Manistee, MI

Manistee County Medical Care Facility

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1505 East Parkdale Avenue, Manistee, MI

(231) 723-2543

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

37

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

Hours and turnover

RN hours / resident day

1.96

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.16

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

3.40

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

5.52

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.12

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

4.39

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

1.17

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

2.15

CMS adjusted RN staffing hours

Adjusted total hours

6.07

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,174

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

51.24

Composite VBP score used to determine payment impact.

Payment multiplier

1.0056

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 22.43% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

5.29

Performance 6.25% · Measure score 5.29 · Achievement 5.29 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

10

Baseline 26.53% · Performance 24.49% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

5.21

Baseline 4.30 hours · Performance 4.56 hours · Measure score 5.21 · Achievement 5.21 · Improvement 1.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.5%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 12.5% · Lower 95% interval 8.07%
Discharge to community	50.1%	50.57% 0.5 pts worse	No Different than the National Rate · Eligible stays 68 · Observed rate 45.59% · Lower 95% interval 38.35%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	81.25%	95.27% 14 pts worse	Numerator 26 · Denominator 32
Falls with major injury	3.13%	0.77% 2.4 pts worse	Numerator 1 · Denominator 32
Discharge self-care score	42.31%	53.69% 11.4 pts worse	Numerator 11 · Denominator 26
Discharge mobility score	38.46%	50.94% 12.5 pts worse	Numerator 10 · Denominator 26
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 2.75%
Healthcare-associated infections requiring hospitalization	6.25%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3.22%
Staff COVID-19 vaccination coverage	6.25%	8.2% 1.9 pts worse	Numerator 6 · Denominator 96
Staff flu vaccination coverage	88.78%	42% 46.8 pts better	Numerator 87 · Denominator 98
Discharge function score	38.46%	56.45% 18 pts worse	Numerator 10 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.0 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	95.0% 4.4 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.9%	3.1% 3.8 pts worse	3.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.3% · Q3 7.9% · Q4 5.4% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	4.1% 1.5 pts worse	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.1% · Q3 8.8% · Q4 3.0% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	5.9%	5.5% 0.4 pts worse	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 8.6% · Q3 5.7% · Q4 6.9% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.7%	19.6% 4.1 pts worse	19.6% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 25.7% · Q3 25.7% · Q4 25.8% · 4Q avg 23.7%
Percentage of long-stay residents who received an antipsychotic medication	4.5%	16.5% 12 pts better	16.7% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.3% · Q3 7.4% · Q4 4.2% · 4Q avg 4.5% · 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	35.3%	13.9% 21.4 pts worse	16.3% 19 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 35.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.3%	11.7% 21.6 pts worse	14.9% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 37.5% · Q3 32.3% · Q4 30.0% · 4Q avg 33.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	0.9% 1.5 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.9% · Q3 2.6% · Q4 3.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.7% 1.1 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.4%	20.4% 3 pts better	19.8% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 13.7% · Q3 17.3% · Q4 24.4% · 4Q avg 17.4%
Percentage of long-stay residents with pressure ulcers	5.8%	5.6% 0.2 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 4.7% · Q3 3.2% · Q4 2.4% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	82.8% 15.7 pts better	81.7% 16.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.8% · 4Q avg 98.5%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

1 health deficiencies

Top issue: Infection Control (1 deficiency)

10 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2024-10-09 · Fire 2024-10-09

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-11-15 · Fire 2023-11-15

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-19

F · Potential for more than minimal harm 2025-12-04

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-12-19

F · Potential for more than minimal harm 2025-12-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-19

F · Potential for more than minimal harm 2025-12-04

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-19

F · Potential for more than minimal harm 2025-12-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-04

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-04

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-04

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-04

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-19

F · Potential for more than minimal harm 2024-10-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-10-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-10-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-10-09

K321 · Smoke Deficiencies

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 2024-10-25

E · Potential for more than minimal harm 2024-10-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-10-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-10-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-25

E · Potential for more than minimal harm 2023-11-15

K321 · Smoke Deficiencies

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 2023-12-05

E · Potential for more than minimal harm 2023-11-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-05

E · Potential for more than minimal harm 2023-11-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-12-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-04

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-12-29

E · Potential for more than minimal harm 2024-10-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-04