Durand, MI

Durand Senior Care and Rehab Center

3-star overall rating with 3-star inspections with $53,398 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

8750 E Monroe Road, Durand, MI

(989) 288-3166

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

141

Certified beds

Average residents

114

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nexcare Health Systems

Operator or chain grouping

Approved since

1967-04-18

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

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

0.72

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.77

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.43

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

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.04

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,374

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9932

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.73

Baseline 19.77% · Performance 20.17% · Measure score 2.73 · Achievement 2.73 · Improvement 0

Healthcare-associated infections

3.58

Baseline 6.21% · Performance 6.76% · Measure score 3.58 · Achievement 3.58 · Improvement 0

Total nurse turnover

6.49

Baseline 35.29% · Performance 37.14% · Measure score 6.49 · Achievement 6.49 · Improvement 0

Adjusted total nurse staffing

3.29

Baseline 3.70 hours · Performance 4.01 hours · Measure score 3.29 · Achievement 3.29 · Improvement 0.99

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.1%	10.72% 1.6 pts better	No Different than the National Rate · Eligible stays 161 · Observed rate 6.83% · Lower 95% interval 6.18%
Discharge to community	58.93%	50.57% 8.4 pts better	Better than the National Rate · Eligible stays 144 · Observed rate 55.56% · Lower 95% interval 51%
Medicare spending per beneficiary	0.66	1.02 0.4 pts better
Drug regimen review with follow-up	93.39%	95.27% 1.9 pts worse	Numerator 113 · Denominator 121
Falls with major injury	1.65%	0.77% 0.9 pts worse	Numerator 2 · Denominator 121
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 43 · Denominator 86
Discharge mobility score	24.42%	50.94% 26.5 pts worse	Numerator 21 · Denominator 86
Pressure ulcers or injuries, new or worsened	0.83%	2.29% 1.5 pts better	Numerator 1 · Denominator 121 · Adjusted rate 0.99%
Healthcare-associated infections requiring hospitalization	6.76%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 97 · Observed rate 5.15% · Lower 95% interval 3.84%
Staff COVID-19 vaccination coverage	10.84%	8.2% 2.6 pts better	Numerator 18 · Denominator 166
Staff flu vaccination coverage	21.46%	42% 20.5 pts worse	Numerator 47 · Denominator 219
Discharge function score	37.21%	56.45% 19.2 pts worse	Numerator 32 · Denominator 86
Transfer of health information to provider	98.75%	95.95% 2.8 pts better	Numerator 79 · Denominator 80
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	37.29%	25.2% 12.1 pts better	Numerator 22 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	95.0% 4.4 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 98.8% · Q4 100.0% · 4Q avg 99.4%
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	6.0%	3.1% 2.9 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.2% · Q3 7.1% · Q4 7.1% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.1% 4.1 pts better	11.4% 11.4 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 who lose too much weight	8.3%	5.5% 2.8 pts worse	5.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.4% · Q3 6.5% · Q4 7.8% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.9%	19.6% 6.3 pts worse	19.6% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 27.0% · Q3 24.4% · Q4 29.1% · 4Q avg 25.9%
Percentage of long-stay residents who received an antipsychotic medication	16.8%	16.5% 0.3 pts worse	16.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 18.3% · Q3 16.7% · Q4 15.3% · 4Q avg 16.8% · 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	13.8%	13.9% 0.1 pts better	16.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 17.6% · Q3 16.1% · Q4 11.5% · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.2%	11.7% 3.5 pts worse	14.9% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 22.1% · Q3 19.7% · Q4 8.3% · 4Q avg 15.2% · 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 2.4% · Q2 1.3% · Q3 3.6% · Q4 1.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.7%	20.4% 10.7 pts better	19.8% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 14.4% · Q3 11.0% · Q4 4.2% · 4Q avg 9.7%
Percentage of long-stay residents with pressure ulcers	4.9%	5.6% 0.7 pts better	5.1% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.0% · Q3 5.6% · Q4 6.9% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.5%	82.8% 3.7 pts better	81.7% 4.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 87.6% · Q3 89.2% · Q4 82.5% · 4Q avg 86.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.8%	11.5% 1.7 pts better	12.0% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 9.6% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.3% 0.7 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.4%	79.5% 0.9 pts better	79.7% 0.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.7%	24.2% 0.5 pts better	23.9% 0.2 pts better	Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 22.8% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-30 · Fire 2025-04-30

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-28 · Fire 2023-02-28

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-20

E · Potential for more than minimal harm 2024-05-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-21

F · Potential for more than minimal harm 2023-02-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-02-28

K321 · Smoke Deficiencies

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 2023-03-17

Inspection history

Recent health citations

G · Actual harm 2025-04-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-04-30

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 2025-05-12

D · Potential for more than minimal harm 2025-04-30

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-04-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-04-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-12

G · Actual harm 2025-03-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-02

G · Actual harm 2025-03-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-31

E · Potential for more than minimal harm 2025-03-13

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-02

E · Potential for more than minimal harm 2024-05-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-05-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-05-10

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-05-21

G · Actual harm 2024-05-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-05-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-21

E · Potential for more than minimal harm 2023-02-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-03-24

E · Potential for more than minimal harm 2023-02-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-24

E · Potential for more than minimal harm 2023-02-28

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-03-24