Grandvue Medical Care Facility
1728 South Peninsula Road, East Jordan, MI 49727 · Charlevoix County · 113 certified beds · avg 95 residents/day · certified since Jan 1, 1967
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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)
▲ Actual harm, one-off · Jan 21, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Feb 13, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 17, 2025 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Jan 27, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 20, 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: May 6, 2025 (Deficient, Provider has date of correction)
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 22, 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. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Apr 22, 2026 | 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. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Apr 22, 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). |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Apr 22, 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. |
| Jan 21, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 17, 2025 | ▲ G · Actual 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 |
| May 15, 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 |
| Mar 20, 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. |
| Mar 20, 2025 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 20, 2025 | E · Potential for harm, repeated | 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 20, 2025 | 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 20, 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 3, 2024 | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 10 | 2 | G ▲ |
| 2026 | 8 | 1 | G ▲ |
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)
0 fines totaling $0, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Payment Denial | 23 days from Jan 21, 2026 |
| Mar 20, 2025 | Payment Denial | 18 days from Apr 18, 2025 |
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) | 5.21 | 4.32 | 3.95 | top 13% in Michigan; top 10% in the U.S. |
| Registered Nurse hours | 1.10 | 0.84 | 0.69 | top 19% in Michigan; top 12% in the U.S. |
| Weekend total nurse staffing | 4.89 | 3.79 | 3.50 | top 12% in Michigan; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.67 | 0.49 | 0.48 | top 20% in Michigan; top 18% in the U.S. |
| Total nursing staff turnover (%) | 42.7 | 44.1 | 45.8 | top 44% in Michigan; top 44% in the U.S. |
| RN turnover (%) | 46.2 | 39.2 | 42.9 | bottom 36% in Michigan; bottom 42% 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 4.39, RN 0.92, weekend 4.12. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Charlevoix | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1966 |
| Andrews, Paul | Individual | Corporate Director | NOT APPLICABLE | 11/09/2018 |
| Andrews, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2025 |
| Chamberlain, Joshua | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Chamberlain, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2025 |
| County of Charlevoix | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1966 |
| Feihel, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/05/2024 |
| Feihel, Dennis | Individual | ADP of the SNF | NOT APPLICABLE | 05/05/2024 |
| Hoffman, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/09/2013 |
| Hoffman, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 09/09/2013 |
| Jason, Mary | Individual | Corporate Director | NOT APPLICABLE | 11/01/2014 |
| Jason, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2025 |
| Taylor, Joseph | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Taylor, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Taylor, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Thrush, Tory | Individual | Corporate Director | NOT APPLICABLE | 09/11/2024 |
| Thrush, Tory | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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 |
|---|---|---|---|---|---|
| Boulder Park Terrace | 10.9 mi | Charlevoix, MI | ★☆☆☆☆ | 1/5 | abuse |
| The Villa at the Bay | 14.5 mi | Petoskey, MI | ★★☆☆☆ | 1/5 | |
| Meadow Brook Medical Care Facility | 18.4 mi | Bellaire, MI | ★★☆☆☆ | 2/5 | abuse |
| Bay Bluffs-Emmet County Medical Care Facility | 18.8 mi | Harbor Springs, MI | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in East Jordan →
Facility data as of CMS processing date 2026-08-01. CCN 235062.