5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Hancock, MI
3-star overall rating with 2-star inspections with $39,988 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1100 Quincy Street, Hancock, MI
(906) 482-5050
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
197
Certified beds
Average residents
130
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.13
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
3.17
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.27
CMS adjusted RN staffing hours
Adjusted total hours
5.35
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
616
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0204
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
5.14
Baseline 57.84% · Performance 42.68% · Measure score 5.14 · Achievement 5.14 · Improvement 4.10
Adjusted total nurse staffing
8.16
Baseline 4.67 hours · Performance 5.40 hours · Measure score 8.16 · Achievement 8.16 · Improvement 6.07
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.71% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 43 · Observed rate 16.28% · Lower 95% interval 8.22% |
| Discharge to community | 41.22% |
50.57%
9.4 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 32.5% · Lower 95% interval 28.92% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.3% |
95.27%
2 pts better
|
Numerator 36 · Denominator 37 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 37 |
| Discharge self-care score | 46.88% |
53.69%
6.8 pts worse
|
Numerator 15 · Denominator 32 |
| Discharge mobility score | 21.88% |
50.94%
29.1 pts worse
|
Numerator 7 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 1 · Denominator 37 · Adjusted rate 2.34% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 2.85% |
8.2%
5.3 pts worse
|
Numerator 10 · Denominator 351 |
| Staff flu vaccination coverage | 24.59% |
42%
17.4 pts worse
|
Numerator 105 · Denominator 427 |
| Discharge function score | 53.13% |
56.45%
3.3 pts worse
|
Numerator 17 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 53.85% |
25.2%
28.7 pts better
|
Numerator 14 · Denominator 26 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.7
1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.5
0.6 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
95.0%
1.6 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.3% · Q3 92.3% · Q4 96.6% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.0%
1.9 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.1%
1.1 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.2% · Q3 2.6% · Q4 4.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
4.1%
3.4 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 1.8% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
5.5%
1.1 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.1% · Q3 8.9% · Q4 6.1% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.5% |
19.6%
6.9 pts worse
|
19.6%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 24.3% · Q3 29.8% · Q4 26.5% · 4Q avg 26.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.6% |
16.5%
10.1 pts worse
|
16.7%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 27.7% · Q3 26.3% · Q4 25.5% · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.1%
0.7 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.9% · Q4 0.8% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.2% |
13.9%
6.3 pts worse
|
16.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 20.1% · Q3 18.9% · Q4 15.2% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
11.7%
14.1 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 26.3% · Q3 30.1% · Q4 22.5% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 3.0% · Q3 1.8% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.5% |
1.7%
2.8 pts worse
|
1.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.2% · Q3 6.1% · Q4 0.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.0% |
20.4%
5.6 pts worse
|
19.8%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 26.0% · Q3 24.9% · Q4 26.3% · 4Q avg 26.0% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.6%
2 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.4% · Q3 4.7% · Q4 2.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
82.8%
13 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.9% · Q3 95.9% · Q4 92.9% · 4Q avg 95.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
11.5%
3.9 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 14.7% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.6% |
1.3%
4.3 pts worse
|
1.6%
4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 8.7% · Q3 4.3% · Q4 4.3% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.6% |
79.5%
14.1 pts better
|
79.7%
13.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
24.2%
0.9 pts better
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 20.6% · Expected 21.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Administration (1 deficiency)
10 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-12-16
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-12-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-16
Fire Safety
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.
Corrected 2024-12-16
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 2024-12-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-12-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-16
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-01-04
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-04
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-01-04
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-04
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-01-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-07
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-01-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-04
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 2024-01-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-04
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-11-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-07
Fire Safety
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.
Corrected 2022-11-07
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2022-11-07
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 2022-11-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-11-07
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-18
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 2024-12-18
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-06-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-23
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-01-04
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-01-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-04
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-04
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 2024-01-31
Health
Post nurse staffing information every day.
Corrected 2024-01-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-30
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-09-29
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-11-01
Penalties and ownership
Fine · fine $24,395
Fine
Fine · fine $15,593
Fine
Payment Denial · denial start 2024-01-05 · 49 days
49 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Hancock, MI
1-star overall rating with 1-star inspections with Special Focus status with $180,775 in total fines with 15 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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