Hart, MI

Oceana County Medical Care Facility

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

701 East Main Street, Hart, MI

(231) 873-6601

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

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

115

Certified beds

Average residents

92

Average occupied residents

Ownership

Government

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

Changed ownership

No

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

1.27

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

4.27

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

6.52

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.25

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

5.44

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.73

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.42

CMS adjusted RN staffing hours

Adjusted total hours

7.30

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,112

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

Performance score

59.76

Composite VBP score used to determine payment impact.

Payment multiplier

1.0149

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.31

Baseline 20.83% · Performance 18.97% · Measure score 5.31 · Achievement 5.31 · Improvement 4.40

Healthcare-associated infections

0

Baseline 5.83% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.59

Baseline 25.78% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 0

Adjusted total nurse staffing

10

Baseline 6.95 hours · Performance 7.44 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.03%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 102 · Observed rate 10.78% · Lower 95% interval 7.47%
Discharge to community	50.81%	50.57% 0.2 pts better	No Different than the National Rate · Eligible stays 106 · Observed rate 46.23% · Lower 95% interval 40.65%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	98.08%	95.27% 2.8 pts better	Numerator 51 · Denominator 52
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 52
Discharge self-care score	34.88%	53.69% 18.8 pts worse	Numerator 15 · Denominator 43
Discharge mobility score	39.53%	50.94% 11.4 pts worse	Numerator 17 · Denominator 43
Pressure ulcers or injuries, new or worsened	1.92%	2.29% 0.4 pts better	Numerator 1 · Denominator 52 · Adjusted rate 1.95%
Healthcare-associated infections requiring hospitalization	8.17%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 4.82%
Staff COVID-19 vaccination coverage	0.81%	8.2% 7.4 pts worse	Numerator 2 · Denominator 247
Staff flu vaccination coverage	15.21%	42% 26.8 pts worse	Numerator 40 · Denominator 263
Discharge function score	37.21%	56.45% 19.2 pts worse	Numerator 16 · Denominator 43
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 26 · Denominator 26
Resident COVID-19 vaccinations up to date	25.93%	25.2% 0.7 pts better	Numerator 7 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.5 1.4 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	95.0% 3.7 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 98.6% · Q3 100.0% · Q4 98.7% · 4Q avg 98.7%
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	2.0%	3.1% 1.1 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.4% · Q3 1.3% · Q4 1.3% · 4Q avg 2.0% · 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% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	3.3%	5.5% 2.2 pts better	5.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.4% · Q3 5.8% · Q4 2.9% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.9%	19.6% 6.7 pts better	19.6% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.3% · Q3 12.7% · Q4 16.9% · 4Q avg 12.9%
Percentage of long-stay residents who received an antipsychotic medication	13.8%	16.5% 2.7 pts better	16.7% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.6% · Q3 12.9% · Q4 15.9% · 4Q avg 13.8% · 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 · 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	29.3%	13.9% 15.4 pts worse	16.3% 13 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 46.1% · Q3 4.0% · Q4 24.9% · 4Q avg 29.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	11.7% 10.1 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 25.8% · Q3 17.2% · Q4 21.7% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	0.9% 0.9 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.6% · Q3 1.2% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.0%	1.7% 5.3 pts worse	1.7% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.1% · Q3 8.1% · Q4 6.6% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.8%	20.4% 0.6 pts better	19.8% About the same	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 9.5% · Q3 31.8% · Q4 23.8% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers	3.9%	5.6% 1.7 pts better	5.1% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.4% · Q3 4.3% · Q4 2.5% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.2%	82.8% 12.4 pts better	81.7% 13.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 89.1% · Q3 95.9% · Q4 98.8% · 4Q avg 95.2%
Percentage of short-stay residents who had an outpatient emergency department visit	19.9%	11.5% 8.4 pts worse	12.0% 7.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 20.8% · Expected 11.6% · 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	94.6%	79.5% 15.1 pts better	79.7% 14.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.1%	24.2% 2.9 pts worse	23.9% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 30.2% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-17 · Fire 2025-07-17

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-07 · Fire 2024-08-07

2 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-17

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 2025-08-25

E · Potential for more than minimal harm 2025-07-17

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 2025-08-25

D · Potential for more than minimal harm 2025-07-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-25

F · Potential for more than minimal harm 2024-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-07

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 2024-09-13

E · Potential for more than minimal harm 2024-08-07

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-07

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-09-13

F · Potential for more than minimal harm 2023-06-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-28

E · Potential for more than minimal harm 2023-06-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-07-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-08-25

F · Potential for more than minimal harm 2024-08-07

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

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 2024-09-13

E · Potential for more than minimal harm 2023-06-29

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 2023-07-21

Penalties and ownership

What sits behind the stars

Ownership

Oceana County

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1967-01-01

Danes, Dale

Corporate Director · Individual

0% 1 facilities 2023-11-01

De Los Santos-Santiago, Amanda