Federal inspection record · CMS data as of October 1, 2026
Grayling Nursing & Rehabilitation Community
331 Meadows Drive, Grayling, MI · (989) 348-2801
- Certified beds
- 72
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- Atrium Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 26, 1984
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Grayling Nursing & Rehabilitation Community carries 67 inspection points. That is fewer than 49% 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
17 health citations on record since 2024. 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 (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary1F
- F
Dispose of garbage and refuse properly.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-03-11
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-16
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-02-14
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 28 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 36% of registered nurses left in the past year.
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 days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.4 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 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 injury1.3 pts better | 1.7% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 0.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.8% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.1 pts better | 5.3% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.7 pts better | 5.0% | 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 worsened9.1 pts better | 2.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 4.8% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 2.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence18.9 pts better | 0.5% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 2.5% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.7 pts better | 98.1% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit16 pts worse | 27.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 100.0% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse | 28.5% | 23.9% | 23.4% |
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Who owns and runs it
12 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 |
|---|---|---|---|
| Orion Operating Services LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| Bailey, Essel | 5% Or Greater Indirect Ownership Interest · Individual | 74% | 23 facilities |
| Finney, Donald | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 23 facilities |
| Albright Ross, Susan | Corporate Officer · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Atrium Centers Management LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Bailey, Essel | Corporate Director · Individual | 0% | 23 facilities |
| Ferkany, James | Corporate Officer · Individual | 0% | 8 facilities |
| Finney, Donald | Corporate Director · Individual | 0% | 23 facilities |
| Lockhart, Dennis | Corporate Director · Individual | 0% | 14 facilities |
| Lockhart, Dennis | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Malcomson, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous3F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of portable space heaters.
Egress2E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
Services2F
- F
Meet other general requirements that are deficient.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Munson Healthcare Crawford Continuing Care Center
Grayling, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 5 min
- Fines
- $0
-
Intersect Healthcare of Roscommon
Roscommon, MI · Mission Point Healthcare Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0
-
Kalkaska Memorial Health Center
Kalkaska, MI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $10,549