Federal inspection record · CMS data as of October 1, 2026
The Laurels of Carson City
620 North Second Street, Carson City, MI · (989) 584-6100
- Certified beds
- 82
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Ciena Healthcare/Laurel Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 7, 2007
1
How this home got 4 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★+1 star
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
The Laurels of Carson City carries 48.75 inspection points. That is fewer than 65% 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
27 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 (3)
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
H
Provide and implement an infection prevention and control program.
-
G
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Everything else, by area of care
Quality of Life and Care10E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- 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.
- B
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights3E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Resident Assessment and Care Planning2F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1E
- E
Employ staff that are licensed, certified, or registered in accordance with state laws.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-06-24
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-04-25
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-02
17 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.
This home
3 h 43 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 16% 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
$121,908 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-02 | Fine | $121,908 |
| 2024-05-02 | 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 days1 pts worse | 2.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.3 | 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 pts worse | 92.5% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 1.7% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.1 pts worse | 11.6% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 5.2% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts better | 14.9% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 8.6% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts better | 7.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 9.4% | 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 infection0.6 pts better | 0.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts worse | 26.6% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 2.2% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts better | 97.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts worse | 17.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 85.2% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 24.8% | 23.9% | 23.4% |
·
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 |
|---|---|---|---|
| Ciena Healthcare Management Inc | Operational/Managerial Control · Organization | 0% | 51 facilities |
| Ciena Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 51 facilities |
| Estep, Billiejo | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Estep, Billiejo | Adp Of The SNF · Individual | 0% | 2 facilities |
| Khan, Anis | Managing Control - Governing Body · Individual | 0% | 66 facilities |
| Khan, Anis | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Khan, Anis | Adp Of The SNF · Individual | 0% | 66 facilities |
| Laurel Acquisition Holding Corporation | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Laurel Health Care Holdings, Inc. | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Mohammad A Qazi Living Trust Dated 09/26/97 | Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Mohammad A Qazi Living Trust Dated 09/26/97 | Adp Of The SNF · Organization | 0% | 34 facilities |
| Qazi, Mohammad | Indirect Ownership Interest · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Managing Control - Governing Body · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Adp Of The SNF · Individual | 0% | 66 facilities |
| Smith, Garrett | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Smith, Garrett | Adp Of The SNF · Individual | 0% | 4 facilities |
| Stobb, David | Adp Of The SNF · Individual | 0% | 26 facilities |
| The Laurels Of Carson City Real Estate, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- 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.
- E
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
The Laurels of Fulton
Perrinton, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 35 min
- Fines
- $51,943
-
Michigan Masonic Home
Alma, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 17 min
- Fines
- $0
-
Optalis Health & Rehabilitation of Ionia
Ionia, MI · Optalis Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0