Dimondale, MI
2-star overall rating with 2-star inspections with $54,280 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
4000 N Michigan Road, Dimondale, MI
(517) 646-6258
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
141
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Nexcare Health Systems
Operator or chain grouping
Approved since
1976-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 4 overall / 3 health / 4 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
RN hours / resident day
0.66
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.25
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
5,028
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9909
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.11
Baseline 20.77% · Performance 19.99% · Measure score 3.11 · Achievement 3.11 · Improvement 1.58
Healthcare-associated infections
5.18
Baseline 7.08% · Performance 6.29% · Measure score 5.18 · Achievement 5.18 · Improvement 3.30
Total nurse turnover
3.26
Baseline 63.85% · Performance 50.34% · Measure score 3.26 · Achievement 3.26 · Improvement 2.96
Adjusted total nurse staffing
3.53
Baseline 3.34 hours · Performance 4.08 hours · Measure score 3.53 · Achievement 3.53 · Improvement 2.53
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 9.66% · Lower 95% interval 6.87% |
| Discharge to community | 51.23% |
50.57%
0.7 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 43.86% · Lower 95% interval 40.64% |
| Medicare spending per beneficiary | 0.69 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 94 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 45.83% |
53.69%
7.9 pts worse
|
Numerator 33 · Denominator 72 |
| Discharge mobility score | 58.33% |
50.94%
7.4 pts better
|
Numerator 42 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 6.38% |
2.29%
4.1 pts worse
|
Numerator 6 · Denominator 94 · Adjusted rate 7.61% |
| Healthcare-associated infections requiring hospitalization | 6.29% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 4.55% · Lower 95% interval 3.76% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 216 |
| Staff flu vaccination coverage | 22% |
42%
20 pts worse
|
Numerator 66 · Denominator 300 |
| Discharge function score | 58.33% |
56.45%
1.9 pts better
|
Numerator 42 · Denominator 72 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 18.75% |
25.2%
6.4 pts worse
|
Numerator 9 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.2% |
95.0%
29.8 pts worse
|
93.4%
28.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 47.4% · Q3 62.5% · Q4 81.1% · 4Q avg 65.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 43.8% |
95.0%
51.2 pts worse
|
95.5%
51.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 43.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.1%
0.3 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.6% · Q3 3.6% · Q4 3.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
4.1%
2.9 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
5.5%
0.1 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.3% · Q3 5.5% · Q4 5.9% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.0% |
19.6%
9.4 pts worse
|
19.6%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 27.4% · Q3 31.3% · Q4 29.0% · 4Q avg 29.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.0% |
16.5%
7.5 pts worse
|
16.7%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 25.0% · Q3 25.0% · Q4 22.4% · 4Q avg 24.0% · 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 | 4.8% |
13.9%
9.1 pts better
|
16.3%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.1% · Q3 0.0% · Q4 6.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
11.7%
7 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.3% · Q3 4.2% · Q4 4.9% · 4Q avg 4.7% · 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 | 2.0% |
1.7%
0.3 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.7% · Q3 0.9% · Q4 0.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.4% |
20.4%
16 pts better
|
19.8%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.8% · Q3 4.7% · Q4 5.2% · 4Q avg 4.4% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.6%
2.1 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.5% · Q3 2.0% · Q4 5.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.1% |
82.8%
19.7 pts worse
|
81.7%
18.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 58.8% · Q3 68.1% · Q4 81.0% · 4Q avg 63.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
11.5%
5.1 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 18.8% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.3%
0.5 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.4% |
79.5%
35.1 pts worse
|
79.7%
35.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 44.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.1% |
24.2%
5.1 pts better
|
23.9%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 18.8% · Expected 23.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-23
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-07-23
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-07-23
Fire Safety
Meet other general requirements.
Corrected 2025-03-10
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 2024-06-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-06-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-29
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-04-06
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-06
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-23
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-23
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-23
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-07-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-23
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 2025-07-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-26
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-06-29
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-06-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-29
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 2024-06-29
Health
Post nurse staffing information every day.
Corrected 2024-06-29
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2023-07-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-18
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-06
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-04-06
Health
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.
Corrected 2023-04-06
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-06
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-06
Health
Provide appropriate foot care.
Corrected 2023-04-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-06
Health
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.
Corrected 2023-04-06
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-04-06
Penalties and ownership
Fine · fine $54,280
Fine
Payment Denial · denial start 2024-07-17 · 9 days
9 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Holt, MI
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Lansing, MI
1-star overall rating with 1-star inspections with $75,834 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Lansing, MI
3-star overall rating with 2-star inspections with $69,933 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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