Manistique, MI

Schoolcraft Medical Care Facility

2-star overall rating with 2-star inspections with $63,492 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

520 Main Street, Manistique, MI

(906) 341-6921

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

85

Certified beds

Average residents

69

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1968-01-01

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

0.42

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.15

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.07

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.08

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.71%
10.72%
About the same
No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 6.62%
Discharge to community 51%
50.57%
0.4 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 50% · Lower 95% interval 39.69%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 15 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 10%
8.2%
1.8 pts better
Numerator 10 · Denominator 100
Staff flu vaccination coverage 55.46%
42%
13.5 pts better
Numerator 66 · Denominator 119
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.7
0.4 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.3
1.5
1.8 pts worse
1.8
1.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
95.0%
4.6 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
95.0%
1.8 pts better
95.5%
1.3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of long-stay residents experiencing one or more falls with major injury 6.4%
3.1%
3.3 pts worse
3.3%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 3.4% · Q3 5.2% · Q4 7.9% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.5%
4.1%
3.6 pts better
11.4%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight 9.6%
5.5%
4.1 pts worse
5.4%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 13.5% · Q3 10.9% · Q4 9.6% · 4Q avg 9.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.3%
19.6%
5.3 pts better
19.6%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.2% · Q3 10.9% · Q4 13.5% · 4Q avg 14.3%
Percentage of long-stay residents who received an antipsychotic medication 22.9%
16.5%
6.4 pts worse
16.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 20.0% · Q3 17.0% · Q4 21.3% · 4Q avg 22.9% · 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 16.8%
13.9%
2.9 pts worse
16.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 13.9% · Q3 8.9% · Q4 25.8% · 4Q avg 16.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.1%
11.7%
5.4 pts worse
14.9%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 19.2% · Q3 7.4% · Q4 19.6% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4%
0.9%
1.5 pts worse
1.0%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.8%
1.7%
2.1 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 1.7% · Q3 1.7% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.0%
20.4%
1.6 pts worse
19.8%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 17.0% · Q3 25.3% · Q4 27.5% · 4Q avg 22.0%
Percentage of long-stay residents with pressure ulcers 4.0%
5.6%
1.6 pts better
5.1%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.9% · Q3 2.5% · Q4 1.7% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.2%
82.8%
9.4 pts better
81.7%
10.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 89.6% · Q3 93.3% · Q4 100.0% · 4Q avg 92.2%
Percentage of short-stay residents who had an outpatient emergency department visit 15.3%
11.5%
3.8 pts worse
12.0%
3.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.3% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.3%
0.3 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64.6%
79.5%
14.9 pts worse
79.7%
15.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.6%
24.2%
9.6 pts better
23.9%
9.3 pts better
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 14.3% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

3 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-14 · Fire 2024-02-14

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

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

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-31

F · Potential for more than minimal harm 2025-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-31

E · Potential for more than minimal harm 2025-01-09

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 2025-01-31

D · Potential for more than minimal harm 2025-01-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-02-14

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-14

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-14

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-14

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 2024-03-22

D · Potential for more than minimal harm 2024-02-14

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-03-22

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

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-14

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-02-02

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 2023-03-14

E · Potential for more than minimal harm 2023-02-02

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-02-02

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-03-14

Inspection history

Recent health citations

J · Immediate jeopardy 2025-10-08

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 2025-10-09

G · Actual harm 2025-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-20

F · Potential for more than minimal harm 2025-01-09

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 2025-02-07

E · Potential for more than minimal harm 2024-08-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-08-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-27

G · Actual harm 2024-02-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

F · Potential for more than minimal harm 2024-02-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-14

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 2024-02-14

D · Potential for more than minimal harm 2024-02-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-02-14

D · Potential for more than minimal harm 2024-02-14

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-03-15

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

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 2023-03-14

E · Potential for more than minimal harm 2023-02-02

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 2023-03-14

E · Potential for more than minimal harm 2023-02-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-14

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

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 2023-03-14

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

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-14

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

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 2023-03-14

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-14

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

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-03-14

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

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-03-14

Penalties and ownership

What sits behind the stars

$63,492 2025-01-09

Fine

Fine · fine $63,492

Fine

$0 2025-01-09

Payment Denial

Payment Denial · denial start 2025-02-08 · 12 days

12 day denial

$0 2024-02-14

Payment Denial

Payment Denial · denial start 2024-03-15 · 7 days

7 day denial

Ownership

Schoolcraft County

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1968-01-01
Goudreau, Alecia

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-29
Goudreau, Alecia

Corporate Officer · Individual

0% 1 facilities 2023-03-29
Lander, Kendra

W-2 Managing Employee · Individual

0% 1 facilities 2015-07-13

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