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Cascade Senior Care Center
2121 Robinson Road, Jackson, MI 49203 (opens Google Maps) · Jackson County · (517) 787-4150· 108 certified beds · avg 79 residents/day · certified since Mar 1, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)
3/5
Health inspection rating (on-site)
inspected Jun 4, 2025
3
Serious findings on record
most recent Jun 4, 2025
$0
Fines, last 3 years
4.93
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, widespread · Mar 21, 2023 · F-0839
The facility employed staff who were not licensed, certified, or registered as required by state law.
▲ Immediate jeopardy, widespread · Mar 21, 2023 · F-0839
The facility employed staff who were not licensed, certified, or registered as required by state law.
Why it matters: Unlicensed staff may lack the verified training and background checks meant to keep residents safe.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 12, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, widespread · Mar 21, 2023 · F-0880
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.
▲ Immediate jeopardy, widespread · Mar 21, 2023 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 18, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jun 4, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Actual harm, isolated · Jun 4, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 12, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 34 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
View all 34 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Feb 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Feb 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Feb 5, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Dec 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Dec 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Dec 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698 |
| Dec 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jun 4, 2025 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 4, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Feb 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Feb 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jun 7, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 7, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jun 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Jun 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Mar 21, 2023 | ▲ L · Immediate jeopardy, widespread | The facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839 |
| Mar 21, 2023 | ▲ L · Immediate jeopardy, widespread | 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. · F-0880 |
| Mar 21, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Mar 21, 2023 | F · Potential for more than minimal harm, widespread | The facility did not perform required COVID-19 testing on residents and staff. · F-0886 |
| Mar 21, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have a compliance and ethics program — an internal system designed to prevent and catch violations of the law and ethical standards. · F-0895 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · F-0885 |
| Mar 21, 2023 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
All citationsSerious citations (G–L)
2023
All citations: 13
Serious citations (G–L): 2
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 1
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 2 | L ▲ |
| 2024 | 5 | 0 | F |
| 2025 | 12 | 1 | G ▲ |
| 2026 | 4 | 0 | D |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMichigan averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.93
Michigan average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.67
Michigan average: 0.84
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.54
Michigan average: 3.79
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Michigan avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.93 | 4.32 | 3.95 | top 18% in Michigan; top 14% in the U.S. |
| Registered Nurse hours | 0.67 | 0.84 | 0.69 | bottom 38% in Michigan; top 39% in the U.S. |
| Weekend total nurse staffing | 4.54 | 3.79 | 3.50 | top 13% in Michigan; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.49 | 0.48 | top 43% in Michigan; top 39% in the U.S. |
| Total nursing staff turnover (%) | — | 44.1 | 45.8 | — |
| RN turnover (%) | — | 39.2 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.27, RN 0.58, weekend 3.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Cascade Senior Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2024 |
| Branscum, James | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Eisenberg, Leo | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Miller, Casie | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Miller, Casie | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Nexcare Health Systems, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Perry, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Robin Eisenberg 2014 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Sangster, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Wronski, Frank | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Yalavarthi, Jyothsna | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Nexcare Health Systems — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Dimondale Nursing Care Center — Dimondale, MI · overall 3/5
- Durand Senior Care and Rehab Center — Durand, MI · overall 3/5
- Evergreen Manor Senior Care Center — Battle Creek, MI · overall 4/5
- Fairlane Senior Care and Rehab Center — Detroit, MI · overall 4/5
- Faith Haven Senior Care Centre — Jackson, MI · overall 2/5abuse
- Fisher Senior Care and Rehabilitation — Mayville, MI · overall 5/5
- Four Chaplains Nursing Care Center — Westland, MI · overall 4/5
- Holt Senior Care and Rehab Center — Holt, MI · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
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 do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you keep residents' medical records accurate, complete, and secure?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mission Point Health Campus of Jackson | 0.3 mi | Jackson, MI | ★★☆☆☆ | 1/5 | |
| Jackson County Medical Care Facility | 2.9 mi | Jackson, MI | ★★★★☆ | 2/5 | abuse |
| Faith Haven Senior Care Centre | 3.0 mi | Jackson, MI | ★★☆☆☆ | 2/5 | abuse |
| Regency at Jackson | 3.0 mi | Jackson, MI | ★☆☆☆☆ | 1/5 | abuse |
| Vista Grande Villa | 3.3 mi | Jackson, MI | ★★★★☆ | 3/5 | |
| Arbor Manor Rehabilitation and Nursing Center | 4.9 mi | Spring Arbor, MI | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 235574.