Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Iosco County Medical Care Facility during CMS and state inspections, most recent first.
A facility failed to issue a beneficiary notice (ABN/NOMNIC) to a resident who transitioned to hospice services, leading to potential financial hardship. The forms were not signed due to the family's choice of hospice, and the facility lacked a policy for issuing these notices. The Nursing Home Administrator confirmed that a policy was being developed but was not yet ready.
The facility failed to update care plans for two residents, resulting in delayed nursing interventions and inadequate care. One resident with a pressure ulcer did not have an updated care plan, and communication between nursing and rehab staff was lacking. Another resident experienced delays in assistance for toileting and bathing, with inadequate documentation of care due to discontinued use of shower sheets.
A facility failed to provide scheduled showers for a resident requiring substantial assistance post-hip surgery. The resident, needing maximal help for ADLs, was scheduled for bi-weekly showers but received only three documented showers over 21 days. A CNA admitted to missing showers due to being reassigned and noted inadequate documentation practices.
A resident with severe cognitive decline developed a Stage II pressure ulcer on the coccyx due to the facility's failure to implement preventive measures and timely identification. The wound nurse noted a reddened area but did not document it, and preventive measures like a pressure reduction cushion were not in place. Inadequate documentation and communication, including the lack of a system for reporting skin concerns during showers, contributed to the delay in identifying the ulcer.
Two residents in an LTC facility experienced repeated falls due to inadequate supervision and ineffective implementation of fall prevention policies. One resident, with multiple medical conditions including dementia, sustained a head injury requiring emergency care. The facility failed to conduct continuous neurological assessments and did not adjust medication regimens despite known risks. The facility's fall prevention policy was not effectively executed, leading to repeated falls and injuries.
The facility failed to ensure residents were free from unnecessary medications and did not obtain consent for antidepressant use. A resident received Ativan without a stop date, and another received antidepressants without consent. The facility's policy required informed consent and evaluation of psychotropic medications, which was not followed.
The facility failed to follow medication labeling and storage policies, with observations revealing unlabeled and undated medications in three medication carts. An LPN was found pre-setting probiotics without labels, and multiple medications lacked open or expiration dates. Unsanitary conditions were noted in the carts, with debris and loose tablets present. Additionally, inconsistencies in medication refrigerator temperature logs were identified, indicating lapses in medication management practices.
Failure to Issue Beneficiary Notice for Hospice Transition
Penalty
Summary
The facility failed to issue a beneficiary notice (ABN/NOMNIC) to a resident who switched to hospice services, resulting in a potential financial hardship. During an interview and record review, it was found that the ABN/NOMNIC forms for the resident were not signed by the resident or their representative. The resident had been admitted to the facility and later transitioned to hospice services while remaining in the facility. However, the necessary forms were not signed or issued at the time of this care level change. The social work designee and another staff member revealed that the forms were not signed due to the family's choice of hospice, and there was no time window to obtain the signatures. Additionally, the facility did not have an ABN/NOMNIC policy in place at the time of the survey, as confirmed by the Nursing Home Administrator. The administrator mentioned that a policy was being developed but would not be ready for two more weeks.
Failure to Update Care Plans and Inadequate Documentation
Penalty
Summary
The facility failed to update care plans for two residents, leading to delayed nursing interventions and inadequate care. Resident #19, who has severe cognitive decline and multiple health issues including a stage II pressure ulcer, did not have an updated care plan to address the pressure ulcer. Despite a physician's order for specific wound care, the care plan lacked any mention of the pressure ulcer or preventive skin management. Communication between nursing and rehabilitation staff was insufficient, as noted by the Rehab Manager, who confirmed the absence of a care plan for the pressure ulcer. Additionally, the facility had discontinued the use of shower sheets, which previously served as a communication tool for reporting abnormal skin conditions, further contributing to the lack of proper wound care. Resident #50, admitted for rehabilitation following hip surgery, experienced delays in receiving assistance for toileting and bathing. The care plan indicated the need for assistance from two staff members for certain activities, but the Kardex only noted assistance from one staff member for bathing. The resident's shower schedule was not clearly documented, and the CNA responsible for showers admitted that the resident had only received three documented showers in 21 days. The discontinuation of paper shower sheets led to inadequate documentation of bathing activities, as progress notes used by CNAs disappeared after 24 hours, resulting in incomplete records of the resident's care.
Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to provide adequate assistance with Activities of Daily Living (ADL) for a resident who required substantial assistance due to a recent hip surgery. The resident, an elderly female admitted for rehabilitation services following a post-surgical hip repair, was identified as needing maximal assistance for tasks such as toileting, showering, and personal hygiene. The care plan specified that the resident required the assistance of one staff member for bathing, but there was no documentation indicating the preferred method of bathing or the scheduled days for showers. During an interview, a Certified Nurse Assistant (CNA) revealed that the resident was scheduled for showers twice a week, on Tuesdays and Fridays. However, the CNA admitted that due to being pulled to other duties, some showers were missed. The resident had only received three documented showers over a 21-day period, despite being in the facility for rehabilitation. The CNA also noted that the documentation system for recording showers was inadequate, as progress notes disappeared after 24 hours, and the previous paper documentation system had been discontinued.
Failure to Prevent and Timely Identify Pressure Ulcer
Penalty
Summary
The facility failed to prevent and implement preventive measures to avoid a pressure ulcer and failed to timely identify a pressure ulcer for one resident, resulting in a Stage II pressure ulcer on the coccyx. The resident, who had severe cognitive decline and was dependent on staff for all activities of daily living, developed a pressure ulcer that was not identified until it reached Stage II. The wound nurse noted a reddened area a week prior but did not document it, and the necessary preventive measures, such as a pressure reduction cushion, were not in place before the ulcer developed. The facility's documentation and communication regarding the resident's skin condition were inadequate. There was no documentation of a coccyx wound in the skin/wound assessment, and the care plan was not updated to reflect the actual pressure ulcer until much later. The MDS Coordinator acknowledged that the care plan should have been updated earlier. Additionally, there was a lack of communication between nursing and therapy regarding the need for a pressure reduction cushion, which was only documented after the ulcer had developed. The facility also lacked a system for communicating abnormal skin areas observed during showers, as shower sheets had been discontinued without a replacement method for reporting skin concerns. This contributed to the delay in identifying the pressure ulcer. Despite a nurse's education session on pressure ulcer prevention, the facility did not provide a pressure ulcer preventive policy when requested during the survey.
Inadequate Supervision and Fall Prevention for Residents
Penalty
Summary
The facility failed to maintain adequate supervision for two residents, resulting in repeated falls and injuries. Resident #37, an elderly male with multiple medical conditions including dementia and anxiety, experienced several falls between August and November 2024. These incidents were attributed to factors such as confusion, impaired memory, and poor safety awareness. On one occasion, Resident #37 sustained a head injury and was transferred to the emergency room. The facility's fall prevention policy was not effectively implemented, as evidenced by the lack of continuous neurological assessments following the head injury. Resident #19, who has severe cognitive decline and multiple health issues, also experienced recurrent falls. The resident was prescribed Ativan for anxiety, which was administered regularly and as needed, potentially contributing to the falls. Despite the resident's history of falls and the risks associated with the medication, the facility did not adequately reassess or adjust the medication regimen. The facility's fall prevention policy required comprehensive fall investigations and care plan interventions, which were not sufficiently executed in this case. The facility's failure to adhere to its fall prevention and follow-up policies resulted in inadequate supervision and management of fall risks for both residents. The lack of timely medication review and adjustment, as well as insufficient monitoring and intervention, contributed to the residents' repeated falls and injuries. These deficiencies highlight the need for a more systematic approach to fall prevention and resident safety management.
Failure to Ensure Consent and Appropriate Use of Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents remained free from unnecessary medications and did not obtain consent for antidepressant use. One resident received Ativan as needed without a stop date, and another resident received antidepressant medications without consent. The facility's policy required informed consent for antipsychotic medications and evaluation of newly prescribed psychotropic medications within 14 days, which was not adhered to in these cases. Resident #19, who had severe cognitive decline and resided in a locked dementia unit, was prescribed Ativan regularly and as needed, resulting in a total potential daily dose of 3.5 mg. Despite the facility's policy, there was no documentation justifying the continuation of the PRN Ativan order. Additionally, Resident #26 was administered Prozac and Trazadone without obtaining written consent until after the medications were started, contrary to the facility's policy requiring consent before administration.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to adhere to its policies and procedures for medication labeling and storage, as observed in three medication carts. During an observation and interview with an LPN, it was noted that probiotics were pre-set in a medication dose cup without a label, indicating a deviation from proper medication storage practices. Additionally, multiple medications were found opened without any indication of the date they were opened or their expiration dates. This included various medications such as Breo Ellipta inhalers, Fluticasone propionate nasal sprays, and Albuterol sulfate vials, among others, for several residents. The lack of proper labeling could lead to the administration of ineffective medications. Further observations revealed unsanitary conditions in the medication carts, with paper debris and loose tablets found in the drawers. The facility's policy mandates that medication carts be kept clean and free of clutter, which was not adhered to. The facility's medication storage policy and pharmacy services guidelines require that medications with shortened expiration dates be labeled with the date they were opened, which was not followed. Additionally, there were inconsistencies in the medication refrigerator temperature logs, with missing logs and logs lacking location details, further indicating lapses in medication management practices.
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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 Tawas City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medilodge Of Tawas City | 0.5 mi | — | 14 | 0 |
| Lakeview Manor Healthcare Center | 0.5 mi | — | 0 | 0 |
| Medilodge Of Sterling | 27.3 mi | — | 0 | 0 |
| Jamieson Nursing Home | 28.1 mi | — | 12 | 0 |
| Lincoln Haven Nursing & Rehabilitation Community | 29.1 mi | — | 13 | 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.