18, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 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 Jan 23, 2026
Dec 18, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 23, 2026
Dec 18, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 2025	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 23, 2026
Dec 18, 2025	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 Jan 23, 2026
Dec 18, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 23, 2026
Dec 18, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 23, 2026
Oct 8, 2025	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	J · Immediate jeopardy Isolated	Past non-compliance Sep 22, 2025	Complaint
Nov 21, 2024	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	G · Actual harm Isolated	Corrected Dec 23, 2024
Nov 21, 2024	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 Dec 23, 2024
Nov 21, 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	G · Actual harm Isolated	Corrected Dec 23, 2024	Complaint
Nov 21, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 23, 2024
Nov 21, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	K-0917	Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	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 Dec 23, 2024
Nov 21, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Dec 23, 2024
Nov 21, 2024	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 23, 2024
Nov 21, 2024	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Waiver granted
Aug 23, 2024	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	D · Potential harm Isolated	Corrected Sep 9, 2024	Complaint
Nov 9, 2023	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 Dec 11, 2023
Nov 9, 2023	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 11, 2023
Nov 9, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 11, 2023
Nov 9, 2023	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 Dec 11, 2023
Nov 9, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 11, 2023
Nov 9, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 11, 2023
Nov 9, 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 Dec 11, 2023
Nov 9, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Dec 11, 2023

“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 staffing3.58

State avg 4.03US avg 3.90

Registered nurse (RN)0.69

State avg 0.78US avg 0.69

Licensed practical nurse0.73

State avg 0.89US avg 0.86

Nurse aide2.16

State avg 2.36US avg 2.35

Weekend total nurse3.25

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.79 (case-mix index 1.32).

Staff turnover

Total nursing staff turnover35.9%

State avg 44.6%US avg 45.3%

Registered nurse turnover36.4%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Dec 18, 2025
Cycle 1 health score: 80
Total weighted score: 82

Operating entity

Laurel Health Care Company of Perrinton

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

VerifiedLinked by exact legal name

CMS chain

Ciena Healthcare/Laurel Health Care

80 facilities in 4 states. CMS chain ID 144.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

18

Organizations

4

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Laurel Health Care Holdings, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2016

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
Laurel Health Care Holdings, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2016
Ciena Healthcare Management Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2021
Justin Di Rezze	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Anis Khan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2016
Adam Patrick	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 7, 2024
Mohammad Qazi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2021
Mohammad Qazi	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 1, 2016
Anis Khan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2016
Mohammad Qazi	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2016
David Stobb	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2016
Ciena Healthcare Management Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 28, 2025
Fulton Senior Leasing, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Mohammad a Qazi Living Trust Dated 09/26/97	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2016
Justin Di Rezze	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Anis Khan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2016
Adam Patrick	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 7, 2024
Mohammad Qazi	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
David Stobb	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021

Same chain in Michigan

All 79 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Regency at Jackson 434 W North Street, Jackson, MI 49202 CCN 235016SFF Candidate	82	Jun 5, 2026	891 IJ3 harm	$16k
Regency at Fremont 4554 West 48th Street, Fremont, MI 49412 CCN 235176	129	Jun 9, 2026	471 harm	—
Hartford Nursing & Rehabilitation Center 6700 W Outer Dr, Detroit, MI 48235 CCN 235177	188	Jul 9, 2026	441 harm1 open	—
Christian Park Village 2525 7th Avenue South, Escanaba, MI 49829 CCN 235179	59	Dec 4, 2025	16	—
Fountain View of Monroe 1971 N Monroe Street, Monroe, MI 48162 CCN 235225	119	Dec 3, 2025	10	—
Christian Park Health Care Center 2415 5th Avenue South, Escanaba, MI 49829 CCN 235244Abuse icon	99	Jul 15, 2026	627 harm	$37k
Brittany Manor 3615 East Ashman Street, Midland, MI 48642 CCN 235245Abuse icon	138	May 13, 2026	454 harm	—
The Laurels of Kent 350 N Center St, Lowell, MI 49331 CCN 235253	153	Feb 24, 2026	373 harm	$62k

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: 4735 Ranger Road, Perrinton, MI 48871
ZIP: 48871
County: Gratiot County FIPS 26057
State: Michigan
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235513	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235513	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 235513

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