Federal inspection record · CMS data as of October 1, 2026
Arbor Manor Rehabilitation and Nursing Center
151 2nd Street, Spring Arbor, MI · (517) 750-1900
- Certified beds
- 122
- Residents per day
- 94
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1978
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Arbor Manor Rehabilitation and Nursing Center carries 70.5 inspection points. That is fewer than 48% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights6E
- D
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.
- E
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Pharmacy Service6E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care5E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure each resident receives an accurate assessment.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-05-07
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-03-05
12 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-03-28
8 health deficiencies · 10 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 56 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
4 h 56 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.9 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 1.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 5.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts worse | 24.0% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts worse | 17.8% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 14.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.4 pts worse | 23.1% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.2 pts worse | 5.9% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 2.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.7 pts worse | 29.1% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 3.1% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better | 99.3% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts better | 11.6% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better | 99.3% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.9 pts better | 10.0% | 23.9% | 23.4% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Buchholz, Karol | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Buchholz, Paul | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Buchholz, Karol | Corporate Director · Individual | 0% | 1 facilities |
| Buchholz, Karol | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Buchholz, Karol | Adp Of The SNF · Individual | 0% | 1 facilities |
| Buchholz, Paul | Corporate Officer · Individual | 0% | 1 facilities |
| Buchholz, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Buchholz, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hiler, Jeremy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hiler, Jeremy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rees, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spring Arbor Manor Care Center, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Yalavarthi, Jyothsna | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Yalavarthi, Jyothsna | Adp Of The SNF · Individual | 0% | 4 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services2F
- D
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Construction1F
- F
Meet other general requirements.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
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Cascade Senior Care Center
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- Nursing / resident / day
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- Fines
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Mission Point Health Campus of Jackson
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 2 min
- Fines
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