Nursing homeActive

Cascade Senior Care Center

2121 Robinson Road, Jackson, MI 492035177874150108 certified beds · 79 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
34
1303
Penalties · 3 yrs
none on file
Last survey
2026-05-07
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Michigan LARA · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-07Complaint010CMS-2567 (Care Compare)
2026-02-05Complaint030CMS-2567 (Care Compare)
2025-12-30Complaint040CMS-2567 (Care Compare)
2025-06-04Standard051CMS-2567 (Care Compare)
2025-02-24Complaint020CMS-2567 (Care Compare)
2024-06-07Standard040CMS-2567 (Care Compare)
2024-02-07Complaint010CMS-2567 (Care Compare)
2023-03-21Standard1102CMS-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.

2026-05-07Complaint survey · 1 deficiencyOfficial report
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 2026-05-14Record 235574-20260507-F684
2026-02-05Complaint survey · 3 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 235574-20260205-F677
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 2026-02-20Record 235574-20260205-F689
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 2026-02-20Record 235574-20260205-F880
2025-12-30Complaint survey · 4 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 235574-20251230-F609
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 2026-01-28Record 235574-20251230-F684
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 2026-01-28Record 235574-20251230-F698
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 235574-20251230-F842
2025-06-04Standard survey · 6 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-12Record 235574-20250604-F684
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 235574-20250604-F582
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 2025-06-12Record 235574-20250604-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 235574-20250604-F679
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 235574-20250604-F725
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 235574-20250604-F761
2025-02-24Complaint survey · 2 deficienciesOfficial report
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 2025-03-10Record 235574-20250224-F656
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 2025-03-10Record 235574-20250224-F684
2024-06-07Standard survey · 4 deficienciesOfficial report
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 2024-07-05Record 235574-20240607-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-05Record 235574-20240607-F641
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 2024-07-05Record 235574-20240607-F812
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 2024-07-05Record 235574-20240607-F921
2024-02-07Complaint survey · 1 deficiencyOfficial report
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 2024-03-06Record 235574-20240207-F692
2023-03-21Standard survey · 13 deficienciesOfficial report
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2023-04-12Record 235574-20230321-F839
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2023-05-18Record 235574-20230321-F880
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F558
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F641
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F697
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F727
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F761
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F881
F885Report COVID19 data to residents and families.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F885
F886Perform COVID19 testing on residents and staff.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F886
F895Have a Compliance and Ethics Program.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-12Record 235574-20230321-F895
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-04-12Record 235574-20230321-F851

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.58
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day4.27
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.94
Facility
Michigan
National
Michigan 3.50 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMichiganNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.1%5.1%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.4%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.2%14.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.0%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
10.1%10.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.9%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
9.8%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)
EntityRoleInterestSinceRegistry
Nexcare Holdings, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Miller, Casie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Branscum, James
Individual
ADP OF THE SNFNOT APPLICABLE
Eisenberg, Leo
Individual
ADP OF THE SNFNOT APPLICABLE
Miller, Casie
Individual
ADP OF THE SNFNOT APPLICABLE
Nexcare Health Systems, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Perry, Michael
Individual
ADP OF THE SNFNOT APPLICABLE
Robin Eisenberg 2014 Family Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Sangster, Todd
Individual
ADP OF THE SNFNOT APPLICABLE
Wronski, Frank
Individual
ADP OF THE SNFNOT APPLICABLE
Yalavarthi, Jyothsna
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Nexcare Health Systems20 facilities
View chain record

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 Jackson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Mission Point Health Campus of Jackson
Jackson
0.3 mi2026-03-041451
Vista Grande Villa
Jackson
3.3 mi2026-02-201250
Jackson County Medical Care Facility
Jackson
2.9 mi2026-04-160182
Regency at Jackson
Jackson
3.0 mi2026-06-050574
Faith Haven Senior Care Centre
Jackson
3.0 mi2026-05-291324
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01