Federal inspection record · CMS data as of October 1, 2026
Medilodge of Cass City
4782 Hospital Drive, Cass City, MI · (989) 872-2174
- Certified beds
- 80
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- Medilodge
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1976
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.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Medilodge of Cass City carries 46 inspection points. That is fewer than 66% 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
33 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 Care13E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service8E
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- 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.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Environmental2E
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-08-28
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-08-29
11 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-09-14
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 43 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 14% of registered nurses left in the past year, along with 1 administrator.
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 days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.0 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better | 99.5% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts worse | 94.7% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 0.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 3.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.1 pts worse | 36.5% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts better | 14.2% | 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 worsened5.1 pts better | 6.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 3.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 17.6% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 2.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 90.1% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts better | 3.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2 pts worse | 79.5% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.6 pts better | 10.3% | 23.9% | 23.4% |
·
Who owns and runs it
14 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 |
|---|---|---|---|
| Ark Opco Group, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 31 facilities |
| B&Y Healthcare S Corp | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 74 facilities |
| B&Y Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 78 facilities |
| Cody Healthcare S Corp | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 75 facilities |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 78 facilities |
| Craig Flashner 2007 Trust | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Flashner, Craig | Corporate Director · Individual | 0% | 78 facilities |
| Flashner, Craig | Operational/Managerial Control · Individual | 0% | 78 facilities |
| Kirk, Kristine | W-2 Managing Employee · Individual | 0% | 77 facilities |
| Norcross, Robert | Contracted Managing Employee · Individual | 0% | 78 facilities |
| Perlstein, Yitzchok | Corporate Director · Individual | 0% | 78 facilities |
| Perlstein, Yitzchok | Operational/Managerial Control · Individual | 0% | 78 facilities |
| Prestige Administrative Services, LLC | Operational/Managerial Control · Organization | 0% | 75 facilities |
| Rogers, Stacey | Contracted Managing Employee · Individual | 0% | 78 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- 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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Tuscola County Medical Care Facility
Caro, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 57 min
- Fines
- $0
-
Huron County Medical Care Facility
Bad Axe, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 36 min
- Fines
- $0
-
Courtney Manor
Bad Axe, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0