Cycle 1
Health 2025-02-13 · Fire 2025-02-13
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Grayling, MI
Munson Healthcare Crawford Continuing Care Center
4-star overall rating with 3-star inspections with $27,600 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1100 Michigan Avenue, Grayling, MI
(989) 348-0317
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
39
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-07-01
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
1.00
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.70
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.16
CMS adjusted RN staffing hours
Adjusted total hours
5.09
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,058
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9944
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.60
Baseline 18.80% · Performance 21.15% · Measure score 0.60 · Achievement 0.60 · Improvement 0
Healthcare-associated infections
3.30
Baseline 5.62% · Performance 6.85% · Measure score 3.30 · Achievement 3.30 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
8.54
Baseline 4.84 hours · Performance 5.51 hours · Measure score 8.54 · Achievement 8.54 · Improvement 6.59
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.03% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 15.69% · Lower 95% interval 9.23% |
| Discharge to community | 59.14% |
50.57%
8.6 pts better
|
Better than the National Rate · Eligible stays 98 · Observed rate 60.2% · Lower 95% interval 51.56% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.44% |
95.27%
3.2 pts better
|
Numerator 63 · Denominator 64 |
| Falls with major injury | 1.56% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 64 |
| Discharge self-care score | 60.78% |
53.69%
7.1 pts better
|
Numerator 31 · Denominator 51 |
| Discharge mobility score | 39.22% |
50.94%
11.7 pts worse
|
Numerator 20 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 1.56% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 64 · Adjusted rate 2.21% |
| Healthcare-associated infections requiring hospitalization | 6.85% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 4.23% · Lower 95% interval 3.94% |
| Staff COVID-19 vaccination coverage | 2.5% |
8.2%
5.7 pts worse
|
Numerator 1 · Denominator 40 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 40 · Denominator 40 |
| Discharge function score | 62.75% |
56.45%
6.3 pts better
|
Numerator 32 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 57.14% |
25.2%
31.9 pts better
|
Numerator 16 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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% · 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 | 10.1% |
3.1%
7 pts worse
|
3.3%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 13.6% · Q4 15.0% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.1%
4.1 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
5.5%
0.1 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
19.6%
6.8 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 18.2% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.4% |
16.5%
8.9 pts worse
|
16.7%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.4% · 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% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.5% |
13.9%
22.6 pts worse
|
16.3%
20.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.6% |
11.7%
18.9 pts worse
|
14.9%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 28.6% · 4Q avg 30.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
0.9%
1.2 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
1.7%
2.3 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.6% |
20.4%
7.2 pts worse
|
19.8%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.6% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.6%
2.4 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.9% · Q4 5.7% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
82.8%
10.8 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 95.8% · Q3 93.0% · Q4 90.3% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.0% |
11.5%
8.5 pts worse
|
12.0%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 17.3% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.7% |
79.5%
12.2 pts better
|
79.7%
12 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
24.2%
About the same
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 19.2% · Expected 18.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-08 · Fire 2024-07-08
14 health deficiencies
Top issue: Administration (3 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Cycle 3
Health 2023-10-02 · Fire 2023-10-02
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-13
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-03-24
E · Potential for more than minimal harm
2025-02-13
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-03-24
F · Potential for more than minimal harm
2024-07-08
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
E · Potential for more than minimal harm
2024-07-08
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 2024-08-26
F · Potential for more than minimal harm
2023-10-02
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-23
F · Potential for more than minimal harm
2023-10-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-20
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 2025-09-03
E · Potential for more than minimal harm
2025-02-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-13
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-13
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-13
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 2025-03-24
D · Potential for more than minimal harm
2025-02-13
F758 · Pharmacy Service Deficiencies
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 2025-03-24
F · Potential for more than minimal harm
2024-07-08
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 2024-08-26
F · Potential for more than minimal harm
2024-07-08
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-26
F · Potential for more than minimal harm
2024-07-08
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-08-26
E · Potential for more than minimal harm
2024-07-08
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-26
E · Potential for more than minimal harm
2024-07-08
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 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F758 · Pharmacy Service Deficiencies
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 2024-08-26
D · Potential for more than minimal harm
2024-07-08
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-26
J · Immediate jeopardy
2023-10-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-23
E · Potential for more than minimal harm
2023-10-02
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-10-23
Penalties and ownership
What sits behind the stars
$27,600
2023-10-02
Fine
Fine · fine $27,600
Fine
$0
2023-10-02
Payment Denial
Payment Denial · denial start 2023-10-24 · 7 days
7 day denial
Ownership
Cotlear Stuart, Haim Bernardo
Operational/Managerial Control · Individual
Elliot, Benjamin
Operational/Managerial Control · Individual
Konopacki, Paul
Corporate Officer · Individual
Korth-White, Kirsten
Operational/Managerial Control · Individual
Korth-White, Kirsten
Corporate Director · Individual
Munson Healthcare
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Grayling Nursing & Rehabilitation Community
Grayling, MI
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Mission Point Nursing & Physical Rehabilitation of
Roscommon, MI
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Kalkaska Memorial Health Center
Kalkaska, MI
4-star overall rating with 2-star inspections with $10,364 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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