Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marquette County Medical Care Facility during CMS and state inspections, most recent first.
Surveyors identified that the facility did not have emergency preparedness policies and procedures in place for the loss of natural gas, as required. This deficiency was confirmed by the Maintenance Director during record review, indicating the facility failed to address how operations would be maintained if natural gas service was interrupted.
A review of facility records and confirmation by the Maintenance Director revealed that the required monthly inspection of the hood suppression system was not conducted for one month, resulting in noncompliance with NFPA 96 standards for cooking facility fire protection.
The facility did not ensure that fire alarm signals were transmitted to the fire alarm company within a reasonable timeframe during third shift fire drills, as confirmed by the Maintenance Director during record review.
The facility did not perform specific gravity or conductance testing of generator batteries for several months, as required by NFPA standards. This lapse in maintenance protocol was confirmed by the Maintenance Director and could impact the reliability of emergency power during outages.
Surveyors found that a posted exit door from the solarium to the 600 wing was equipped with 15-second delayed egress hardware but lacked the required signage indicating, "PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS," as specified by NFPA 101. The Maintenance Director confirmed the absence of this signage during the survey.
A door leading to the exterior in the 700 wing was not properly labeled with a 'NO EXIT' sign, as required, which could cause confusion during an emergency. The deficiency was confirmed by the Maintenance Director, and exit signage was not in compliance with required standards for display and illumination.
Battery-operated smoke detectors in resident rooms on two wings were found to have exceeded their 10-year lifespan and were still in use, as confirmed by the Maintenance Director during inspection and record review.
A hot water pipe was observed being supported and hanging from a sprinkler pipe in the 300 wing mechanical room, contrary to NFPA 13 requirements for sprinkler system installation. This was confirmed by the Maintenance Director during the survey.
Surveyors found that vestibule doors to the courtyard from the 500 and 600 wings did not close to a positive latch, as required for smoke resistance. This deficiency was confirmed by the Maintenance Director during the inspection.
Surveyors observed that the main entrance cross corridor smoke barrier doors did not fully close as required by LSC standards. This deficiency, confirmed by the Maintenance Director, could affect 20 occupants in the event of a fire.
Multiple hospital-grade electrical outlets in resident rooms failed inspection, and there was no documentation showing that these outlets were repaired or replaced as required. This deficiency was confirmed by the Maintenance Director.
The facility failed to develop a care plan and offer diagnostic testing or specialist consultation for a resident experiencing prolonged nausea and vomiting, resulting in significant weight loss, decline in ADLs, and multiple pressure injuries. Despite numerous progress notes documenting the resident's condition, no actions were taken to address the root cause until the day of the surveyor's interview.
The facility failed to prevent and manage pressure ulcers for two residents, leading to the development and worsening of multiple stage II pressure ulcers. Inadequate implementation of care plan interventions, unsuitable equipment, and delayed physician follow-up contributed to the deficiency.
The facility failed to update and revise care plans to prevent falls for three residents, resulting in falls with major injuries. Despite high fall risk scores and multiple incidents, appropriate interventions were not documented or implemented. The DON and RN/Rehab Coordinator acknowledged the deficiencies in care plan updates.
A resident was left unattended on the toilet with both the bathroom and room doors open, compromising their privacy and dignity. Another resident entered the room, and staff acknowledged the failure to ensure privacy and prevent wandering.
Deficient Emergency Preparedness Policy for Natural Gas Interruption
Penalty
Summary
The facility failed to develop and implement emergency preparedness policies and procedures specifically addressing the loss of natural gas to the building. During a record review, it was found that there were no established policies outlining how the facility would maintain operations in the event of an interruption to the natural gas supply. This omission was identified as a deficiency in the facility's emergency preparedness planning. The deficiency was confirmed during an interview with the Maintenance Director at the time of the record review. The lack of a policy for natural gas interruption means the facility did not meet the requirement to review and update emergency preparedness policies and procedures at least annually, as mandated. This finding could potentially affect all occupants in the event of an emergency involving the loss of natural gas.
Plan Of Correction
Element 1: Policy for Natural Gas Outage created on 06/04/2025. Element 2: All residents have the potential to be impacted by this deficiency. Best practice is to have a policy surrounding natural gas outage. Element 3: Physical plant manager and Administrator created policy and staff were educated on 06/05/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance.
Failure to Complete Required Monthly Hood Suppression Inspection
Penalty
Summary
The facility failed to ensure that cooking facilities were protected in accordance with NFPA 96, as required for ventilation control and fire protection of commercial cooking operations. Specifically, a review of the Owners Hood Suppression Inspection form revealed that the facility did not conduct the required monthly inspection for December 2024. This omission was confirmed by the Maintenance Director during the surveyor's review. The deficiency was identified during a record review and interview, and it could affect all occupants in the event of a fire emergency.
Plan Of Correction
Element 1: Hood suppression inspection was not completed in December of 2024. Inspections will be completed monthly. Element 2: All staff of the food and nutrition department have the potential to be impacted. If fire spreads, all residents and staff have the potential to be impacted. Element 3: Hood suppression inspection will be completed monthly and documented as such. Element 4: Physical Plant Manager will be responsible for sustained compliance. Monthly audits will be performed with results to QAPI.
Failure to Transmit Fire Alarm Signal During Third Shift Drills
Penalty
Summary
The facility failed to conduct fire drills in accordance with requirements outlined in 19.7.1.4 through 19.7.1.7. Specifically, during a review of records for the past 12 months, it was found that fire drills conducted on the third shift (11pm-7am) did not ensure that the alarm signal was transmitted to the fire alarm company within a reasonable timeframe. This deficiency was confirmed by the Maintenance Director during the surveyor's review. No information regarding specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
Element 1: Failure to ensure the alarm signal was transmitted to the fire alarm company within a reasonable time frame. Audible alarm will be used during all drills. Element 2: All occupants have the potential to be impacted by this deficient practice. Element 3: Physical Plant Manager instructed night shift maintenance person responsible for the drills to use audible alarm on 06/03/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done quarterly and brought to QAPI.
Failure to Perform Required Generator Battery Testing
Penalty
Summary
The facility failed to conduct required specific gravity or conductance testing of the generator batteries during several months, specifically in May 2024 and from July 2024 through the time of the survey. This omission was identified during a record review on May 19, 2025, and was confirmed by the Maintenance Director at the time of discovery. This deficiency indicates that the facility did not adhere to the maintenance and testing protocols for emergency power systems as outlined in NFPA 110, NFPA 99, NFPA 111, and NFPA 70. The lack of documented battery testing could affect all occupants in the event of a power failure, as the reliability of the generator or alternative power source could not be assured.
Plan Of Correction
Element 1: Facility failed to ensure generator battery was tested for specific gravity. Battery was replaced 06/04/2025 which allows for specific gravity measurement. Element 2: All occupants have the potential to be impacted in the event of power loss. Element 3: Battery was replaced 06/04/2025 which allows for specific gravity measurement. Reading was in compliance on 06/04/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done monthly and brought to QAPI.
Missing Required Signage on Delayed Egress Door
Penalty
Summary
A deficiency was identified when surveyors observed that the door from the solarium into the 600 wing, which serves as a posted exit, was equipped with 15-second delayed egress hardware. This door did not display the required signage stating, "PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS," as mandated by NFPA 101, 7.2.1.6.1.1 (4). The absence of this signage was confirmed during the survey by the Maintenance Director at the time of discovery. The report specifies that the facility failed to ensure that doors in a required means of egress were not equipped with a latch or lock requiring the use of a tool or key from the egress side, unless the special locking arrangements for clinical needs were met according to regulatory standards. This deficiency was noted to potentially affect all occupants in the solarium in the event of a fire or emergency, as the required egress signage and compliance with special locking arrangements were not in place.
Plan Of Correction
Element 1: 600 wing exit needed a PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS sign. Signs were placed on the door on 06/03/2025. Element 2: All residents in the solarium/staff/visitors have the potential to be impacted by this deficiency. Element 3: Sign was placed on the door on 06/03/2025 stating PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS. Element 4: Physical Plant Manager will be responsible for sustained compliance.
Exit Signage Not Properly Displayed and Labeled
Penalty
Summary
During an observation on May 19, 2025, it was found that door 8, which leads to the exterior of the building in the 700 wing, was not properly posted as an exit. The door could be mistaken for an exit, but lacked the required signage in accordance with section 7.10.8.3, which mandates a sign stating 'NO EXIT' for doors that are not exits. This deficiency was confirmed by the Maintenance Director at the time of discovery. The report notes that exit and directional signs were not displayed as required, nor were they continuously illuminated and served by the emergency lighting system, as specified by 19.2.10.1.
Plan Of Correction
Element 1: 700 wing door did not have NO EXIT required signage. Signs were placed on the door on 06/03/2025. Element 2: All residents on the 700 wing/staff or visitors have the potential to be impacted by this deficiency. This deficient practice could cause someone to use this door as an exit. Element 3: Signage was placed on the door on 06/3/2025 stating NO EXIT. Element 4: Physical Plant Manager will be responsible for sustained compliance.
Expired Smoke Detectors Remain in Service
Penalty
Summary
The facility failed to ensure that the fire alarm system was tested and maintained according to an approved program in compliance with NFPA 70 and NFPA 72. During an observation and record review, it was found that battery-operated smoke detectors installed in resident rooms on the 500 and 600 wings had exceeded their 10-year lifespan, with manufacture dates of May 17, 2001, yet remained in service. This was confirmed during a physical inspection of the devices and verified by the Maintenance Director at the time of discovery. No information regarding specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
Element 1: Resident room smoke detectors on 500/600 went beyond their 10-year life span. Unrequired room smoke detectors will be removed, as hallway smoke detectors connected to fire system are sufficient under the requirement. Element 2: There are hallway smoke detectors in these units that are connected to the building fire system. Without them, all residents, visitors, and staff of the 500/600 units would be impacted. Element 3: The battery-operated smoke detectors that are in individual resident rooms will be removed by 06/30/2025, as individual room smoke detectors are not required. Element 4: The Physical Plant Manager will be responsible for sustained compliance.
Improper Use of Sprinkler Pipe for Mechanical Support
Penalty
Summary
A deficiency was identified when, during an observation in the 300 wing mechanical room, a hot water pipe was found being supported and hanging from a sprinkler pipe. This setup was not in accordance with NFPA 13, the Standard for the Installation of Sprinkler Systems, which requires that sprinkler systems be installed as specified and not used to support other building systems. The Maintenance Director confirmed this finding at the time of discovery. No information regarding specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
Element 1: Hot water pipe was supported and hanging from sprinkler pipe. Hot water pipe will be removed from sprinkler pipe and supported from ceiling. Element 2: All residents/visitors/staff of the 300 wing have the potential to be impacted by this deficient practice in the event of need for sprinkler use. Element 3: On 06/03/2025 the hanger was removed from the sprinkler pipe and the hot water pipe was secured directly to the ceiling. Element 4: Physical Plant Manager will be responsible for sustained compliance.
Failure of Corridor Doors to Achieve Positive Latch
Penalty
Summary
Surveyors observed that the facility failed to ensure that doors protecting corridor openings were capable of resisting the passage of smoke as required by NFPA 19.3.6.3. Specifically, during an inspection, it was found that the vestibule doors leading to the courtyard from both the 500 and 600 wings did not close to a positive latch. This deficiency was identified through direct observation between 1:29 PM and 1:52 PM on May 19, 2025. The Maintenance Director confirmed at the time of discovery that the vestibule doors did not meet the required standard for positive latching. The report does not mention any specific residents or their medical conditions in relation to this deficiency. The finding was limited to the physical condition and operation of the doors in the specified wings.
Plan Of Correction
Element 1: Doors to the courtyard from the 500 and 600 wings failed to close a positive latch. Physical plant manager contacted multiple vendors and latching hardware will be installed. Element 2: This deficient practice has the potential to impact all occupants of the 500 and 600 wings in the event of a fire. Element 3: Superiorland Electronics will install latching hardware by 07/16/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done monthly and brought to QAPI.
Smoke Barrier Doors Failed to Fully Close
Penalty
Summary
During an observation conducted on May 19, 2024, at approximately 1:11 PM, it was found that the main entrance cross corridor smoke barrier doors did not fully close as required by the Life Safety Code (LSC). The doors are intended to be 1-3/4-inch thick solid bonded wood-core or of equivalent fire-resistant construction, and must be self-closing or automatic-closing to maintain the integrity of the smoke barrier. The failure of these doors to completely close was confirmed at the time of discovery by the Maintenance Director. This deficiency could potentially affect 20 occupants in the event of a fire, as the doors did not meet the required standards for smoke barrier subdivision.
Plan Of Correction
Element 1: Doors in the entry hallway failed to completely close. Doors and air flow were adjusted for complete closure. Element 2: This deficient practice has the potential to impact the 20 staff near those doors in the event of a fire. Element 3: On 06/03/2025, Automated Comfort Controls were at the facility readjusted the air flow to allow for complete closure of fire doors. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done weekly x 8 weeks then monthly and brought to QAPI.
Failure to Test and Repair Hospital-Grade Electrical Receptacles
Penalty
Summary
The facility failed to ensure that hospital-grade electrical receptacles at patient bed locations and areas where deep sedation or general anesthesia is administered were tested after initial installation, replacement, or servicing, as required by NFPA 99. During a record review, it was found that multiple outlets in resident rooms throughout the building failed inspection in 2024, and there was no documentation or evidence provided to show that these outlets were repaired or replaced. This deficiency was confirmed by the Maintenance Director at the time of discovery. No information was provided regarding the specific medical history or condition of the residents affected at the time of the deficiency.
Plan Of Correction
Element 1: Multiple outlets in resident rooms failed inspection and documentation did not indicate repair or replacement. Documentation now includes date and type of corrective action. Element 2: This deficient practice has the potential to impact the 30 residents near those outlets in the event of a fire. Element 3: Physical Plant Manager instructed maintenance personnel to document the date and type of corrective action on 06/03/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done monthly and brought to QAPI.
Failure to Address Prolonged Nausea and Vomiting
Penalty
Summary
The facility failed to develop a care plan and offer or recommend diagnostic testing or consultation with a Gastroenterologist or Physician Specialist to determine the source of prolonged nausea and vomiting for one resident. This deficiency resulted in the resident sustaining a 27.3% weight loss over six months, a decline in activities of daily living (ADL), a significant change of condition, and the development of multiple pressure injuries. The resident was admitted to the facility and was documented as requiring staff assistance for ADLs, with a BIMS score indicating cognitive intactness. Despite numerous progress notes documenting the resident's nausea and vomiting, the care plan did not address these issues, nor was there any indication that the weight loss was desirable by the resident. The medical record revealed significant weight loss and numerous instances of nausea and vomiting documented over several months. Despite these ongoing issues, there was no documentation of any discussion with the resident regarding diagnostic testing or consultation with a specialist. The physician's visit notes from several months did not include plans to address the nausea or offer diagnostic testing. The resident's care plans did not contain interventions for nausea and vomiting, and the medical record did not reveal any discussion with the resident about consulting a specialist or obtaining diagnostic testing. Interviews with the Director of Nursing (DON) and Registered Nurse (RN) Supervisor confirmed awareness of the resident's recurrent nausea and vomiting but revealed that diagnostic testing or specialist consultation had not been discussed with the resident. The resident expressed frustration with the prolonged nausea and vomiting and indicated that the physician had only recently offered to conduct testing. The physician admitted to not knowing the cause of the nausea and vomiting and acknowledged that the resident had declined further testing or consultations only on the day of the interview. The facility policy on significant change notification was not followed, as the Medical Director was not made aware of the prolonged nausea and vomiting experienced by the resident.
Failure to Prevent and Manage Pressure Ulcers
Penalty
Summary
The facility failed to implement and maintain interventions to prevent the development and progression of pressure ulcers for two residents. Resident #62 was admitted with no pressure ulcers but developed multiple stage II pressure ulcers during their stay. Despite being at risk for pressure ulcers, the resident's care plan interventions were not effectively implemented. Observations revealed that the resident's wheelchair was not suitable, and the Roho cushion was deflated, contributing to the development of pressure ulcers. Interviews with the occupational and physical therapists confirmed that the wheelchair was not a good fit and that the cushion was not properly inflated. The resident's progress notes indicated the development and worsening of pressure ulcers, but no changes were made to the care plan interventions to address these issues. Resident #113 was admitted with existing pressure ulcers, which worsened during their stay. The resident's wounds showed signs of infection and progression to a stage IV ulcer. Despite these changes, there was no timely physician follow-up or wound care consultation. The wound care treatment coordinator made multiple attempts to contact the physician for a wound care consultation, but there was no response. The delay in obtaining a wound care consultation resulted in a 14-day lapse from the initial request to the actual consultation. The facility's policies on significant change notification and skin integrity program were not followed, leading to inadequate management of the resident's worsening wounds. The deficiency in pressure ulcer care for both residents highlights a failure in the facility's implementation and maintenance of appropriate interventions. The lack of timely physician follow-up and inadequate communication within the interdisciplinary team contributed to the worsening of the residents' conditions. The facility did not adhere to its policies, resulting in delayed treatment and progression of pressure ulcers for the affected residents.
Failure to Update Care Plans for Fall Prevention
Penalty
Summary
The facility failed to implement, update, and revise comprehensive care plans to prevent falls for three residents, resulting in falls with major injuries. Resident #26, who had a history of falls and a high fall risk score, fell and sustained a left femur fracture. Despite her high risk, the facility did not initiate or document appropriate fall interventions upon her return from the hospital. The Director of Nursing (DON) acknowledged that the facility's fall watch program was not properly implemented for this resident. Resident #9, who had moderate cognitive impairment and multiple diagnoses, fell and sustained a skin tear. The care plan for this resident was not updated to include interventions to prevent further falls. The DON confirmed that the care plan was not revised after the fall, and the RN/Rehab Coordinator stated that falls caused by a urinary tract infection were not typically updated in the care plan. Resident #29, who had intact cognition and multiple diagnoses, experienced multiple falls without any interventions being added to the care plan. The resident fell on three separate occasions, and each time, the care plan was not updated to include fall prevention measures. The DON and RN/Rehab Coordinator both acknowledged that changes were noted in the resident's records but were not reflected in the care plan. The facility's policy on fall risk management was not followed, leading to inadequate monitoring and prevention of falls for these residents.
Failure to Provide Dignified ADL Care
Penalty
Summary
The facility failed to provide activities of daily living (ADL) care in a dignified manner to a resident (R17). On 6/3/24 at 3:10 PM, a CNA was observed assisting R17 to the bathroom. Subsequently, R17 was left unattended on the toilet with both the bathroom door and the room door open. This lack of privacy was further compromised when another resident (R57) entered R17's room in a wheelchair. CNA G redirected R57 out of the room but acknowledged that the door should have been partially closed to prevent such incidents, especially since R17 is a fall risk. CNA D admitted to leaving R17 unattended with the doors open because he needed to retrieve a brief and did not seek assistance. He acknowledged that R17 did not have privacy and that he should have handled the situation differently. The Nursing Home Administrator confirmed that staff are expected to close doors to provide privacy and prevent wandering residents from entering rooms. The failure to close the doors resulted in a breach of R17's dignity and privacy while using the bathroom.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 29 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ishpeming
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Point Nsg & Phy Rehab Ctr Of Ishpeming | 1.8 mi | — | 0 | 0 |
| Eastwood Nursing Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Norlite Nursing Center | 13.9 mi | ★★★★★ | 22 | 0 |
| Dj Jacobetti Home For Veterans | 14.1 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.