Federal inspection record · CMS data as of October 1, 2026
Mackinac Straits Long Term Care Unit
1140 North State Street, St. Ignace, MI · (906) 643-0462
- Certified beds
- 48
- Residents per day
- 47
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 4 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
★★★★★+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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Mackinac Straits Long Term Care Unit carries 48 inspection points. That is fewer than 65% 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
13 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)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- 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
Ensure each resident receives an accurate assessment.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2026-07-01
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-05-29
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-06-26
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 29 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
4 h 29 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 40% 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 days1.1 pts better | 0.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.1 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 98.9% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 97.9% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.6 pts worse | 8.6% | 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 weightAbout the same | 5.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse | 22.0% | 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 worsened5.2 pts worse | 16.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15 pts worse | 25.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.5 pts worse | 3.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts worse | 3.8% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 27.8% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.1 pts worse | 10.1% | 5.0% | 4.5% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Anderson, Jason | Corporate Director · Individual | 0% | 1 facilities |
| Autore, Steven | Corporate Director · Individual | 0% | 1 facilities |
| Brown, Prentiss | Corporate Director · Individual | 0% | 1 facilities |
| Buhr, Lauren | Corporate Director · Individual | 0% | 1 facilities |
| Buhr, Lauren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cheeseman, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Cheeseman, Karen | Corporate Officer · Individual | 0% | 1 facilities |
| Cheeseman, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Doud, Margaret | Corporate Director · Individual | 0% | 1 facilities |
| Elmblad, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Mackinac Straits Health System Inc | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Mackinac Straits Health System Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mackinac Straits Health System Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Massaway, Keith | Corporate Director · Individual | 0% | 1 facilities |
| Mcelroy, Kevin | Corporate Director · Individual | 0% | 1 facilities |
| Moffat, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moffat, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| North, James | Corporate Director · Individual | 0% | 1 facilities |
| Shannon, Patrick | Corporate Director · Individual | 0% | 1 facilities |
| Smith, Richard | Corporate Director · Individual | 0% | 3 facilities |
| Strich, Susan | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install an approved automatic sprinkler system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1F
- F
Address subsistence needs for staff and patients.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
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Medilodge of Cheboygan
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $29,348
-
Bay Bluffs-Emmet County Medical Care Facility
Harbor Springs, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 34 min
- Fines
- $0
-
The Villa at the Bay
Petoskey, MI · Villa Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 33 min
- Fines
- $241,488