Nursing homeActive
McLaren Lapeer Region
1375 North Main Street, Lapeer, MI 48446810667558819 certified beds · 17 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
22
● 0● 22● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-04
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
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 |
|---|---|---|---|---|
| 2025-09-04 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-09 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-07-13 | Standard | 0140 | 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.
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 2025-09-25Record 235577-20250904-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 235577-20250904-F812
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 2024-09-26Record 235577-20240909-F558
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 2024-09-26Record 235577-20240909-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-26Record 235577-20240909-F700
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 2024-09-26Record 235577-20240909-F761
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-26Record 235577-20240909-F868
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 2024-09-26Record 235577-20240909-F880
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 2023-08-11Record 235577-20230713-F582
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 2023-08-11Record 235577-20230713-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F610
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F655
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 2023-08-11Record 235577-20230713-F656
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 2023-08-11Record 235577-20230713-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F695
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F710
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F726
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 2023-08-11Record 235577-20230713-F761
F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F809
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F868
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 235577-20230713-F947
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day4.51
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day6.81
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours5.81
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover46%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover37%
Facility
Michigan
National
Michigan 39% · National 43%
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Davis, Tiffany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mclaren Health Care Corporation Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sharma, Vishnu Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vargas, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burke, Michael Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Burke, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Burrough, Eric Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Burrough, Eric Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Davis, Tiffany Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Davis, Tiffany Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Chad Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Chad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Incarnati, Philip Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Incarnati, Philip Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mclaren Health Care Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mclaren Health Care Corporation Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nounou, Majed Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nounou, Majed Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Riehl, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Riehl, Robert Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Justus Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Scott, Justus Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Sharma, Vishnu Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sharma, Vishnu Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, D. Wesley Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Smith, D. Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vargas, Timothy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vargas, Timothy Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Vargas, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 Lapeer.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lapeer County Medical Care Facility Lapeer | 0.7 mi | 2026-04-01 | 0392 |
| The Orchards at Lapeer Lapeer | 1.0 mi | 2026-03-04 | 1442 |
| Stonegate Health Campus Lapeer | 1.5 mi | 2026-02-11 | 0242 |
| Fisher Senior Care and Rehabilitation Mayville | 19.6 mi | 2026-04-15 | 0190 |
| Lake Orion Nursing Center Lake Orion | 19.7 mi | 2026-05-13 | 0143 |
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 |
| Ownership | CMS · Ownership | 2026-08-01 |