Nursing homeActive
Wexford Senior Care Center
460 Pearl Street, Cadillac, MI 496012317750101131 certified beds · 77 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
17
● 0● 17● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-22
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-07 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-08-14 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-30 | Standard | 0100 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-20Record 235094-20260622-F689
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 235094-20250807-F578
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 235094-20250807-F692
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-09Record 235094-20240814-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-09Record 235094-20240814-F693
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-09Record 235094-20240814-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-09Record 235094-20240814-F880
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F565
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F656
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F661
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F690
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F698
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F883
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 235094-20230830-F921
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.03
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day4.13
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.82
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover48%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover57%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.4% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.6% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.9% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.8% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.8% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nexcare Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Branscum, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gamble, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Branscum, James Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Branscum, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eisenberg, Leo Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gamble, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nexcare Health Systems, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Perry, Michael Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Perry, Michael Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Prestage, Richard Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Robin Eisenberg 2014 Family Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Robin Eisenberg 2014 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sangster, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sangster, Todd Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sheikh, Kamran Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wronski, Frank Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Nexcare Health Systems — 20 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Wexford.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Autumnwood of McBain McBain | 10.2 mi | 2025-05-27 | 0223 |
| Corewell Health Reed City Hospital Rehabilitation Reed City | 25.5 mi | 2025-12-04 | 050 |
| Medilodge of Traverse City Traverse City | 35.0 mi | 2025-05-02 | 1161 |
| Medilodge of GTC Traverse City | 35.5 mi | 2026-06-30 | 0276 |
| Mission Point Nursing & Physical Rehabilitation of Big Rapids | 36.5 mi | 2025-07-18 | 1210 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |