Federal inspection record · CMS data as of October 1, 2026
Sanilac Medical Care Facility
137 North Elk Street, Sandusky, MI · (810) 648-3017
- Certified beds
- 104
- Residents per day
- 79
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 15, 1968
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Sanilac Medical Care Facility carries 73 inspection points. That is fewer than 46% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service5E
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning4E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Resident Rights3E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2025-08-21
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-07-01
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-06-28
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 7 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
5 h 7 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-01 | Payment Denial · 13 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 2.7 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better | 98.7% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 0.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 5.9% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts better | 16.8% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse | 16.4% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.3 pts worse | 1.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 7.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts better | 6.6% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 20.4% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.9% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 99.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.6 pts worse | 17.3% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 100.0% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.1 pts better | 11.8% | 23.9% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sanilac County | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Buttar, Nick | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Buttar, Nick | Adp Of The SNF · Individual | 0% | 3 facilities |
| Caringi, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Caringi, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dunsmore-Ganley, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dunsmore-Ganley, Rachel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Tammi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnson, Tammi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Laba, Teri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Laba, Teri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Lindsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Lindsey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Nicole | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Nicole | Adp Of The SNF · Individual | 0% | 1 facilities |
| Powell, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanilac County | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sherman, Cari | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sherman, Cari | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous2E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
Egress1E
- E
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.
Emergency Preparedness1F
- F
Address subsistence needs for staff and patients.
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Other homes nearby
-
Autumnwood of Deckerville
Deckerville, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $61,621
-
Marlette Community Hospital LTCU
Marlette, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 54 min
- Fines
- $0
-
Medilodge of Yale
Yale, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $0