Federal inspection record · CMS data as of October 1, 2026
Iosco County Medical Care Facility
1201 Harris Avenue, Tawas City, MI · (989) 362-4424
- Certified beds
- 78
- Residents per day
- 46
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Iosco County Medical Care Facility carries 108 inspection points. That is fewer than 24% 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
32 health citations on record since 2023. 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 (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- 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.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
Nutrition and Dietary2D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-01-08
14 health deficiencies · 16 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-11-20
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-21
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 47 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
5 h 47 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 96% of nursing staff and 70% 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
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-08 | Payment Denial · 6 day denial | $0 |
| 2023-11-21 | Payment Denial · 7 day denial | $0 |
6
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 days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.6 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 99.4% | 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 injury4.9 pts worse | 7.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts worse | 7.8% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 5.6% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts worse | 28.5% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts better | 10.5% | 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 worsened0.4 pts better | 10.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts worse | 12.8% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.6 pts worse | 30.0% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.9% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 95.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.5 pts worse | 23.2% | 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 vaccine13.8 pts better | 95.3% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts better | 20.8% | 23.9% | 23.4% |
·
Who owns and runs it
2 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 |
|---|---|---|---|
| County Of Iosco | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Look, Jon | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
- E
Install corridor and hallway doors that block smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Develop a communication plan.
- F
Provide emergency officials' contact information.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Egress3F
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
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.
- E
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.
Gas, Vacuum, and Electrical Systems3E
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- F
Provide a written emergency evacuation plan.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Medilodge of Tawas City
Tawas City, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Lakeview Manor Healthcare Center
Tawas City, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Medilodge of Sterling
Sterling, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 42 min
- Fines
- $0