Frankfort, MI

Maples Benzie County Medical Care

4-star overall rating with 3-star inspections with $33,261 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

210 Maple Street, Frankfort, MI

(231) 352-9674

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

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

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

1.23

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.32

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

3.75

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

5.30

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.55

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

4.43

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.41

CMS adjusted RN staffing hours

Adjusted total hours

6.09

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,418

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

Performance score

56.82

Composite VBP score used to determine payment impact.

Payment multiplier

1.0120

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.35

Baseline 53.06% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0.59

Adjusted total nurse staffing

8.02

Baseline 6.02 hours · Performance 5.36 hours · Measure score 8.02 · Achievement 8.02 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.8%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 74 · Observed rate 9.46% · Lower 95% interval 6.79%
Discharge to community	50.47%	50.57% 0.1 pts worse	No Different than the National Rate · Eligible stays 58 · Observed rate 48.28% · Lower 95% interval 39.99%
Medicare spending per beneficiary	0.82	1.02 0.2 pts better
Drug regimen review with follow-up	93.75%	95.27% 1.5 pts worse	Numerator 30 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	53.85%	53.69% 0.2 pts better	Numerator 14 · Denominator 26
Discharge mobility score	53.85%	50.94% 2.9 pts better	Numerator 14 · Denominator 26
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 3.42%
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	33.56%	8.2% 25.4 pts better	Numerator 49 · Denominator 146
Staff flu vaccination coverage	82.53%	42% 40.5 pts better	Numerator 137 · Denominator 166
Discharge function score	57.69%	56.45% 1.2 pts better	Numerator 15 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	66.67%	25.2% 41.5 pts better	Numerator 16 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	95.0% 1.6 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 97.2% · Q3 98.6% · Q4 97.3% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.7%	95.0% 3.7 pts better	95.5% 3.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	4.8%	3.1% 1.7 pts worse	3.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 5.6% · Q4 9.5% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.4%	4.1% 3.3 pts worse	11.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.3% · Q3 5.9% · Q4 14.1% · 4Q avg 7.4%
Percentage of long-stay residents who lose too much weight	0.9%	5.5% 4.6 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.9% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.4%	19.6% 5.2 pts better	19.6% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 15.9% · Q3 9.1% · Q4 13.2% · 4Q avg 14.4%
Percentage of long-stay residents who received an antipsychotic medication	20.2%	16.5% 3.7 pts worse	16.7% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.2% · Q3 18.9% · Q4 19.7% · 4Q avg 20.2% · 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	20.0%	13.9% 6.1 pts worse	16.3% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 25.8% · Q3 7.7% · Q4 25.0% · 4Q avg 20.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.7%	11.7% 10 pts worse	14.9% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 24.6% · Q3 18.2% · Q4 15.7% · 4Q avg 21.7% · 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	2.1%	1.7% 0.4 pts worse	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 1.4% · Q4 2.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.4%	20.4% 11 pts worse	19.8% 11.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 35.1% · Q3 18.6% · Q4 37.6% · 4Q avg 31.4%
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 4.5% · Q2 6.4% · Q3 5.0% · Q4 7.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.2%	82.8% 2.4 pts better	81.7% 3.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 76.9% · Q2 82.4% · Q3 97.4% · Q4 80.6% · 4Q avg 85.2%
Percentage of short-stay residents who had an outpatient emergency department visit	5.8%	11.5% 5.7 pts better	12.0% 6.2 pts better	Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.6% · Expected 10.6% · Used in QM five-star
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 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.1%	79.5% 6.6 pts better	79.7% 6.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	24.2% 2.5 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 19.4% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-04 · Fire 2024-12-04

7 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-31 · Fire 2024-01-31

7 health deficiencies

Top issue: Administration (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-12-01 · Fire 2022-12-01

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-04

K906 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas cylinders are properly stored.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-12-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-01-31

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 2024-03-04

F · Potential for more than minimal harm 2023-12-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-11

F · Potential for more than minimal harm 2022-12-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-27

F · Potential for more than minimal harm 2022-12-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-08

E · Potential for more than minimal harm 2022-12-01

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 2023-01-27

E · Potential for more than minimal harm 2022-12-01

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-01-27

Inspection history

Recent health citations

G · Actual harm 2025-09-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-08-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-01

F · Potential for more than minimal harm 2024-12-04

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-04

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-01-10

D · Potential for more than minimal harm 2024-12-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-04

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-10

F · Potential for more than minimal harm 2024-01-31

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-04

F · Potential for more than minimal harm 2024-01-31

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-03-04

E · Potential for more than minimal harm 2024-01-31

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 2024-03-04

D · Potential for more than minimal harm 2024-01-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-01-31

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-01-31

F756 · Pharmacy Service Deficiencies

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 2024-03-04

D · Potential for more than minimal harm 2024-01-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-04

D · Potential for more than minimal harm 2023-08-31

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-04

D · Potential for more than minimal harm 2023-08-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-04

G · Actual harm 2023-03-30

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-05-05

G · Actual harm 2022-12-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-12-01

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-02-03

E · Potential for more than minimal harm 2022-12-01

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 2023-01-10