Alma, MI

Michigan Masonic Home

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1200 Wright Avenue, Alma, MI

(989) 463-3141

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

204

Certified beds

Average residents

94

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.54

Registered nurse staffing

LPN hours / resident day

0.34

Licensed practical nurse staffing

Aide hours / resident day

2.55

Nurse aide staffing

Weekend hours

3.92

Weekend nurse staffing

RN turnover

23%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.7 0.1 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.5 0.1 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	95.0% 3.9 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	3.1% 2 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	1.0%	4.1% 3.1 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	7.3%	5.5% 1.8 pts worse	5.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.8%	19.6% 3.8 pts better	19.6% 3.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	7.8%	16.5% 8.7 pts better	16.7% 8.9 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	5.4%	13.9% 8.5 pts better	16.3% 10.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	11.7% 8 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection	0.6%	1.7% 1.1 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.8%	20.4% 1.6 pts better	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	5.0%	5.6% 0.6 pts better	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	82.8% 16.6 pts better	81.7% 17.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	14.1%	11.5% 2.6 pts worse	12.0% 2.1 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.3% About the same	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.4%	79.5% 6.9 pts better	79.7% 6.7 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.4%	24.2% 8.8 pts better	23.9% 8.5 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-18 · Fire 2024-12-18

4 health deficiencies

Top issue: Environmental (1 deficiency)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2023-10-26 · Fire 2023-10-26

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-10-27 · Fire 2022-10-27

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

11 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-12-18

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 2025-01-22

F · Potential for more than minimal harm 2024-12-18

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-12-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-22

E · Potential for more than minimal harm 2024-12-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-22

E · Potential for more than minimal harm 2024-12-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-22

E · Potential for more than minimal harm 2024-12-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-22

F · Potential for more than minimal harm 2022-10-27

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-11-11

F · Potential for more than minimal harm 2022-10-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-02

F · Potential for more than minimal harm 2022-10-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-27

F · Potential for more than minimal harm 2022-10-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-11-16

F · Potential for more than minimal harm 2022-10-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-27

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-11-11

E · Potential for more than minimal harm 2022-10-27

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-11-14

E · Potential for more than minimal harm 2022-10-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-11-11

E · Potential for more than minimal harm 2022-10-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-11-03

E · Potential for more than minimal harm 2022-10-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-10-28

E · Potential for more than minimal harm 2022-10-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-10-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-12-18

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 2025-01-22

D · Potential for more than minimal harm 2024-12-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-01-22

D · Potential for more than minimal harm 2024-12-18

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 2025-01-22

D · Potential for more than minimal harm 2023-10-26

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 2023-11-21

D · Potential for more than minimal harm 2023-10-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-11-21

F · Potential for more than minimal harm 2022-10-27

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 2022-11-25

D · Potential for more than minimal harm 2022-10-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-11-25

D · Potential for more than minimal harm 2022-10-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-11-25

Penalties and ownership

What sits behind the stars

Ownership

Grand Lodge Of Free And Accepted Masons Of Michigan

5% Or Greater Indirect Ownership Interest · Organization

100% 1 facilities 1995-06-01

Michigan Masonic Home

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1967-01-01

Caswell, Bruce