13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
West Branch, MI
3-star overall rating with 2-star inspections with $170,704 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
445 South Valley Street, West Branch, MI
(989) 345-3600
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Villa Healthcare
Operator or chain grouping
Approved since
1981-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 2 health / 3 staffing / 5 quality stars
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
RN hours / resident day
0.68
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.45
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
0.71
CMS adjusted RN staffing hours
Adjusted total hours
4.02
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
77%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
11,950
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.65% · Performance 21.35% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.12% · Performance 9.56% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.32
Baseline 46.15% · Performance 46.03% · Measure score 4.32 · Achievement 4.32 · Improvement 0
Adjusted total nurse staffing
1.50
Baseline 3.02 hours · Performance 3.51 hours · Measure score 1.50 · Achievement 1.50 · Improvement 1.26
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.6% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 15.09% · Lower 95% interval 8.52% |
| Discharge to community | 51.76% |
50.57%
1.2 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 46.74% · Lower 95% interval 40.47% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.28% |
95.27%
3 pts better
|
Numerator 57 · Denominator 58 |
| Falls with major injury | 1.72% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 58 |
| Discharge self-care score | 65.63% |
53.69%
11.9 pts better
|
Numerator 21 · Denominator 32 |
| Discharge mobility score | 68.75% |
50.94%
17.8 pts better
|
Numerator 22 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 58 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.56% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 15% · Lower 95% interval 5.31% |
| Staff COVID-19 vaccination coverage | 1.08% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 93 |
| Staff flu vaccination coverage | 8.8% |
42%
33.2 pts worse
|
Numerator 11 · Denominator 125 |
| Discharge function score | 78.13% |
56.45%
21.7 pts better
|
Numerator 25 · Denominator 32 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 6.67% |
25.2%
18.5 pts worse
|
Numerator 2 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
95.0%
2.3 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 91.3% · Q3 97.9% · Q4 100.0% · 4Q avg 97.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
95.0%
0.8 pts better
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.1%
1.8 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 6.4% · Q4 8.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 57.9% |
4.1%
53.8 pts worse
|
11.4%
46.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.2% · Q2 42.5% · Q3 48.8% · Q4 76.1% · 4Q avg 57.9% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.5%
1.7 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.3% · Q3 7.7% · Q4 0.0% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.7% |
19.6%
9.1 pts worse
|
19.6%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 29.3% · Q3 17.9% · Q4 27.5% · 4Q avg 28.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
16.5%
1.3 pts better
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 13.0% · Q3 18.5% · Q4 11.5% · 4Q avg 15.2% · 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 | 8.1% |
13.9%
5.8 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
11.7%
7.7 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 10.3% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.7%
0.6 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.8% |
20.4%
2.6 pts better
|
19.8%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 14.8% · Q3 15.0% · Q4 17.0% · 4Q avg 17.8% |
| Percentage of long-stay residents with pressure ulcers | 0.6% |
5.6%
5 pts better
|
5.1%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
82.8%
11.2 pts better
|
81.7%
12.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 93.9% · Q3 91.2% · Q4 91.0% · 4Q avg 94.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.8% |
11.5%
8.3 pts worse
|
12.0%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 19.1% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.6% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.3% |
79.5%
7.8 pts better
|
79.7%
7.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
24.2%
3.2 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 19.1% · Expected 21.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-28
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-13
Fire Safety
Meet other general requirements.
Corrected 2023-07-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-12
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-07-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-07-12
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-12
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-07-12
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-07-12
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-15
Health
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.
Corrected 2025-05-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-28
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-05-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-28
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-05-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-28
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-05-28
Health
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.
Corrected 2025-05-28
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-05-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-13
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-06-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-13
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 2024-06-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-13
Health
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.
Corrected 2024-06-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-13
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-06-13
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-08
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-08-08
Health
Provide enough space and equipment to meet each resident's needs
Corrected 2023-08-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-12
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 2023-07-12
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-07-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-12
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-07-12
Health
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.
Corrected 2023-07-12
Health
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.
Corrected 2023-07-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-12
Health
Post nurse staffing information every day.
Corrected 2023-07-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-12
Health
Implement a program that monitors antibiotic use.
Corrected 2023-07-12
Penalties and ownership
Fine · fine $56,193
Fine
Fine · fine $114,511
Fine
Payment Denial · denial start 2023-07-12 · 27 days
27 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Rose City, MI
4-star overall rating with 3-star inspections with $50,895 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Sterling, MI
5-star overall rating with 4-star inspections with 6 recent health deficiencies
Gladwin, MI
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out