Federal inspection record · CMS data as of October 1, 2026

Marlette Community Hospital LTCU

2770 Main Street, Marlette, MI · (989) 635-4000

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
39
Residents per day
36
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Marlette Community Hospital LTCU carries 45 inspection points. That is fewer than 67% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 45 pts · 4★

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

22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 5 8 pts
F 6 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5E
  1. D

    Provide or obtain dental services for each resident.

    August 7, 2025 · Standard · F791 · Corrected September 5, 2025

  2. D

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

    August 14, 2024 · Standard · F684 · Corrected September 26, 2024

  3. D

    Provide appropriate care/assistance for a resident with a prosthesis.

    August 14, 2024 · Standard · F696 · Corrected September 26, 2024

  4. E

    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.

    July 26, 2023 · Standard · F700 · Corrected August 31, 2023

  5. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    July 26, 2023 · Standard · F688 · Corrected August 31, 2023

Infection Control4F
  1. F

    Provide and implement an infection prevention and control program.

    August 7, 2025 · Standard · F880 · Corrected September 5, 2025

  2. E

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    August 14, 2024 · Standard · F887 · Corrected September 26, 2024

  3. D

    Provide and implement an infection prevention and control program.

    July 26, 2023 · Standard · F880 · Corrected August 31, 2023

  4. D

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    July 26, 2023 · Standard · F882 · Corrected August 31, 2023

Pharmacy Service4F
  1. E

    Ensure medication error rates are not 5 percent or greater.

    August 14, 2024 · Standard · F759 · Corrected September 26, 2024

  2. E

    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.

    August 14, 2024 · Standard · F761 · Corrected September 26, 2024

  3. F

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    July 26, 2023 · Standard · F755 · Corrected August 31, 2023

  4. D

    Ensure medication error rates are not 5 percent or greater.

    July 26, 2023 · Standard · F759 · Corrected August 31, 2023

Nutrition and Dietary3F
  1. F

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

    August 7, 2025 · Standard · F812 · Corrected September 5, 2025

  2. F

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

    August 14, 2024 · Standard · F812 · Corrected September 26, 2024

  3. F

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

    July 26, 2023 · Standard · F812 · Corrected August 31, 2023

Resident Rights3F
  1. F

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    July 26, 2023 · Standard · F576 · Corrected August 31, 2023

  2. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    July 26, 2023 · Standard · F578 · Corrected August 31, 2023

  3. B

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

    July 26, 2023 · Standard · F550 · Corrected August 31, 2023

Resident Assessment and Care Planning2E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    August 7, 2025 · Standard · F655 · Corrected September 5, 2025

  2. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 26, 2023 · Standard · F657 · Corrected August 31, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    August 7, 2025 · Standard · F605 · Corrected September 5, 2025

Inspection history

  1. 2025-08-07

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2024-08-14

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2023-07-26

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 54 min of nursing staff time a day, 1 h 37 min of it from a registered nurse.

This home

4 h 54 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 21% of nursing staff and 8% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse2.61.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better96.5%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better100.0%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better2.8%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts worse4.7%4.5%13.5%
Percentage of long-stay residents who lose too much weight4 pts worse9.5%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.6 pts worse35.0%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.7 pts better5.0%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened18.4 pts worse29.5%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts worse22.0%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection6.2 pts worse7.7%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better19.0%19.4%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better4.1%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better100.0%83.4%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bluewater Healthcare NetworkOperational/Managerial Control · Organization0%1 facilities
Brown, JudyCorporate Director · Individual0%1 facilities
Buttar, NickOperational/Managerial Control · Individual0%3 facilities
Buttar, NickAdp Of The SNF · Individual0%3 facilities
Curtis, PatrickCorporate Director · Individual0%1 facilities
Daniels, AndrewCorporate Director · Individual0%1 facilities
Daniels, AndrewTrustee Of The SNF · Individual0%1 facilities
Daniels, AndrewAdp Of The SNF · Individual0%1 facilities
Denton, GailCorporate Director · Individual0%1 facilities
Ellis, StevenCorporate Director · Individual0%1 facilities
Fahrner, FaithCorporate Director · Individual0%1 facilities
Gentner, KimberlyCorporate Director · Individual0%1 facilities
Mcconnachie, AngelaCorporate Director · Individual0%1 facilities
Mcconnachie, AngelaAdp Of The SNF · Individual0%1 facilities
Meiburg, VictoriaCorporate Director · Individual0%1 facilities
Messing, DavidCorporate Director · Individual0%1 facilities
Orr, ScottCorporate Director · Individual0%1 facilities
Rohling, PaulCorporate Director · Individual0%1 facilities
Stafford, BrookeOperational/Managerial Control · Individual0%1 facilities
Stafford, BrookeTrustee Of The SNF · Individual0%1 facilities
Stafford, BrookeAdp Of The SNF · Individual0%1 facilities
Starling, CarolCorporate Director · Individual0%1 facilities
Tamlyn, ErikCorporate Director · Individual0%1 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress3F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    August 14, 2024 · K291 · Corrected September 26, 2024

  2. 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.

    July 26, 2023 · K222 · Corrected August 31, 2023

  3. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    July 26, 2023 · K223 · Corrected August 31, 2023

Smoke1F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 14, 2024 · K353 · Corrected September 26, 2024

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 14, 2024 · K741 · Corrected September 26, 2024

·

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