Federal inspection record · CMS data as of October 1, 2026
Carriage House Nursing and Rehabilitation
2394 Midland Road, Bay City, MI · (989) 684-2303
- Certified beds
- 120
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- Preferred Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 2001
1
How this home got 2 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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Carriage House Nursing and Rehabilitation carries 90 inspection points. That is fewer than 35% 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
34 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 (2)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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
Quality of Life and Care9E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service8E
- D
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.
- 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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- 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
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Nursing and Physician Services3E
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Resident Rights2E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2026-05-13
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-03-13
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-03-28
14 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 52 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 22% 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 days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.5 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 96.3% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 99.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.7 pts worse | 28.2% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 4.1% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better | 12.4% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1 pts worse | 15.7% | 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 worsened2.7 pts worse | 13.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts worse | 16.1% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.5% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts worse | 31.4% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 5.0% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better | 91.7% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 8.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 93.7% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 23.3% | 23.9% | 23.4% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Bay City Opco Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Klein, Yoni | 5% Or Greater Indirect Ownership Interest · Individual | 40% | 6 facilities |
| Green, Dov | 5% Or Greater Indirect Ownership Interest · Individual | 35% | 20 facilities |
| Schnell, David | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 11 facilities |
| Ahmed, Naeem | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ahmed, Naeem | Adp Of The SNF · Individual | 0% | 2 facilities |
| Bay City Realty Holdings LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Bay City Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Burke, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Burke, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Green, Dov | Adp Of The SNF · Individual | 0% | 20 facilities |
| Klein, Yoni | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Klein, Yoni | Adp Of The SNF · Individual | 0% | 6 facilities |
| Preferred Care At Lansing Mngt LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Rubinfeld, Eli | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Schnell, David | Adp Of The SNF · Individual | 0% | 11 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Bay Shores Senior Care and Rehab Center
Bay City, MI · Nexcare Health Systems
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
-
Caretel Inns of Tri-Cities
Bay City, MI · Symphony Care Network
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $161,469
-
Hampton Nursing and Rehabilitation
Bay City, MI · Preferred Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0