Federal inspection record · CMS data as of October 1, 2026
McLaren Lapeer Region
1375 North Main Street, Lapeer, MI · (810) 667-5588
- CMS high-performer trophy
- Certified beds
- 19
- Residents per day
- 18
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 8, 1997
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.
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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 (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
McLaren Lapeer Region carries 19 inspection points. That is fewer than 89% 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
22 health citations on record since 2023. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nursing and Physician Services3D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration2F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2D
- D
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.
- D
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.
Resident Assessment and Care Planning2E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-09-04
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-09-09
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-07-13
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 6 h 26 min of nursing staff time a day, 4 h 26 min of it from a registered nurse.
This home
6 h 26 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 35% 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. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better | 99.3% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 10.3% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14 pts better | 95.5% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 20.0% | 23.9% | 23.4% |
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Who owns and runs it
29 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 |
|---|---|---|---|
| Burke, Michael | Corporate Director · Individual | 0% | 7 facilities |
| Burke, Michael | Trustee Of The SNF · Individual | 0% | 7 facilities |
| Burrough, Eric | Corporate Director · Individual | 0% | 1 facilities |
| Burrough, Eric | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Davis, Tiffany | Corporate Officer · Individual | 0% | 3 facilities |
| Davis, Tiffany | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Davis, Tiffany | Trustee Of The SNF · Individual | 0% | 3 facilities |
| Grant, Chad | Corporate Director · Individual | 0% | 2 facilities |
| Grant, Chad | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Incarnati, Philip | Corporate Director · Individual | 0% | 3 facilities |
| Incarnati, Philip | Trustee Of The SNF · Individual | 0% | 3 facilities |
| Mclaren Health Care Corporation | Direct Ownership Interest · Organization | 0% | 4 facilities |
| Mclaren Health Care Corporation | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Mclaren Health Care Corporation | Adp Of The SNF · Organization | 0% | 4 facilities |
| Nounou, Majed | Corporate Director · Individual | 0% | 1 facilities |
| Nounou, Majed | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Riehl, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Riehl, Robert | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Scott, Justus | Corporate Director · Individual | 0% | 1 facilities |
| Scott, Justus | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Sharma, Vishnu | Corporate Director · Individual | 0% | 1 facilities |
| Sharma, Vishnu | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sharma, Vishnu | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, D. Wesley | Corporate Director · Individual | 0% | 1 facilities |
| Smith, D. Wesley | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Vargas, Timothy | Corporate Officer · Individual | 0% | 1 facilities |
| Vargas, Timothy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vargas, Timothy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Vargas, Timothy | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1F
- F
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Lapeer County Medical Care Facility
Lapeer, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 6 min
- Fines
- $68,445
-
The Orchards at Lapeer
Lapeer, MI · The Orchards Michigan
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Stonegate Health Campus
Lapeer, MI · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 32 min
- Fines
- $66,414