Frankfort, MI

Paul Oliver Memorial Hospital LTCU

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

224 Park Avenue, Frankfort, MI

(231) 352-2200

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

35

Certified beds

Average residents

26

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1987-01-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

2.15

Registered nurse staffing

LPN hours / resident day

0.50

Licensed practical nurse staffing

Aide hours / resident day

3.55

Nurse aide staffing

Weekend hours

5.37

Weekend nurse staffing

RN turnover

8%

Annual RN turnover

Total nurse turnover

24%

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 94.1%
95.0%
0.9 pts worse
93.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.1%
0.7 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.5%
4.1%
1.6 pts better
11.4%
8.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
5.5%
5.5 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.4%
19.6%
6.2 pts better
19.6%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.7%
16.5%
3.2 pts worse
16.7%
3 pts worse
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 13.5%
13.9%
0.4 pts better
16.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.1%
11.7%
2.4 pts worse
14.9%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.7%
0.9%
2.8 pts worse
1.0%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.4%
1.7%
0.7 pts worse
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.9%
20.4%
1.5 pts better
19.8%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.8%
5.6%
4.2 pts worse
5.1%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.7%
82.8%
0.9 pts better
81.7%
2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.0%
11.5%
0.5 pts worse
12.0%
About the same
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.3%
0.7 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.4%
79.5%
2.9 pts better
79.7%
2.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.7%
24.2%
12.5 pts better
23.9%
12.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

9 health deficiencies

Top issue: Administration (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-28

E · Potential for more than minimal harm 2025-03-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-28

E · Potential for more than minimal harm 2024-02-28

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 2024-04-07

E · Potential for more than minimal harm 2024-02-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-07

F · Potential for more than minimal harm 2023-03-09

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 2023-03-17

D · Potential for more than minimal harm 2023-03-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-17

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-20

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 2025-04-04

G · Actual harm 2024-06-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-03

F · Potential for more than minimal harm 2024-02-28

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 2024-04-07

F · Potential for more than minimal harm 2024-02-28

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 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-02-28

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 2024-04-07

D · Potential for more than minimal harm 2024-02-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-07

C · Minimal harm 2024-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-07

F · Potential for more than minimal harm 2023-03-09

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 2023-05-31

F · Potential for more than minimal harm 2023-03-09

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2023-04-18

F · Potential for more than minimal harm 2023-03-09

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-09

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

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 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-03-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-03-09

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 2023-05-17

D · Potential for more than minimal harm 2023-03-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-18

Penalties and ownership

What sits behind the stars

$0 2024-06-27

Payment Denial

Payment Denial · denial start 2024-07-26 · 8 days

8 day denial

Ownership

Langlois, Mark

Operational/Managerial Control · Individual

0% 3 facilities 2018-08-01
Laraia, Kathleen

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Laraia, Kathleen

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Marinoff, Peter

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Marinoff, Peter

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Munson Healthcare

Operational/Managerial Control · Organization

0% 3 facilities 1985-08-09
Tomaszewski, Kelly

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-15

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