Owosso, MI

Memorial Healthcare Center

5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle

826 W King Street, Owosso, MI

(989) 723-5211

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

17

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-08-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

2.77

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.13

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

3.54

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

6.44

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.90

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

5.56

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

1.96

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

2.91

CMS adjusted RN staffing hours

Adjusted total hours

6.77

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 44% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	No data were submitted for this measure.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 70
Staff flu vaccination coverage	92.96%	42% 51 pts better	Numerator 66 · Denominator 71
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	95.0% 3.5 pts better	93.4% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.1% 0.1 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	4.1% 0.6 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	6.5%	5.5% 1 pts worse	5.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.2%	19.6% 2.6 pts worse	19.6% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.2%
Percentage of long-stay residents who received an antipsychotic medication	8.8%	16.5% 7.7 pts better	16.7% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.8% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.0%	13.9% 5.1 pts worse	16.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.9%	11.7% 7.2 pts worse	14.9% 4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.1%	20.4% 7.3 pts better	19.8% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.1%
Percentage of long-stay residents with pressure ulcers	5.2%	5.6% 0.4 pts better	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-15 · Fire 2024-11-15

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-11 · Fire 2023-02-15

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-15 · Fire 2022-03-04

2 health deficiencies

Top issue: Environmental (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-22

F · Potential for more than minimal harm 2023-02-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-03-03

F · Potential for more than minimal harm 2023-02-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-03

E · Potential for more than minimal harm 2023-02-15

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-03-03

F · Potential for more than minimal harm 2022-03-04

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K222 · Egress Deficiencies

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 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-04-12

F · Potential for more than minimal harm 2022-03-04

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-03-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-04-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-02-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-03-16

D · Potential for more than minimal harm 2023-02-15

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-03-16

Penalties and ownership