Federal inspection record · CMS data as of October 1, 2026

Westgate Nursing & Rehabilitation Community

1500 North Lowell Street, Ironwood, MI · (906) 932-3867

CMS overall rating

5 of 5

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Certified beds
65
Residents per day
53
Ownership
For-Profit
Chain
Atrium Centers
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 13, 1995

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Westgate Nursing & Rehabilitation Community carries 38 inspection points. That is fewer than 73% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 38 pts · 4★

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

21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 3 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 11, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected October 7, 2024

  2. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 14, 2023 · Standard inspection · Quality of Life and Care · F686 · Corrected October 10, 2023

  3. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 14, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected October 10, 2023

Everything else, by area of care

Quality of Life and Care5E
  1. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    December 4, 2025 · Standard · F693 · Corrected January 6, 2026

  2. D

    Provide enough food/fluids to maintain a resident's health.

    September 11, 2024 · Standard · F692 · Corrected October 7, 2024

  3. E

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    September 14, 2023 · Standard · F741 · Corrected October 10, 2023

  4. D

    Provide enough food/fluids to maintain a resident's health.

    September 14, 2023 · Standard · F692 · Corrected October 10, 2023

  5. D

    Provide safe, appropriate pain management for a resident who requires such services.

    September 14, 2023 · Standard · F697 · Corrected October 10, 2023

Nutrition and Dietary3F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 4, 2025 · Standard · F812 · Corrected January 6, 2026

  2. E

    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.

    December 4, 2025 · Standard · F808 · Corrected January 6, 2026

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 14, 2023 · Standard · F812 · Corrected October 10, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    September 14, 2023 · Standard · F607 · Corrected October 10, 2023

  2. D

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

    September 14, 2023 · Standard · F609 · Corrected October 10, 2023

  3. D

    Respond appropriately to all alleged violations.

    September 14, 2023 · Standard · F610 · Corrected October 10, 2023

Pharmacy Service2E
  1. 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.

    December 4, 2025 · Standard · F761 · Corrected January 6, 2026

  2. 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.

    September 14, 2023 · Standard · F758 · Corrected October 10, 2023

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    December 4, 2025 · Standard · F880 · Corrected January 6, 2026

  2. C

    Provide and implement an infection prevention and control program.

    September 14, 2023 · Standard · F880 · Corrected October 10, 2023

Resident Assessment and Care Planning1D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 11, 2025 · Complaint · F842 · Corrected July 1, 2025

Resident Rights1D
  1. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    September 11, 2024 · Standard · F582 · Corrected August 20, 2024

Administration1D
  1. D

    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.

    September 14, 2023 · Standard · F849 · Corrected October 10, 2023

Inspection history

  1. 2025-12-04

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-09-11

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-09-14

    12 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 3 min of nursing staff time a day, 43 min of it from a registered nurse.

This home

4 h 3 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 43% 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

$44,680 in federal fines on record over the past three years.

DatePenaltyAmount
2024-09-11Fine$44,680

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.51.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days4.2 pts worse5.81.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better100.0%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better100.0%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse4.0%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms4.1 pts worse8.6%4.5%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts better4.9%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better14.8%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication20.5 pts worse35.2%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse12.9%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better10.2%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse2.1%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better18.4%19.4%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better4.3%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.2 pts better93.6%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.9 pts worse22.6%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.4 pts better92.9%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts better21.7%23.9%23.4%

·

Who owns and runs it

42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Atrium Centers, LLC5% Or Greater Direct Ownership Interest · Organization100%17 facilities
Albright Ross, SusanCorporate Officer · Individual0%25 facilities
Albright Ross, SusanOperational/Managerial Control · Individual0%25 facilities
Albright Ross, SusanAdp Of The SNF · Individual0%25 facilities
Amicus Capital Holdings IncOperational/Managerial Control · Organization0%13 facilities
Amicus Capital Holdings IncAdp Of The SNF · Organization0%13 facilities
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustAdp Of The SNF · Organization0%12 facilities
Amicus Properties LLCAdp Of The SNF · Organization0%13 facilities
Anderson, CurtOperational/Managerial Control · Individual0%12 facilities
Anderson, CurtAdp Of The SNF · Individual0%12 facilities
Atrium Centers Management LLCOperational/Managerial Control · Organization0%26 facilities
Atrium Centers Management LLCAdp Of The SNF · Organization0%26 facilities
Atrium Centers, LLCOperational/Managerial Control · Organization0%17 facilities
Bailey, EsselCorporate Director · Individual0%23 facilities
Broad River RehabilitationAdp Of The SNF · Organization0%20 facilities
Cherry, JillOperational/Managerial Control · Individual0%12 facilities
Cherry, JillAdp Of The SNF · Individual0%12 facilities
Fifth Third Bank5% Or Greater Mortgage Interest · Organization0%16 facilities
Fifth Third Bank5% Or Greater Security Interest · Organization0%16 facilities
Fifth Third BankOperational/Managerial Control · Organization0%16 facilities
Finney, DonaldCorporate Officer · Individual0%23 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Johnson, CindyManaging Control - Governing Body · Individual0%11 facilities
Johnson, CindyOperational/Managerial Control · Individual0%11 facilities
Johnson, CindyAdp Of The SNF · Individual0%11 facilities
Leaderstat LtdAdp Of The SNF · Organization0%13 facilities
Morrison, VeronicaOperational/Managerial Control · Individual0%1 facilities
Morrison, VeronicaAdp Of The SNF · Individual0%1 facilities
Nelson, KristenOperational/Managerial Control · Individual0%1 facilities
Nelson, KristenAdp Of The SNF · Individual0%1 facilities
Ocs Real Estate Holdings LLCAdp Of The SNF · Organization0%13 facilities
Omnicare LLCAdp Of The SNF · Organization0%43 facilities
Orion Properties Eighteen LLCAdp Of The SNF · Organization0%2 facilities
Paredes, MiguelAdp Of The SNF · Individual0%12 facilities
Plante & Moran PllcAdp Of The SNF · Organization0%65 facilities
Rocco, JamesOperational/Managerial Control · Individual0%3 facilities
Rocco, JamesAdp Of The SNF · Individual0%3 facilities
Stewart, BrendaManaging Control - Governing Body · Individual0%3 facilities
Stewart, BrendaOperational/Managerial Control · Individual0%3 facilities
Stewart, BrendaAdp Of The SNF · Individual0%3 facilities
Watt, HeatherOperational/Managerial Control · Individual0%1 facilities
Watt, HeatherAdp Of The SNF · Individual0%1 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 11, 2024 · K372 · Corrected October 4, 2024

  2. F

    Provide properly protected cooking facilities.

    September 14, 2023 · K324 · Corrected October 10, 2023

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 14, 2023 · K345 · Corrected October 10, 2023

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 14, 2023 · K353 · Corrected October 10, 2023

Egress3F
  1. F

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    September 11, 2024 · K232 · Corrected October 4, 2024

  2. F

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    September 14, 2023 · K232 · Corrected October 10, 2023

  3. 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.

    September 14, 2023 · K222 · Corrected October 10, 2023

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    September 14, 2023 · E39 · Corrected October 10, 2023

Miscellaneous1F
  1. F

    Provide a written emergency evacuation plan.

    September 14, 2023 · K711 · Corrected October 10, 2023

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

    September 14, 2023 · K925 · Corrected October 10, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 45 min
    Fines
    $0
  2. Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 4 min
    Fines
    $0
  3. Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 30 min
    Fines
    $16,153