Federal inspection record · CMS data as of October 1, 2026
Medilodge of St. Clair
4220 S. Hospital Drive, East China, MI · (810) 329-4736
- Certified beds
- 158
- Residents per day
- 115
- Ownership
- For-Profit
- Chain
- Medilodge
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1978
1
How this home got 3 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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Medilodge of St. Clair carries 77 inspection points. That is fewer than 44% 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
36 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 Care12D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- 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.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary5F
- F
Dispose of garbage and refuse properly.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 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.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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
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 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 Planning4D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights2D
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- 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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-12-10
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-10-03
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-08-09
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 10 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 54% of registered nurses left in the past year, along with 2 administrators.
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 days0.5 pts worse | 2.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts worse | 84.6% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts worse | 95.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 5.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts better | 0.6% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 8.9% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.3 pts worse | 25.7% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.5 pts better | 7.2% | 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 worsened0.3 pts worse | 11.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 7.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinenceAbout the same | 19.4% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 6.2% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.9 pts worse | 49.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 12.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.4 pts worse | 63.1% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.2 pts worse | 37.1% | 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 |
|---|---|---|---|
| Fifteeninone Opco Group LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 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 |
| Flashner, Craig | Corporate Director · Individual | 0% | 78 facilities |
| Flashner, Craig | Operational/Managerial Control · Individual | 0% | 78 facilities |
| Generations Healthcare Management LLC | Operational/Managerial Control · Organization | 0% | 15 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
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress4E
- E
Have properly located and lighted "Exit" signs.
- E
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
Gas, Vacuum, and Electrical Systems1F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Marwood Manor Nursing Home
Port Huron, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $27,706
-
Medilodge of Richmond
Richmond, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
The Village of East Harbor
Chesterfield Township, MI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0