13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
East China, MI
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4220 S. Hospital Drive, East China, MI
(810) 329-4736
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
158
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Medilodge
Operator or chain grouping
Approved since
1978-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
50 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
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
RN hours / resident day
0.87
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.11
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
4.56
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
7,214
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9859
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.42
Baseline 22.07% · Performance 21.60% · Measure score 0.42 · Achievement 0 · Improvement 0.42
Healthcare-associated infections
3.61
Baseline 6.50% · Performance 6.75% · Measure score 3.61 · Achievement 3.61 · Improvement 0
Total nurse turnover
5.12
Baseline 28.92% · Performance 42.74% · Measure score 5.12 · Achievement 5.12 · Improvement 0
Adjusted total nurse staffing
3.01
Baseline 3.67 hours · Performance 3.93 hours · Measure score 3.01 · Achievement 3.01 · Improvement 0.77
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.27% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 105 · Observed rate 7.62% · Lower 95% interval 6.67% |
| Discharge to community | 45.75% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 37.89% · Lower 95% interval 36.59% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 68 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 47.37% |
53.69%
6.3 pts worse
|
Numerator 18 · Denominator 38 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 19 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 68 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 6.35% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 145 |
| Staff flu vaccination coverage | 9.55% |
42%
32.5 pts worse
|
Numerator 17 · Denominator 178 |
| Discharge function score | 52.63% |
56.45%
3.8 pts worse
|
Numerator 20 · Denominator 38 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 50 · Denominator 50 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.45% |
25.2%
18.8 pts worse
|
Numerator 2 · Denominator 31 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.9% |
95.0%
10.1 pts worse
|
93.4%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 90.9% · Q3 82.1% · Q4 75.7% · 4Q avg 84.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
95.0%
7.5 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.1%
0.9 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q3 5.3% · Q4 2.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
4.1%
3.8 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
5.5%
2.9 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 13.1% · Q3 8.4% · Q4 8.4% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.9% |
19.6%
5.3 pts worse
|
19.6%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 24.7% · Q3 21.2% · Q4 24.2% · 4Q avg 24.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.3% |
16.5%
6.2 pts better
|
16.7%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 15.5% · Q3 5.0% · Q4 2.8% · 4Q avg 10.3% · 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 | 11.2% |
13.9%
2.7 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 12.4% · Q3 9.0% · Q4 13.8% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.1% |
11.7%
4.6 pts better
|
14.9%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 11.0% · Q3 4.9% · Q4 10.9% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.8% |
20.4%
2.6 pts better
|
19.8%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 16.3% · Q3 21.4% · Q4 20.9% · 4Q avg 17.8% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.6%
0.2 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.4% · Q3 6.0% · Q4 6.4% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 29.4% |
82.8%
53.4 pts worse
|
81.7%
52.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.6% · Q2 18.5% · Q3 24.3% · Q4 38.5% · 4Q avg 29.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.9% |
11.5%
3.4 pts worse
|
12.0%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 15.3% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.3%
1.6 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.6% · Q3 0.0% · Q4 1.5% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.9% |
79.5%
45.6 pts worse
|
79.7%
45.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 33.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.4% |
24.2%
8.2 pts worse
|
23.9%
8.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.4% · Observed 37.5% · Expected 27.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-08
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2026-01-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2026-01-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-29
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 2023-09-29
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2026-01-08
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-01-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-01-08
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2026-01-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-08
Health
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.
Corrected 2026-01-08
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-12
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-11-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-05
Health
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.
Corrected 2024-11-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-05
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-11-05
Health
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.
Corrected 2024-11-05
Health
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.
Corrected 2024-11-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
Health
Provide appropriate foot care.
Corrected 2023-09-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Contracted Managing Employee · Individual
Nearby options
Port Huron, MI
5-star overall rating with 4-star inspections with $42,625 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Richmond, MI
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Chesterfield Township, MI
3-star overall rating with 3-star inspections with $15,593 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out