Cycle 1
Health 2025-12-04 · Fire 2025-12-04
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Escanaba, MI
Christian Park Village
5-star overall rating with 5-star inspections with 2 recent health deficiencies
2525 7th Avenue South, Escanaba, MI
(906) 786-0408
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
59
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ciena Healthcare/Laurel Health Care
Operator or chain grouping
Approved since
1980-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
84 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.92
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.52
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
4.11
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,996
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.30
Baseline 18.62% · Performance 20.37% · Measure score 2.30 · Achievement 2.30 · Improvement 0
Healthcare-associated infections
5.11
Baseline 5.59% · Performance 6.31% · Measure score 5.11 · Achievement 5.11 · Improvement 0
Total nurse turnover
3.1
Baseline 66.67% · Performance 51.61% · Measure score 3.1 · Achievement 2.95 · Improvement 3.1
Adjusted total nurse staffing
1.93
Baseline 3.83 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.32% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 4.69% · Lower 95% interval 5.92% |
| Discharge to community | 50.74% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 46.3% · Lower 95% interval 40.35% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 34 · Denominator 34 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 34 |
| Discharge self-care score | 28.57% |
53.69%
25.1 pts worse
|
Numerator 8 · Denominator 28 |
| Discharge mobility score | 57.14% |
50.94%
6.2 pts better
|
Numerator 16 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 34 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.31% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 80 |
| Staff flu vaccination coverage | 37.76% |
42%
4.2 pts worse
|
Numerator 37 · Denominator 98 |
| Discharge function score | 53.57% |
56.45%
2.9 pts worse
|
Numerator 15 · Denominator 28 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 0.5% |
3.1%
2.6 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
4.1%
0.8 pts worse
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.4% · Q3 6.7% · Q4 2.1% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.5%
1.8 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.4% · Q3 2.4% · Q4 2.4% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.6% |
19.6%
2 pts better
|
19.6%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 20.9% · Q3 16.7% · Q4 11.4% · 4Q avg 17.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.7% |
16.5%
11.2 pts worse
|
16.7%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 30.6% · Q3 32.4% · Q4 27.5% · 4Q avg 27.7% · 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 | 4.2% |
13.9%
9.7 pts better
|
16.3%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 0.0% · Q3 7.5% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
11.7%
1.8 pts worse
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 11.9% · Q3 10.3% · Q4 9.5% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · 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 2.1% · Q2 0.0% · Q3 4.3% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
20.4%
0.4 pts better
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 21.3% · Q3 14.7% · Q4 28.1% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
5.6%
1.3 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.4% · Q3 9.3% · Q4 3.4% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
82.8%
13.9 pts better
|
81.7%
15 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 98.0% · Q3 100.0% · Q4 91.7% · 4Q avg 96.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
11.5%
3.3 pts worse
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 14.8% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.1% |
79.5%
14.6 pts better
|
79.7%
14.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 7.8% |
24.2%
16.4 pts better
|
23.9%
16.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.4% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-02 · Fire 2024-10-02
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-11-16 · Fire 2023-11-16
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-22
F · Potential for more than minimal harm
2024-10-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-22
E · Potential for more than minimal harm
2024-10-02
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-10-22
F · Potential for more than minimal harm
2023-11-16
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-11-29
F · Potential for more than minimal harm
2023-11-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-29
F · Potential for more than minimal harm
2023-11-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-29
F · Potential for more than minimal harm
2023-11-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-29
F · Potential for more than minimal harm
2023-11-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-29
E · Potential for more than minimal harm
2023-11-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-11-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-11-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-29
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-04
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 2026-01-02
D · Potential for more than minimal harm
2025-12-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-02
D · Potential for more than minimal harm
2024-10-02
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-22
D · Potential for more than minimal harm
2024-09-04
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-09-20
F · Potential for more than minimal harm
2023-11-16
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 2023-11-29
Penalties and ownership
What sits behind the stars
Ownership
Mohammad A Qazi Living Trust Dated 09/26/97
5% Or Greater Direct Ownership Interest · Organization
Qazi, Mohammad
5% Or Greater Indirect Ownership Interest · Individual
Cary, Christina
Operational/Managerial Control · Individual
Ciena Healthcare Management Inc
Operational/Managerial Control · Organization
Irish, Colin
Operational/Managerial Control · Individual
Khan, Anis
Operational/Managerial Control · Individual
Mohammad A Qazi Living Trust Dated 09/26/97
Operational/Managerial Control · Organization
Qazi, Mohammad
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Christian Park Health Care Center
Escanaba, MI
3-star overall rating with 3-star inspections with $36,651 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Bishop Noa Home for Senior Citizens
Escanaba, MI
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Pinecrest Medical Care Facility
Powers, MI
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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