Bay Bluffs-Emmet County Medical Care Facility

Name: Bay Bluffs-Emmet County Medical Care Facility
Address: 750 East Main Street, Harbor Springs, MI, 49740, US
Telephone: 2315262161

750 East Main Street, Harbor Springs, MI 49740 · Emmet County · 120 certified beds · avg 72 residents/day · certified since Jan 1, 1967

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 13, 2026	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
May 13, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 13, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 13, 2026	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
May 13, 2026	D · Potential for harm, one-off	The facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items.
May 13, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 13, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 13, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 13, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 13, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Apr 17, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 17, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 17, 2024	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 17, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 12).

Year	Citations	Worst severity that year
2024	2	F
2025	5	F
2026	12	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.21	4.32	3.95	top 5% in Michigan; top 3% in the U.S.
Registered Nurse hours	1.96	0.84	0.69	top 2% in Michigan; top 2% in the U.S.
Weekend total nurse staffing	5.10	3.79	3.50	top 9% in Michigan; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.99	0.49	0.48	top 6% in Michigan; top 6% in the U.S.
Total nursing staff turnover (%)	26.1	44.1	45.8	top 9% in Michigan; top 8% in the U.S.
RN turnover (%)	25.0	39.2	42.9	top 23% in Michigan; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.14, RN 1.62, weekend 4.22. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Emmet	Organization	5% or Greater Direct Ownership Interest	100%	06/01/1966
Ashley, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	10/14/2014
Ashley, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	11/18/2025
Becker, Sherry	Individual	Operational/Managerial Control	NOT APPLICABLE	07/26/1983
Blanchard, Paul	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2009
Cordova, Manuel	Individual	Corporate Director	NOT APPLICABLE	10/29/2020
County of Emmet	Organization	ADP of the SNF	NOT APPLICABLE	06/01/1966
Hansen, Carol	Individual	Corporate Director	NOT APPLICABLE	12/01/2018
Lively, Craig	Individual	Corporate Director	NOT APPLICABLE	11/28/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"Can you give me a written list of exactly what residents are charged for beyond what Medicare or Medicaid covers?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Villa at the Bay	4.9 mi	Petoskey, MI	★★☆☆☆	1/5
Boulder Park Terrace	16.9 mi	Charlevoix, MI	★☆☆☆☆	1/5	abuse
Grandvue Medical Care Facility	18.8 mi	East Jordan, MI	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Harbor Springs →

Facility data as of CMS processing date 2026-08-01. CCN 235033.

The Care File

Visit checklist — Bay Bluffs-Emmet County Medical Care Facility

750 East Main Street, Harbor Springs, MI 49740 · 2315262161

Health inspection rating 2/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "Can you give me a written list of exactly what residents are charged for beyond what Medicare or Medicaid covers?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235033 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)