Standish, MI

MyMichigan Skilled Nursing Facility

5-star overall rating with 4-star inspections with $32,175 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

805 West Cedar, Standish, MI

(989) 846-4521

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

29

Certified beds

Average residents

20

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1970-02-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

2.04

Registered nurse staffing

LPN hours / resident day

0.10

Licensed practical nurse staffing

Aide hours / resident day

3.91

Nurse aide staffing

Weekend hours

5.31

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

19%

Annual nurse turnover

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
Percentage of long-stay residents experiencing one or more falls with major injury 1.5%
3.1%
1.6 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.8%
4.1%
2.3 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.5%
5.5%
3 pts worse
5.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.5%
19.6%
10.9 pts worse
19.6%
10.9 pts worse
Long Stay · 2024Q4-2025Q3
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
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 28.8%
13.9%
14.9 pts worse
16.3%
12.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 25.0%
11.7%
13.3 pts worse
14.9%
10.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.1%
0.9%
7.2 pts worse
1.0%
7.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.6%
1.7%
2.9 pts worse
1.7%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.8%
20.4%
6.6 pts better
19.8%
6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.7%
5.6%
3.9 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.5%
82.8%
9.7 pts better
81.7%
10.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
11.5%
3.3 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.2%
79.5%
16.7 pts better
79.7%
16.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.0%
24.2%
10.2 pts better
23.9%
9.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-21 · Fire 2025-02-21

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-03-06 · Fire 2024-03-06

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-22 · Fire 2023-02-22

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-24

F · Potential for more than minimal harm 2023-02-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-03-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-21

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 2025-03-24

D · Potential for more than minimal harm 2025-02-21

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

D · Potential for more than minimal harm 2025-02-21

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 2025-03-24

G · Actual harm 2024-03-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-03

G · Actual harm 2024-03-06

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 2024-04-03

F · Potential for more than minimal harm 2024-03-06

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 2024-04-03

D · Potential for more than minimal harm 2024-03-06

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-03-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-03-06

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 2024-04-03

C · Minimal harm 2024-03-06

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-03

G · Actual harm 2023-11-15

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 2023-12-11

F · Potential for more than minimal harm 2023-02-22

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 2023-03-27

D · Potential for more than minimal harm 2023-02-22

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 2023-03-27

D · Potential for more than minimal harm 2023-02-22

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 2023-03-27

D · Potential for more than minimal harm 2023-02-22

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-03-27

D · Potential for more than minimal harm 2023-02-22

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2023-03-27

D · Potential for more than minimal harm 2023-02-22

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-03-27

D · Potential for more than minimal harm 2023-02-22

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 2023-03-27

B · Minimal harm 2023-02-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-27

Penalties and ownership

What sits behind the stars

$32,175 2024-03-06

Fine

Fine · fine $32,175

Fine

Ownership

Mymichigan Health

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2024-08-01
Mymichigan Medical Center Standish

5% Or Greater Indirect Ownership Interest · Organization

100% 1 facilities 2024-08-01
Erickson, Michael

Corporate Officer · Individual

0% 1 facilities 2024-08-01
Gorde, Tricia

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-02
Gorde, Tricia

Corporate Director · Individual

0% 2 facilities 2024-08-02
Hunter, Samantha

Operational/Managerial Control · Individual

0% 2 facilities 2025-11-04
James, Sarah

Corporate Officer · Individual

0% 1 facilities 2025-11-04
Lynch, Brodi

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-01
Mccord, Laurilee

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-01
Zaske, Jeanette

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-06

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Health
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Staffing
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#3

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3-star overall rating with 2-star inspections with $170,704 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$170,704

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