Federal inspection record · CMS data as of October 1, 2026

Hazel I Findlay Country Manor

1101 S Scott Road, Saint Johns, MI · (989) 224-8936

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
150
Residents per day
106
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 2002

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Hazel I Findlay Country Manor carries 36 inspection points. That is fewer than 76% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 36 pts · 4★

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

13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service5D
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 15, 2025 · Standard · F757 · Corrected October 6, 2025

  2. D

    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.

    September 15, 2025 · Standard · F761 · Corrected October 6, 2025

  3. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    August 29, 2024 · Standard · F757 · Corrected September 17, 2024

  4. D

    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.

    August 29, 2024 · Standard · F758 · Corrected September 17, 2024

  5. D

    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.

    June 6, 2023 · Standard · F761 · Corrected June 16, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    September 15, 2025 · Standard · F607 · Corrected October 6, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 15, 2025 · Standard · F609 · Corrected October 6, 2025

  3. D

    Respond appropriately to all alleged violations.

    September 15, 2025 · Standard · F610 · Corrected October 6, 2025

Resident Assessment and Care Planning2D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 15, 2025 · Standard · F658 · Corrected October 6, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 29, 2024 · Standard · F842 · Corrected September 17, 2024

Quality of Life and Care2D
  1. D

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

    September 15, 2025 · Standard · F684 · Corrected October 6, 2025

  2. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    June 6, 2023 · Standard · F688 · Corrected June 16, 2023

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 15, 2025 · Standard · F812 · Corrected October 6, 2025

Inspection history

  1. 2025-09-15

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2024-08-29

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2023-06-06

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 25 min of nursing staff time a day, 43 min of it from a registered nurse.

This home

4 h 25 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 28% of nursing staff and 19% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better1.11.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better0.81.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better100.0%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better100.0%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse3.4%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.3 pts worse5.8%4.5%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better4.1%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts better11.3%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.9 pts worse21.6%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.3 pts worse17.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.4 pts worse21.1%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse2.4%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts worse2.8%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.1 pts worse25.5%19.4%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.6%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts better96.1%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts worse15.9%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10 pts better91.5%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better22.0%23.9%23.4%

·

Who owns and runs it

20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Alt Long Term Care Consulting, LLCAdp Of The SNF · Organization0%1 facilities
Boettger, MaryluCorporate Director · Individual0%1 facilities
Feldpausch, ClaireOperational/Managerial Control · Individual0%1 facilities
Financial Architects, Inc.Adp Of The SNF · Organization0%1 facilities
Fossano, SandraOperational/Managerial Control · Individual0%1 facilities
Higbie, KimberlyOperational/Managerial Control · Individual0%1 facilities
Kudwa, DavidCorporate Director · Individual0%1 facilities
Kudwa, RobertCorporate Director · Individual0%1 facilities
Minnick, MollyCorporate Director · Individual0%1 facilities
Minnick, PaulCorporate Director · Individual0%1 facilities
Minnick, PaulOperational/Managerial Control · Individual0%1 facilities
Minnick, PaulAdp Of The SNF · Individual0%1 facilities
O'connor, RonaldOperational/Managerial Control · Individual0%1 facilities
Robbins, SarahCorporate Director · Individual0%1 facilities
Sodman-Orth, KariCorporate Officer · Individual0%1 facilities
Sodman-Orth, KariOperational/Managerial Control · Individual0%1 facilities
Sodman-Orth, KariAdp Of The SNF · Individual0%1 facilities
Soros, AllanCorporate Director · Individual0%1 facilities
Stoll, AmyOperational/Managerial Control · Individual0%1 facilities
Zimmerman, BaileyOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems3F
  1. D

    Ensure proper usage of power strips and extension cords.

    September 15, 2025 · K920 · Corrected October 6, 2025

  2. F

    Have proper medical gas storage and administration areas.

    June 6, 2023 · K923 · Corrected June 7, 2023

  3. E

    Ensure proper usage of power strips and extension cords.

    June 6, 2023 · K920 · Corrected June 7, 2023

Egress1F
  1. F

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

    September 15, 2025 · K211 · Corrected October 6, 2025

Smoke1F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    August 29, 2024 · K341 · Corrected August 29, 2024

Miscellaneous1F
  1. F

    Provide a written emergency evacuation plan.

    August 29, 2024 · K711 · Corrected August 29, 2024

Emergency Preparedness1E
  1. E

    List the names and contact information of those in the facility.

    August 29, 2024 · E30 · Corrected August 29, 2024

·

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