Cascade Senior Care Center

Name: Cascade Senior Care Center
Address: 2121 Robinson Road, Jackson, MI, 49203, US
Telephone: 5177874150

2121 Robinson Road, Jackson, MI 49203 · Jackson County · 108 certified beds · avg 79 residents/day · certified since Mar 1, 1997

Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.93

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, facility-wide · 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): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Apr 12, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, facility-wide · 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): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: May 18, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 12, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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 7, 2026	D · Potential for harm, one-off	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
Feb 5, 2026	D · Potential for harm, one-off	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
Feb 5, 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. · from a complaint
Feb 5, 2026	D · Potential for harm, one-off	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
Dec 30, 2025	D · Potential for harm, one-off	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
Dec 30, 2025	D · Potential for harm, one-off	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
Dec 30, 2025	D · Potential for harm, one-off	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
Dec 30, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 4, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 4, 2025	E · Potential for harm, repeated	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
Jun 4, 2025	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.
Jun 4, 2025	D · Potential for harm, one-off	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.
Jun 4, 2025	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jun 4, 2025	D · Potential for harm, one-off	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.
Feb 24, 2025	D · Potential for harm, one-off	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
Feb 24, 2025	D · Potential for harm, one-off	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
Jun 7, 2024	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.
Jun 7, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 7, 2024	D · Potential for harm, one-off	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.
Jun 7, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 7, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Mar 21, 2023	▲ L · Immediate jeopardy, facility-wide	The facility employed staff who were not licensed, certified, or registered as required by state law.
Mar 21, 2023	▲ L · Immediate jeopardy, 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.
Mar 21, 2023	F · Potential for harm, facility-wide	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.
Mar 21, 2023	F · Potential for harm, facility-wide	The facility did not perform required COVID-19 testing on residents and staff.
Mar 21, 2023	F · Potential for harm, facility-wide	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.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 21, 2023	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.
Mar 21, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	C · Minimal risk, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 6).

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)

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)	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 (%)	0.0	44.1	45.8	—
RN turnover (%)	0.0	39.2	42.9	—

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 4.27, RN 0.58, weekend 3.94. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Jackson →

Facility data as of CMS processing date 2026-08-01. CCN 235574.

The Care File

Visit checklist — Cascade Senior Care Center

2121 Robinson Road, Jackson, MI 49203 · 5177874150

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

Most serious findings on record:

▲ Mar 21, 2023 (F-0839, Immediate jeopardy, facility-wide): The facility employed staff who were not licensed, certified, or registered as required by state law.
▲ Mar 21, 2023 (F-0880, Immediate jeopardy, 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.
▲ Jun 4, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "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?"
☐ "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 235574 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)