Fisher Senior Care and Rehabilitation

Name: Fisher Senior Care and Rehabilitation
Address: 521 Ohmer Road, Mayville, MI, 48744, US
Telephone: 9898436185

521 Ohmer Road, Mayville, MI 48744 · Tuscola County · 53 certified beds · avg 51 residents/day · certified since Mar 19, 2003

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.65

Nurse hours/resident/day (adjusted)

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

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

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
Apr 15, 2026	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.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 15, 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.
Feb 13, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 13, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint
Feb 13, 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.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Feb 22, 2024	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.
Feb 22, 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.
Feb 22, 2024	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.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 22, 2024	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.
Feb 22, 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. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 22, 2024	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2024	9	F
2025	5	E
2026	5	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)	4.65	4.32	3.95	top 24% in Michigan; top 19% in the U.S.
Registered Nurse hours	1.00	0.84	0.69	top 26% in Michigan; top 16% in the U.S.
Weekend total nurse staffing	4.17	3.79	3.50	top 22% in Michigan; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.49	0.48	top 38% in Michigan; top 34% in the U.S.
Total nursing staff turnover (%)	37.0	44.1	45.8	top 28% in Michigan; top 29% in the U.S.
RN turnover (%)	10.0	39.2	42.9	top 5% in Michigan; top 4% 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 3.78, RN 0.81, weekend 3.40. 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

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Branscum, James	Individual	5% or Greater Direct Ownership Interest	31%	12/01/2013
Robin Eisenberg 2014 Family Trust	Organization	5% or Greater Direct Ownership Interest	31%	04/01/2014
Wronski, Frank	Individual	5% or Greater Direct Ownership Interest	31%	04/01/2014
Gold, Andrea	Individual	W-2 Managing Employee	NOT APPLICABLE	02/15/2021
Nexcare Health Systems, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/05/2011
Perry, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2015
Sangster, Todd	Individual	Corporate Officer	NOT APPLICABLE	11/04/2013

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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"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
Tuscola County Medical Care Facility	11.1 mi	Caro, MI	★★★★★	3/5
Marlette Community Hospital LTCU	14.4 mi	Marlette, MI	★★★★★	4/5
Medilodge of Frankenmuth	18.9 mi	Frankenmuth, MI	★★☆☆☆	2/5
Wellspring Lutheran Services	19.1 mi	Frankenmuth, MI	★★★☆☆	3/5
Lapeer County Medical Care Facility	19.5 mi	Lapeer, MI	★★☆☆☆	2/5
McLaren Lapeer Region	19.6 mi	Lapeer, MI	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Mayville →

Facility data as of CMS processing date 2026-08-01. CCN 235606.

The Care File

Visit checklist — Fisher Senior Care and Rehabilitation

521 Ohmer Road, Mayville, MI 48744 · 9898436185

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

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "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 235606 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)