Fenton, MI

Fenton Healthcare

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

512 Beach Street, Fenton, MI

(810) 629-4117

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

1989-01-25

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

0.85

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

4.01

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,527

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

Performance score

35.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9894

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.68

Performance 20.65% · Measure score 1.68 · Achievement 1.68 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.48

Performance 6.79% · Measure score 3.48 · Achievement 3.48 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

7.17

Baseline 38.89% · Performance 34.38% · Measure score 7.17 · Achievement 7.17 · Improvement 2.72

Adjusted total nurse staffing

2.03

Baseline 4.04 hours · Performance 3.65 hours · Measure score 2.03 · Achievement 2.03 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.31%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 62 · Observed rate 4.84% · Lower 95% interval 6.23%
Discharge to community	44.24%	50.57% 6.3 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 34.55% · Lower 95% interval 32.65%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	96%	95.27% 0.7 pts better	Numerator 48 · Denominator 50
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 50
Discharge self-care score	41.18%	53.69% 12.5 pts worse	Numerator 14 · Denominator 34
Discharge mobility score	55.88%	50.94% 4.9 pts better	Numerator 19 · Denominator 34
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 50 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.79%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 3.54%
Staff COVID-19 vaccination coverage	11.96%	8.2% 3.8 pts better	Numerator 11 · Denominator 92
Staff flu vaccination coverage	19.84%	42% 22.2 pts worse	Numerator 25 · Denominator 126
Discharge function score	64.71%	56.45% 8.3 pts better	Numerator 22 · Denominator 34
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
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	34.48%	25.2% 9.3 pts better	Numerator 10 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.7 0.5 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 2.2 · Expected 3.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.2	1.5 1.3 pts better	1.8 1.6 pts better	Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 2.3 · Used in QM five-star
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	0.0%	3.1% 3.1 pts better	3.3% 3.3 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 who have depressive symptoms	3.0%	4.1% 1.1 pts better	11.4% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.0% · Q3 2.0% · Q4 1.9% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight	3.9%	5.5% 1.6 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.0% · Q3 1.9% · Q4 3.8% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	19.6% 4 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 23.1% · Q3 20.8% · Q4 25.9% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	27.5%	16.5% 11 pts worse	16.7% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 26.3% · Q3 30.8% · Q4 28.3% · 4Q avg 27.5% · 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	9.4%	13.9% 4.5 pts better	16.3% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 21.0% · Q3 3.9% · Q4 3.9% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.0%	11.7% 4.7 pts better	14.9% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 9.8% · Q3 2.0% · Q4 3.8% · 4Q avg 7.0% · 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	1.0%	1.7% 0.7 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.4%	20.4% 8 pts better	19.8% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 17.8% · Q3 7.7% · Q4 11.1% · 4Q avg 12.4%
Percentage of long-stay residents with pressure ulcers	1.3%	5.6% 4.3 pts better	5.1% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 3.5% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	82.8% 13.7 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 98.7% · Q3 96.3% · Q4 95.7% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	13.8%	11.5% 2.3 pts worse	12.0% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 16.3% · Expected 13.2% · 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	100.0%	79.5% 20.5 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.6%	24.2% 5.6 pts better	23.9% 5.3 pts better	Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 23.3% · Expected 29.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-10-03 · Fire 2024-10-03

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-09-14 · Fire 2023-09-14

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-12-30

F · Potential for more than minimal harm 2024-10-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-03

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 2024-11-08

F · Potential for more than minimal harm 2023-09-14

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-09-20

F · Potential for more than minimal harm 2023-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-20

F · Potential for more than minimal harm 2023-09-14

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-09-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-12-04

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-12-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-03-20

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-15

D · Potential for more than minimal harm 2024-10-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-31

F · Potential for more than minimal harm 2024-10-03

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-10-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-10-03

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 2024-10-31

E · Potential for more than minimal harm 2024-10-03

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 2024-10-31

D · Potential for more than minimal harm 2024-10-03

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 2024-10-31

D · Potential for more than minimal harm 2024-10-03

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 2024-10-31

F · Potential for more than minimal harm 2023-09-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-09-14

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 2023-09-27