10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Iron River, MI
2-star overall rating with 1-star inspections with $43,973 in total fines with 10 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
330 Lincoln Avenue, Iron River, MI
(906) 265-5168
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
69
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-05-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.75
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.19
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
0.94
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.78
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.63
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
0.85
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.21% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 6.38% · Lower 95% interval 5.73% |
| Discharge to community | 47.94% |
50.57%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 42 · Observed rate 42.86% · Lower 95% interval 35.06% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 29 · Denominator 29 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 1 · Denominator 29 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 16 · Denominator 24 |
| Discharge mobility score | 70.83% |
50.94%
19.9 pts better
|
Numerator 17 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 1 · Denominator 29 · Adjusted rate 3.7% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.72% |
8.2%
6.5 pts worse
|
Numerator 1 · Denominator 58 |
| Staff flu vaccination coverage | 22.39% |
42%
19.6 pts worse
|
Numerator 15 · Denominator 67 |
| Discharge function score | 70.83% |
56.45%
14.4 pts better
|
Numerator 17 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
1.5
2.9 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 4.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
95.0%
1.4 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.0% · Q3 100.0% · Q4 89.6% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.7% |
95.0%
2.3 pts worse
|
95.5%
2.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.1%
1.5 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.0% · Q3 4.3% · Q4 6.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.1%
3.5 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 20.2% |
5.5%
14.7 pts worse
|
5.4%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 29.2% · Q3 6.7% · Q4 21.7% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% |
19.6%
3.5 pts better
|
19.6%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 16.0% · Q3 17.8% · Q4 14.9% · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 43.3% |
16.5%
26.8 pts worse
|
16.7%
26.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 41.7% · Q3 47.6% · Q4 52.4% · 4Q avg 43.3% · 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 | 17.2% |
13.9%
3.3 pts worse
|
16.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 19.3% · Q3 23.1% · Q4 15.4% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
11.7%
7.9 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 22.4% · Q3 28.6% · Q4 9.1% · 4Q avg 19.6% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 23.3% |
20.4%
2.9 pts worse
|
19.8%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 17.7% · Q3 20.4% · Q4 33.3% · 4Q avg 23.3% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
5.6%
0.1 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 5.5% · Q3 4.3% · Q4 3.7% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
82.8%
5.1 pts better
|
81.7%
6.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 91.3% · Q3 91.7% · Q4 75.9% · 4Q avg 87.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
11.5%
7.5 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.8% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.0% |
1.3%
3.7 pts worse
|
1.6%
3.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.0% |
79.5%
43.5 pts worse
|
79.7%
43.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.7% |
24.2%
14.5 pts better
|
23.9%
14.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 9.5% · Expected 23.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Resident Rights (5 deficiencies)
14 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-09-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-09-17
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-09-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-09-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-09-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-09-17
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-09-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-17
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-09-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-17
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-09-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-09-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-09-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-30
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-09-30
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 2024-09-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-30
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-09-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-22
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-22
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-09-22
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-09-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-22
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-09-22
Inspection history
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-16
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-17
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 2025-11-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-17
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-01-08
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-09-30
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-09-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-30
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-09-30
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-09-30
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-09-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-30
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-30
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 2024-09-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-30
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-09-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-22
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-22
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-22
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 2023-10-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-22
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-09-22
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-09-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-13
Penalties and ownership
Payment Denial · denial start 2025-11-14 · 32 days
32 day denial
Fine · fine $42,575
Fine
Payment Denial · denial start 2023-09-23 · 20 days
20 day denial
Fine · fine $1,398
Fine
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
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