Federal inspection record · CMS data as of October 1, 2026
Wexford Senior Care Center
460 Pearl Street, Cadillac, MI · (231) 775-0101
- CMS high-performer trophy
- Certified beds
- 131
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- Nexcare Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 25, 1967
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.
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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.
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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.
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Quality measures
★★★★★no change (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Wexford Senior Care Center carries 17 inspection points. That is fewer than 90% 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
17 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Rights2E
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
2025-08-07
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-14
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-08-30
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 8 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
4 h 8 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.9 pts better | 0.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.5 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better | 99.1% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts better | 96.6% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts worse | 5.9% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.8% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts better | 18.5% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.7 pts worse | 24.4% | 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 worsened4.1 pts better | 7.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 6.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better | 10.6% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts better | 1.1% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 86.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 13.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 83.7% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts better | 18.2% | 23.9% | 23.4% |
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Who owns and runs it
17 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 |
|---|---|---|---|
| Nexcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Branscum, James | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Branscum, James | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Branscum, James | Adp Of The SNF · Individual | 0% | 8 facilities |
| Eisenberg, Leo | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Gamble, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gamble, Lisa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nexcare Health Systems, LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Perry, Michael | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Perry, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 29 facilities |
| Prestage, Richard | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Robin Eisenberg 2014 Family Trust | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Robin Eisenberg 2014 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sangster, Todd | Indirect Ownership Interest · Individual | 0% | 28 facilities |
| Sangster, Todd | Adp Of The SNF · Individual | 0% | 28 facilities |
| Sheikh, Kamran | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wronski, Frank | Indirect Ownership Interest · Individual | 0% | 12 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Autumnwood of McBain
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★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 37 min
- Fines
- $39,000
-
Corewell Health Reed City Hospital Rehabilitation
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- Nursing / resident / day
- 4 h 50 min
- Fines
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-
Grand Oaks Nursing Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 22 min
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