Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bishop Noa Home For Senior Citizens during CMS and state inspections, most recent first.
A resident with severe cognitive impairment exited the facility unsupervised and was outside for over ten minutes before being located and returned by staff, following a visitor's alert. Staff interviews revealed that alarms were triggered but the response was insufficient, with some staff not fully searching the area or lacking training on elopement procedures. The facility's policy to prevent wandering and elopement was not effectively followed.
A facility failed to ensure staff wore PPE as required for a resident under Enhanced Barrier Precautions (EBP). The resident, with ALS and a feeding tube, was transferred by two CNAs who did not wear gowns, and one did not wear gloves or perform hand hygiene. The Hoyer lift used was not sanitized before or after use. Interviews confirmed the failure to follow infection control procedures, despite prior training on EBP protocols.
The facility failed to ensure proper cleaning and sanitization of shared equipment, such as sit-to-stand and Hoyer lifts, which were observed to be heavily soiled with dirt, debris, and grime. Staff interviews revealed that CNAs and other staff were responsible for cleaning the equipment, but sanitizing wipes were not easily accessible, contributing to the deficiency. The facility's policy required adherence to CDC and OSHA standards, but observations indicated a lack of compliance.
A facility failed to ensure proper assessments, physician orders, and medical justification for the use of a merry walker as a restraint on a resident with vascular dementia. The resident used the merry walker without a physician's order, and there was a delay in obtaining consent and updating the care plan. The facility's policy lacked guidance on restraint use, assessments, and consents.
A facility failed to complete a recapitulation of stay for a resident discharged after surgical aftercare. The resident's EMR lacked a discharge plan, recapitulation of stay, and medication reconciliation. Interviews with staff, including an RN, LPN, and DON, revealed that discharge summaries were expected but not present, and the DON acknowledged the absence of a required recapitulation of stay.
A resident with obstructive sleep apnea and asthma had their CPAP mask and tubing improperly stored without protective covering, and oxygen tubing was in contact with the floor. Staff interviews revealed a lack of awareness of cleaning and storage policies, and the DON acknowledged the infection control concern. Facility policies for cleaning and storing respiratory equipment were not followed.
A resident with severe cognitive impairment and chronic pain was involved in a misappropriation incident where an LPN diverted morphine sulfate. The morphine, prescribed for pain management, was found discolored, and camera footage showed the LPN accessing and tampering with the medication without documented need. The facility concluded the LPN diverted the medication.
Resident Elopement Due to Inadequate Supervision and Response
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, including Alzheimer's disease and dementia, was able to exit the facility unsupervised. The resident, who was known to wander and had a history of attempting to leave through various exit doors, left the dining room, proceeded down the hall, and exited the facility. The resident was outside for approximately 13 minutes before being located and returned by staff, after a visitor alerted them to the resident's presence in the parking lot. The facility's records and staff interviews confirmed that the resident's cognitive skills were severely impaired, and the resident rarely made decisions or was understood. Staff interviews revealed that alarms sounded when the resident exited, but initial responses were inadequate. Staff members checked the immediate area but did not conduct a thorough search outside or down the street. One CNA stated she was not trained on what to do in the event of an elopement. The incident was only fully recognized after a visitor reported seeing the resident outside, at which point staff located the resident about half a block from the facility. The facility's policy required maintaining a safe environment and preventing elopement, but these measures were not effectively implemented in this case.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that personal protective equipment (PPE) was worn by staff as required when caring for a resident under Enhanced Barrier Precautions (EBP). The resident, who was cognitively intact and had a diagnosis of Amyotrophic Lateral Sclerosis (ALS), was observed being transferred by two Certified Nursing Assistants (CNAs) using a Hoyer lift. The CNAs did not wear gowns, and one CNA did not wear gloves or perform hand hygiene before and after the transfer, as required by the EBP protocol. The Hoyer lift was not sanitized before or after use, and the CNA re-entered the resident's room without performing hand hygiene. Interviews with the CNAs and a Licensed Practical Nurse (LPN) confirmed the failure to follow proper infection control procedures. The LPN stated that the resident was on EBP due to having a feeding tube, and all staff should use proper hand hygiene, gloves, and a gown when providing care. The CNAs acknowledged their failure to adhere to the EBP protocol, with one CNA admitting to not paying attention to the signage and expressing regret for the oversight. The facility had provided training on the EBP protocol, but the CNAs did not follow the procedures during the observed incident.
Failure to Clean and Sanitize Shared Equipment
Penalty
Summary
The facility failed to ensure that resident shared equipment was properly cleaned and sanitized, compromising the residents' right to a safe, clean, and comfortable environment. Observations revealed that multiple sit-to-stand lifts and Hoyer lifts were heavily soiled with dirt, debris, food crumbs, and grime. The padded areas of these lifts, which come into contact with residents, were noted to have dried, crusted substances, indicating a lack of proper cleaning and sanitization after use. Interviews with staff, including a Licensed Practical Nurse (LPN) and a Patient Care Aide (PCA), highlighted that the responsibility for cleaning shared equipment fell on the Certified Nurse Aides (CNAs) and any staff using the equipment. However, the sanitizing wipes required for cleaning were not readily accessible, as they were stored in locked medication storage rooms or soiled linen rooms. This lack of accessibility may have contributed to the failure to clean the equipment properly, as staff had to request access to the wipes, which was not frequently done. The facility's policy on cleaning and disinfecting resident shared equipment was reviewed, revealing that equipment should be cleaned and disinfected according to CDC recommendations and OSHA standards. Despite this policy, the observations and staff interviews indicated a gap in adherence to these procedures, as evidenced by the consistently soiled condition of the equipment. The deficiency was not addressed with any corrective actions or follow-up measures within the report.
Failure to Ensure Proper Use of Physical Restraints
Penalty
Summary
The facility failed to ensure appropriate assessments, physician orders, and medical justification for the use of physical restraints on a resident. The resident, who was diagnosed with vascular dementia with agitation, was observed using a merry walker, which is a type of restraint, without a physician's order. The resident's electronic medical record indicated the use of a chair that prevents rising restraint less than daily, but there was no documentation of a physician's order for the merry walker. The Director of Nursing confirmed that the resident was first given a merry walker in November 2024, but there was no resident representative consent signed until January 2025. Additionally, there was a delay in updating the resident's care plan to include the use of the merry walker, and no completed assessments were found. The facility's policy on restraints did not provide guidance on determining the need for a physical restraint, obtaining physician orders, conducting assessments, obtaining consents, or updating care plans.
Failure to Complete Recapitulation of Stay for Discharged Resident
Penalty
Summary
The facility failed to ensure a recapitulation of stay was completed for a resident discharged to the community. The resident, who was admitted for surgical aftercare following an intestinal obstruction, was discharged after a short-term rehabilitation stay. Upon review of the resident's electronic medical record (EMR), it was found that there was no discharge plan, recapitulation of stay, or reconciliation of pre- and post-discharge medications documented. Interviews with facility staff, including a Registered Nurse (RN), a Licensed Practical Nurse (LPN), and the Director of Nursing (DON), revealed that each discipline was expected to include a discharge progress note in the EMR. However, the staff were unsure why the expected discharge summaries were not present in the resident's EMR. The DON confirmed that a discharge summary by discipline was expected, but an official recapitulation of stay was not part of the facility's discharge process, despite regulations requiring it.
Improper Cleaning and Storage of Respiratory Equipment
Penalty
Summary
The facility failed to ensure the sanitary storage and proper cleaning of respiratory equipment for a resident diagnosed with obstructive sleep apnea and asthma. The resident's CPAP mask and tubing were repeatedly observed on the dresser without protective covering, and the supplemental oxygen tubing and nasal cannula were in direct contact with the floor. The resident reported that the respiratory equipment was supposed to be cleaned daily, but staff did not routinely perform this task. The facility's policy required the CPAP equipment to be cleaned regularly, and oxygen tubing to be stored in a plastic bag when not in use, but these procedures were not followed. Interviews with facility staff revealed a lack of awareness and understanding of the cleaning and storage policies for respiratory equipment. A CNA was unfamiliar with the facility's cleaning or storage policy, and an RN was unaware of the manufacturer's instructions for cleaning the equipment. The Director of Nursing acknowledged that the CPAP tubing should be cleaned after each use and more thoroughly once a week, but noted that the order to clean per manufacturer's instructions was unclear and not accessible to floor staff. The DON also recognized that the improper storage of the CPAP mask and oxygen cannula posed an infection control concern, increasing the risk of respiratory illness.
Misappropriation of Narcotic Medication
Penalty
Summary
The facility failed to prevent the misappropriation of narcotic medication for a resident with severe cognitive impairment and multiple diagnoses, including cancer and chronic pain. The resident was prescribed morphine sulfate for pain management, but an incident was reported when a nurse noticed the morphine solution was discolored. The facility's investigation revealed that the morphine concentrate, which should have been blue, appeared clear, indicating possible tampering. The resident did not show signs of increased pain or distress during this time. Further investigation, including a review of camera footage, showed that an LPN repeatedly accessed the morphine vial and syringes, taking them into the nurses' lounge or bathroom and then returning them to the medication cart. The LPN had no documented need to administer morphine during the observed period, leading the facility to conclude that the LPN diverted the medication. The facility's policy on abuse and misappropriation was referenced, indicating that such incidents are reviewed by the QAPI committee for potential improvements.
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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.
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Nursing homes near Escanaba
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Park Village | 0.4 mi | — | 2 | 0 |
| Christian Park Health Care Center | 0.4 mi | — | 4 | 0 |
| Pinecrest Medical Care Facility | 21.3 mi | — | 0 | 0 |
| Roubal Care And Rehabilitation Center | 34.1 mi | — | 0 | 0 |
| Serenity Spring Senior Living At Scandia Village | 38.7 mi | — | 3 | 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 August 2026) and official state health department websites.