Spring Arbor, MI

Arbor Manor Care Center

2-star overall rating with 2-star inspections with $44,019 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

151 2nd Street, Spring Arbor, MI

(517) 750-1900

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1978-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

3.21

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.73

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

4.37

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

4.86

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,279

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9858

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.90

Baseline 21.82% · Performance 20.67% · Measure score 1.90 · Achievement 1.64 · Improvement 1.90

Healthcare-associated infections

1.92

Baseline 6.26% · Performance 7.26% · Measure score 1.92 · Achievement 1.92 · Improvement 0

Total nurse turnover

2.42

Baseline 52.38% · Performance 53.78% · Measure score 2.42 · Achievement 2.42 · Improvement 0

Adjusted total nurse staffing

5.84

Baseline 3.86 hours · Performance 4.74 hours · Measure score 5.84 · Achievement 5.84 · Improvement 4.08

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.11%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 144 · Observed rate 7.64% · Lower 95% interval 6.6%
Discharge to community	55.43%	50.57% 4.9 pts better	No Different than the National Rate · Eligible stays 146 · Observed rate 53.42% · Lower 95% interval 47.81%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	98.88%	95.27% 3.6 pts better	Numerator 88 · Denominator 89
Falls with major injury	1.12%	0.77% 0.4 pts worse	Numerator 1 · Denominator 89
Discharge self-care score	40.58%	53.69% 13.1 pts worse	Numerator 28 · Denominator 69
Discharge mobility score	49.28%	50.94% 1.7 pts worse	Numerator 34 · Denominator 69
Pressure ulcers or injuries, new or worsened	8.99%	2.29% 6.7 pts worse	Numerator 8 · Denominator 89 · Adjusted rate 9.72%
Healthcare-associated infections requiring hospitalization	7.26%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 95 · Observed rate 6.32% · Lower 95% interval 4.08%
Staff COVID-19 vaccination coverage	1.65%	8.2% 6.5 pts worse	Numerator 3 · Denominator 182
Staff flu vaccination coverage	1.56%	42% 40.4 pts worse	Numerator 4 · Denominator 257
Discharge function score	42.03%	56.45% 14.4 pts worse	Numerator 29 · Denominator 69
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 55 · Denominator 55
Resident COVID-19 vaccinations up to date	32.61%	25.2% 7.4 pts better	Numerator 15 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.7 0.3 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.5 0.1 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.0% 5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.1%	3.1% 2 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 5.8% · Q3 2.7% · Q4 1.3% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.1% 4.1 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	3.8%	5.5% 1.7 pts better	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.2% · Q3 4.7% · Q4 1.5% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.8%	19.6% 4.2 pts worse	19.6% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 20.6% · Q3 28.4% · Q4 25.0% · 4Q avg 23.8%
Percentage of long-stay residents who received an antipsychotic medication	16.5%	16.5% About the same	16.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 15.1% · Q3 18.6% · Q4 17.2% · 4Q avg 16.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.3%	13.9% 8.4 pts worse	16.3% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 17.6% · Q3 33.7% · Q4 5.3% · 4Q avg 22.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.3%	11.7% 13.6 pts worse	14.9% 10.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 22.6% · Q3 33.3% · Q4 23.8% · 4Q avg 25.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.1%	0.9% 3.2 pts worse	1.0% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.9% · Q3 2.3% · Q4 6.7% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	1.7% 0.4 pts worse	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.9% · Q3 1.4% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.5%	20.4% 13.1 pts worse	19.8% 13.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 38.5% · Q3 38.1% · Q4 32.1% · 4Q avg 33.5%
Percentage of long-stay residents with pressure ulcers	6.0%	5.6% 0.4 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.7% · Q3 8.3% · Q4 3.5% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	82.8% 13.4 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 94.9% · Q3 95.8% · Q4 97.3% · 4Q avg 96.2%
Percentage of short-stay residents who had an outpatient emergency department visit	4.1%	11.5% 7.4 pts better	12.0% 7.9 pts better	Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 4.0% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	79.5% 15.5 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.8%	24.2% 1.4 pts better	23.9% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 21.3% · Expected 22.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-05 · Fire 2025-03-05

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

11 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-04-04 · Fire 2023-04-04

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-07

F · Potential for more than minimal harm 2025-03-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-07

F · Potential for more than minimal harm 2025-03-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-07

F · Potential for more than minimal harm 2025-03-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-07

E · Potential for more than minimal harm 2025-03-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-07

E · Potential for more than minimal harm 2025-03-05

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-04-07

E · Potential for more than minimal harm 2025-03-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-07

F · Potential for more than minimal harm 2024-03-28

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-03-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-03-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-03-28

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-30

F · Potential for more than minimal harm 2023-04-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-04

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-05

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-07

E · Potential for more than minimal harm 2025-03-05

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-07

E · Potential for more than minimal harm 2025-03-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-29

E · Potential for more than minimal harm 2025-03-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-03-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-07

G · Actual harm 2025-01-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-29

E · Potential for more than minimal harm 2024-10-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-29

F · Potential for more than minimal harm 2024-03-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-03-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-03-28

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-28

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-30

K · Immediate jeopardy 2023-04-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-04

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-05-05