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 Michigan Masonic Home during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection prevention and control program, particularly in managing the risk of Legionella and other pathogens in the plumbing system. Observations revealed stagnant water fixtures in the kitchen and other areas, with no routine flushing schedule or testing protocols in place. The Water Management Plan lacked clear instructions, and staff were unsure about control measures, indicating a deficiency in the facility's infection control practices.
The facility failed to maintain a safe and sanitary environment, with issues including a dish machine lacking an AVB, improperly stored linens, and a mop sink faucet causing water spillage. Additionally, a tabletop ice machine was improperly connected to the wastewater drain, and a laundry cart had accumulated debris.
A resident with Parkinsonism and anxiety was observed in soiled clothing for two days, indicating a lack of assistance with personal hygiene. The resident expressed discomfort with female caregivers for showers, preferring male caregivers, but this preference was not documented in the care plan. Despite staff awareness, the facility did not accommodate the resident's request, leading to embarrassment and refusal to shower.
The facility failed to implement effective fall prevention interventions for three residents with severe cognitive impairments and high fall risks. One resident was observed unsupervised despite needing assistance, another did not use a provided bell for help, and a third had multiple unwitnessed falls with inadequate interventions. The facility's documentation and investigation processes were insufficient to address the root causes of the falls.
Inadequate Water Management and Infection Control
Penalty
Summary
The facility failed to maintain an active and ongoing infection prevention and control program specifically targeting the risk of Legionella and other opportunistic pathogens in the plumbing system. During a tour of the main dry storage area for the kitchen, it was observed that multiple water fixtures, including a preparation sink, hand sink, steam table fill, and pot fill fixture, were stagnant and not under any routine flushing schedule. The hot and cold water lines for the kitchenette hand sink emitted brown water initially, indicating a lack of regular use and maintenance. Additionally, the first-floor kitchenette's back dish room was not on a regular flushing schedule, and the staff were unsure about any testing or control measures in place to mitigate the risk of waterborne pathogens. Further observations revealed that a janitor's closet on the second floor had a faucet that was not routinely flushed, and a water line in the Ventilation Unit was potentially stagnant, with crusted debris indicating it was still servicing water. The facility's Water Management Plan lacked a facility layout or instructions on water flow, and staff were uncertain about control measures or testing protocols. The Michigan Masonic Home Water Management Program Procedure and Policy outlined the need for risk assessments and control measures, but these were not effectively implemented, as evidenced by the lack of routine flushing and testing for pathogens.
Environmental Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment, as observed during a series of inspections. In the kitchen, the dish machine area had a rinse stream with multiple submerged inlets lacking an atmospheric vacuum breaker (AVB), posing a risk of back siphonage. The Director of Facilities was unaware of the AVB's presence. Additionally, a mop sink faucet in the first floor North clean holding room was left on and connected to a chemical pre-dispense without a device to relieve back pressure, as noted by the Director of Environmental Services. Further observations revealed that towels and washcloths were improperly stored open and exposed next to showers in the second floor North spa room and the Ventilation Unit spa room. The Life Safety Emergency Manager confirmed that linens should not be stored in this manner. On the second floor North, a tabletop ice machine was directly connected to the wastewater drain without an air gap, increasing contamination risk. In the Ventilation Unit soiled utility room, a mop sink faucet was installed over a non-functional hopper area, causing water to spill onto the floor. Lastly, the laundry room had a clean laundry cart with accumulated paper trash and debris under its false bottom.
Failure to Honor Resident's Preference for Male Caregivers
Penalty
Summary
The facility failed to maintain the dignity and self-esteem of a resident diagnosed with Parkinsonism, mood disorder, anxiety, and agoraphobia. The resident was observed wearing soiled clothing for two consecutive days, with food spills and an unclean crucifix, indicating a lack of assistance in maintaining personal hygiene. The resident reported that his breakfast had spilled the previous day, and no staff had helped him clean up. Additionally, the resident expressed discomfort with female caregivers assisting with showers, preferring male caregivers instead. However, this preference was not documented in the care plan, and the facility did not accommodate his request, leading to the resident's embarrassment and refusal to shower. The care plan for the resident, initiated in 2021, required assistance with activities of daily living, including bathing, but did not specify the resident's preference for male caregivers. The Task Monitor for showering showed limited showering activity, with refusals noted on two occasions and no applicable entries on others. Interviews with nursing staff confirmed awareness of the resident's preference for male caregivers, yet this was not reflected in the care plan. The Assistant Director of Nursing acknowledged the need for better documentation of the resident's shower refusals and attempts to reapproach, as well as the availability of a male CNA to accommodate the resident's preference.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to implement interventions to prevent falls for three residents, all of whom were severely cognitively impaired and at high risk for falls. Resident #87 was observed unsupervised in his room, despite requiring a walker and assistance for ambulation. He had a history of falls, including a witnessed fall while attempting to go to the bathroom and an unwitnessed fall in the hallway. The interventions listed in his care plan, such as keeping him in a supervised area while awake, were not implemented, and there was no indication of supervision when he was awake. Resident #12, who was also a fall risk, experienced multiple falls, including a witnessed fall in the day room and an unwitnessed fall in the sunroom. Despite being provided with a bell to ring for help, she did not use it, and the intervention was deemed ineffective for her cognitive impairment. The facility's interventions, such as placing Dycem in her chair and assisting her to common areas, did not adequately address her tendency to self-transfer and her need for assistance with toileting. Resident #38 had several unwitnessed falls, including in the dining room, hallway, and her room. The facility's interventions, such as gripper strips and moving her closer to the nurse's station, did not address the root causes of her falls, such as her refusal to use the bathroom and her tendency to self-transfer. The facility's documentation lacked details on her behaviors, sleep patterns, and toileting needs, and there was no clear process for determining effective interventions. The Unit Manager and ADON were unable to locate new interventions or explain how they were determined, indicating a lack of thorough investigation and appropriate response to the residents' fall risks.
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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 Alma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverside Healthcare Center | 2.2 mi | — | 2 | 0 |
| Schnepp Senior Care And Rehabilitation Center | 3.5 mi | — | 0 | 0 |
| Isabella County Medical Care Facility | 15.3 mi | — | 8 | 0 |
| The Laurels Of Mt. Pleasant | 15.3 mi | — | 0 | 0 |
| Medilodge Of Mt. Pleasant | 15.8 mi | — | 6 | 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.