Tawas City, MI

Medilodge of Tawas City

4-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

400 North Street West, Tawas City, MI

(989) 362-8645

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Medilodge

Operator or chain grouping

Approved since

1978-07-17

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.87

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.93

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.18

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.41

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.61

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.98

CMS adjusted RN staffing hours

Adjusted total hours

4.71

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,453

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.71

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.65% · Performance 23.03% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.63

Baseline 9.12% · Performance 7.42% · Measure score 3.63 · Achievement 1.39 · Improvement 3.63

Total nurse turnover

1.95

Baseline 46.15% · Performance 55.70% · Measure score 1.95 · Achievement 1.95 · Improvement 0

Adjusted total nurse staffing

5.10

Baseline 4.48 hours · Performance 4.53 hours · Measure score 5.10 · Achievement 5.10 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.46%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 70 · Observed rate 8.57% · Lower 95% interval 6.7%
Discharge to community	57.68%	50.57% 7.1 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 56.67% · Lower 95% interval 48.06%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	98%	95.27% 2.7 pts better	Numerator 49 · Denominator 50
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 50
Discharge self-care score	53.57%	53.69% 0.1 pts worse	Numerator 15 · Denominator 28
Discharge mobility score	67.86%	50.94% 16.9 pts better	Numerator 19 · Denominator 28
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 50 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.42%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 3.42%
Staff COVID-19 vaccination coverage	1.01%	8.2% 7.2 pts worse	Numerator 1 · Denominator 99
Staff flu vaccination coverage	15.75%	42% 26.2 pts worse	Numerator 23 · Denominator 146
Discharge function score	67.86%	56.45% 11.4 pts better	Numerator 19 · Denominator 28
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 22 · Denominator 22
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	30.56%	25.2% 5.4 pts better	Numerator 11 · Denominator 36

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.4	1.7 1.3 pts better	1.9 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.5 0.3 pts worse	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.0% 5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.1% 1.3 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 1.8% · Q4 1.7% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	4.1% 2.4 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.9% · Q3 0.0% · Q4 2.0% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	5.8%	5.5% 0.3 pts worse	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.2% · Q3 5.3% · Q4 9.5% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.1%	19.6% 3.5 pts worse	19.6% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 17.8% · Q3 21.1% · Q4 30.2% · 4Q avg 23.1%
Percentage of long-stay residents who received an antipsychotic medication	15.7%	16.5% 0.8 pts better	16.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 6.5% · Q3 21.4% · Q4 21.2% · 4Q avg 15.7% · 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	8.0%	13.9% 5.9 pts better	16.3% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 13.7% · Q3 6.7% · Q4 0.0% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.3%	11.7% 4.4 pts better	14.9% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.0% · Q3 5.7% · Q4 9.8% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	0.9% 0.5 pts worse	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 3.7% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.7% 0.4 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 0.0% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.0%	20.4% 8.4 pts better	19.8% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 10.3% · Q3 10.1% · Q4 14.0% · 4Q avg 12.0%
Percentage of long-stay residents with pressure ulcers	2.9%	5.6% 2.7 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.9% · Q3 3.6% · Q4 1.4% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.6%	82.8% 1.8 pts better	81.7% 2.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 84.5% · Q3 84.0% · Q4 81.6% · 4Q avg 84.6%
Percentage of short-stay residents who had an outpatient emergency department visit	28.1%	11.5% 16.6 pts worse	12.0% 16.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 31.6% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.3% 0.9 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.3%	79.5% 4.8 pts better	79.7% 4.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.8%	24.2% 5.6 pts worse	23.9% 5.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 35.1% · Expected 28.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-12 · Fire 2025-09-12

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-09-10 · Fire 2024-09-10

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-09-21 · Fire 2023-09-21

11 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-10-01

E · Potential for more than minimal harm 2024-09-10

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-09-26

Inspection history

Recent health citations

G · Actual harm 2025-09-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-01

F · Potential for more than minimal harm 2025-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-01

F · Potential for more than minimal harm 2025-09-12

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

F761 · Pharmacy Service Deficiencies

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 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-01-30

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-02-20

E · Potential for more than minimal harm 2024-09-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-09-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-09-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-01