Grayling Nursing & Rehabilitation Community

Name: Grayling Nursing & Rehabilitation Community
Address: 331 Meadows Drive, Grayling, MI, 49738, US
Telephone: 9893482801

331 Meadows Drive, Grayling, MI 49738 · Crawford County · 72 certified beds · avg 52 residents/day · certified since Jul 26, 1984

Part of chain: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

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: 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 21, 2026 · F-0684 · triggered by a complaint

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 16, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jan 16, 2024 · F-0684 · triggered by a complaint

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: Feb 8, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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 21, 2026	▲ 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. · from a complaint
Mar 11, 2026	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Mar 11, 2026	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 11, 2026	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Mar 11, 2026	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 11, 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.
Mar 11, 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.
Mar 11, 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 16, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 16, 2025	D · Potential for harm, one-off	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.
Jan 16, 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.
Jan 16, 2025	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.
Feb 14, 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 14, 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.
Feb 14, 2024	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.
Jan 16, 2024	▲ 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. · from a complaint
Jan 16, 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. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2024	5	1	G ▲
2025	4	0	D
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)

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)	4.01	4.32	3.95	bottom 45% in Michigan; top 39% in the U.S.
Registered Nurse hours	0.90	0.84	0.69	top 35% in Michigan; top 21% in the U.S.
Weekend total nurse staffing	3.66	3.79	3.50	top 46% in Michigan; top 35% 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 (%)	37.0	44.1	45.8	top 28% in Michigan; top 29% in the U.S.
RN turnover (%)	30.0	39.2	42.9	top 32% in Michigan; top 29% 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 3.41, RN 0.76, weekend 3.11. Staffing rating: 4/5.

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: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bailey, Essel	Individual	5% or Greater Indirect Ownership Interest	74%	12/27/2012
Finney, Donald	Individual	5% or Greater Indirect Ownership Interest	25%	12/27/2012
Orion Operating Services LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2007
Albright Ross, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/02/2018
Albright Ross, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2018
Atrium Centers Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2007
Bailey, Essel	Individual	Corporate Director	NOT APPLICABLE	10/01/2007
Ferkany, James	Individual	Corporate Officer	NOT APPLICABLE	08/01/2018
Finney, Donald	Individual	Corporate Director	NOT APPLICABLE	08/22/2012
Lockhart, Dennis	Individual	Corporate Director	NOT APPLICABLE	08/01/2018
Lockhart, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2018
Malcomson, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2015

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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can I see where garbage is stored and how often it's removed?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you explain health changes and treatment options to residents and their families?"
"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
Munson Healthcare Crawford Continuing Care Center	1.1 mi	Grayling, MI	★★★★★	4/5
Intersect Healthcare of Roscommon	11.7 mi	Roscommon, MI	★★★★★	4/5

Compare this facility with the 2 closest →

All facilities in Grayling →

Facility data as of CMS processing date 2026-08-01. CCN 235432.

The Care File

Visit checklist — Grayling Nursing & Rehabilitation Community

331 Meadows Drive, Grayling, MI 49738 · 9893482801

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

Most serious findings on record:

▲ May 21, 2026 (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.
▲ Jan 16, 2024 (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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "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 235432 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)