Federal inspection record · CMS data as of October 1, 2026
Cascade Senior Care Center
2121 Robinson Road, Jackson, MI · (517) 787-4150
- Certified beds
- 108
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Nexcare Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1997
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.
-
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
Cascade Senior Care Center carries 74 inspection points. That is fewer than 45% 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
36 health citations on record since 2023. 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 (3)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
L
Employ staff that are licensed, certified, or registered in accordance with state laws.
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care10D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning6D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Ensure each resident receives an accurate assessment.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Perform COVID19 testing on residents and staff.
- D
Implement a program that monitors antibiotic use.
- D
Report COVID19 data to residents and families.
Administration3F
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
- F
Have a Compliance and Ethics Program.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights3D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
- D
Reasonably accommodate the needs and preferences of each resident.
Nursing and Physician Services2F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service2D
- 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.
- 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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
2025-06-04
16 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-06-07
6 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-03-21
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 34 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
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 days0.8 pts better | 0.9 | 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 vaccine3.3 pts better | 98.7% | 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 injury0.1 pts worse | 3.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts better | 2.5% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts worse | 9.5% | 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 medication3.9 pts worse | 18.6% | 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 worsened1.8 pts better | 9.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better | 10.0% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.8 pts better | 4.6% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 6.6% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 80.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 16.4% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.5 pts better | 89.0% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better | 19.6% | 23.9% | 23.4% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Nexcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Branscum, James | Adp Of The SNF · Individual | 0% | 8 facilities |
| Eisenberg, Leo | Adp Of The SNF · Individual | 0% | 3 facilities |
| Miller, Casie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Casie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nexcare Health Systems, LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Perry, Michael | Adp Of The SNF · Individual | 0% | 29 facilities |
| Robin Eisenberg 2014 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sangster, Todd | Adp Of The SNF · Individual | 0% | 28 facilities |
| Wronski, Frank | Adp Of The SNF · Individual | 0% | 12 facilities |
| Yalavarthi, Jyothsna | Adp Of The SNF · Individual | 0% | 4 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6F
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of portable space heaters.
- F
Provide a written emergency evacuation plan.
Construction2F
- E
Meet other general requirements.
- F
Meet other general requirements.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Mission Point Health Campus of Jackson
Jackson, MI · Mission Point Healthcare Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0
-
Jackson County Medical Care Facility
Jackson, MI · Abuse icon
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 5 h 13 min
- Fines
- $68,744
-
Faith Haven Senior Care Centre
Jackson, MI · Nexcare Health Systems · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $15,872