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 Grayling Nursing & Rehabilitation Community during CMS and state inspections, most recent first.
A facility failed to obtain consent for a psychotropic medication for a resident with severe cognitive impairment. The resident's legal guardian was not informed or educated about the medication's risks and benefits before its initiation. The oversight was confirmed by the facility's social worker and NHA, acknowledging that a signed consent should have been obtained according to the facility's policy.
A resident with severe cognitive impairment was transferred to a hospital following a fall without receiving the required written notification. The Business Office Manager and Nursing Home Administrator were unaware of the notification requirement, leading to a failure in following the facility's transfer and discharge policy.
A facility failed to provide a physician order and implement a care plan for a resident with edema, resulting in inconsistent management of the condition. The resident, with a history of acute respiratory failure and other conditions, was observed with swollen, discolored legs. Despite the need for daily ACE wraps, there was no documented care plan or physician order, leading to a deficiency in care.
A resident with cognitive impairment and arthritis experienced a hot coffee spill, resulting in skin redness. Despite this, the facility did not complete an accident report or conduct a hot beverage assessment to determine the need for adaptive equipment. Staff interviews revealed that standard procedures were not followed, and the resident's difficulty in grasping items was not adequately addressed.
Failure to Obtain Consent for Psychotropic Medication
Penalty
Summary
The facility failed to obtain consent for a psychotropic medication prior to its initiation for a resident. The resident, who was admitted with diagnoses including cerebral infarction and cognitive communication deficit, had a severe cognitive impairment as indicated by a BIMS score of 3. A pharmacy order for Venlafaxine, a psychotropic medication, was initiated without obtaining consent from the resident's legal guardian. The guardian confirmed that she had not signed a consent form nor was she educated on the risks and benefits of the medication. The facility's social worker and nursing home administrator acknowledged the oversight, confirming that a signed consent should have been obtained as per the facility's policy on psychotropic medication use.
Failure to Notify Resident of Transfer
Penalty
Summary
The facility failed to provide timely written notification to a resident and their representative regarding a transfer to a hospital following a fall. The resident, who had severe cognitive impairment as indicated by a BIMS score of 7, was hospitalized for one day. The Business Office Manager, responsible for completing transfer paperwork, confirmed that no transfer notification was completed because she was unaware of the requirement. Additionally, the Nursing Home Administrator verified that the transfer notification process was not conducted as she was unfamiliar with the requirement. The facility's policy on transfer and discharge, reviewed in January 2025, mandates that proper written notice be provided to the resident, including details such as the date of notice, reason for the move, and contact information for the ombudsman. This policy was not followed in the case of the resident's transfer.
Failure to Implement Care Plan for Edema Management
Penalty
Summary
The facility failed to provide a physician order, care plan, and implement interventions for a resident with edema, leading to a deficiency in care. The resident, who was cognitively intact, had a history of acute respiratory failure, type 2 diabetes, kidney failure, and muscle weakness. Observations over several days revealed the resident's lower legs were swollen and deep purple in color, indicating significant edema. Despite the resident's condition, there was no consistent application of ACE wraps to manage the swelling, and no physician order or care plan interventions were documented to address this issue. Interviews with the resident and staff, including an LPN and the Director of Nursing, confirmed the lack of a physician order and care plan interventions for wrapping the resident's legs. The LPN acknowledged wrapping the resident's leg without a physician order, and the Director of Nursing confirmed that the resident's legs should be wrapped daily to manage the edema. The absence of a documented care plan and physician order for this intervention resulted in a deficiency, as it potentially increased the resident's pain, swelling, and risk of skin ulcers.
Failure to Assess and Supervise Resident After Hot Liquid Spill
Penalty
Summary
The facility failed to ensure appropriate assessment, interventions, and supervision were in place after a hot liquid spill involving Resident #48, who has a history of stroke, dementia, and osteoarthritis in both hands. The resident, with a BIMS score indicating moderate cognitive impairment, was observed multiple times consuming hot coffee from a mug without a lid, despite having previously spilled hot coffee on his abdomen, resulting in skin redness. The incident was not followed by an accident and incident report, nor was a hot beverage assessment conducted to determine if adaptive equipment, such as a lid, was necessary to prevent future spills and potential burns. Interviews with facility staff, including RN G and the Director of Nursing, revealed that standard procedures following a hot beverage spill, such as completing an accident report and conducting a hot beverage assessment, were not followed. The Director of Rehabilitation confirmed that the resident's arthritic hands contributed to difficulty in grasping items, which was not adequately addressed in the resident's care plan. The Nursing Home Administrator acknowledged that a follow-up assessment was not completed, as the incident was considered a one-off, and no documentation from interdisciplinary team meetings regarding the incident was provided to the surveyor.
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What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Grayling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Munson Healthcare Crawford Continuing Care Center | 1.1 mi | — | 6 | 0 |
| Mission Point Nursing & Physical Rehabilitation Of | 11.7 mi | — | 9 | 0 |
| Kalkaska Memorial Health Center | 24.1 mi | — | 3 | 0 |
| King Nursing & Rehabilitation Community | 24.4 mi | — | 0 | 0 |
| Munson Healthcare Otsego Memorial Hospital Ltcu | 26.4 mi | — | 11 | 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.