Federal inspection record · CMS data as of October 1, 2026
The Laurels of Fulton
4735 Ranger Road, Perrinton, MI · (989) 236-5433
- Certified beds
- 50
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Ciena Healthcare/Laurel Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 26, 1991
1
How this home got 2 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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
The Laurels of Fulton carries 82 inspection points. That is fewer than 39% 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
25 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 (5)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning4E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care4E
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Environmental1D
- D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Inspection history
2025-12-18
14 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-11-21
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-11-09
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 35 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 36% 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
$51,943 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-08 | Fine | $12,428 |
| 2023-11-09 | Fine | $39,515 |
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 days0.9 pts better | 0.7 | 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 vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 5.3% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts worse | 7.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 4.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 17.2% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts worse | 19.3% | 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 worsened3.2 pts worse | 14.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts better | 10.3% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.8% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse | 19.5% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 2.0% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 86.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better | 11.5% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 84.4% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts better | 16.2% | 23.9% | 23.4% |
·
Who owns and runs it
18 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 |
| Di Rezze, Justin | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Di Rezze, Justin | Adp Of The SNF · Individual | 0% | 7 facilities |
| Fulton Senior Leasing, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Khan, Anis | Corporate Officer · Individual | 0% | 66 facilities |
| Khan, Anis | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Khan, Anis | Adp Of The SNF · Individual | 0% | 66 facilities |
| Laurel Health Care Holdings, Inc. | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Mohammad A Qazi Living Trust Dated 09/26/97 | Adp Of The SNF · Organization | 0% | 34 facilities |
| Patrick, Adam | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Patrick, Adam | Adp Of The SNF · Individual | 0% | 1 facilities |
| Qazi, Mohammad | Corporate Director · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Corporate Officer · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Adp Of The SNF · Individual | 0% | 66 facilities |
| Stobb, David | Corporate Officer · Individual | 0% | 26 facilities |
| Stobb, David | Adp Of The SNF · Individual | 0% | 26 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- F
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.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress4F
- F
Meet other general requirements that are deficient.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure electrical receptacles or cover plates have distinctive color or marking.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
The Laurels of Carson City
Carson City, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 43 min
- Fines
- $121,908
-
Ashley Healthcare Center
Ashley, MI · Pioneer Healthcare Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 18 min
- Fines
- $70,904
-
Hazel I Findlay Country Manor
Saint Johns, MI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0