Michigan ›Grayling

Grayling Nursing & Rehabilitation Community

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331 Meadows Drive, Grayling, MI 49738 (opens Google Maps) · Crawford County · (989) 348-2801· 72 certified beds · avg 52 residents/day · certified since Jul 26, 1984 · 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: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)

3/5
Health inspection rating (on-site)
inspected Mar 11, 2026
2
Serious findings on record
most recent May 21, 2026
$0
Fines, last 3 years
4.01
Nurse hours/resident/day (adjusted)

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: 4/5 · 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)

▲ Actual harm, isolated · 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): 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 16, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): 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: Feb 8, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

  1. 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. · from a complaint F-0684

  2. F · Potential for more than minimal harm, widespread

    The facility did not dispose of garbage and refuse properly. F-0814

  3. F · Potential for more than minimal harm, widespread

    The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921

View all 17 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.

DateSeverityWhat the facility was cited for
May 21, 2026▲ G · Actual harm, isolatedThe 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
Mar 11, 2026F · Potential for more than minimal harm, widespreadThe facility did not dispose of garbage and refuse properly. · F-0814
Mar 11, 2026F · Potential for more than minimal harm, widespreadThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Mar 11, 2026E · Potential for more than minimal harm, patternThe 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. · F-0605
Mar 11, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Mar 11, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 11, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 11, 2026D · Potential for more than minimal harm, isolatedThe 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
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 14, 2024F · Potential for more than minimal harm, widespreadThe 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
Feb 14, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 14, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Jan 16, 2024▲ G · Actual harm, isolatedThe 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
Jan 16, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0755

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 5
Serious citations (G–L): 1
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 8
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202451G ▲
202540D
202681G ▲

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMichigan averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.01
Michigan average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.90
Michigan average: 0.84
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.66
Michigan average: 3.79
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMichigan avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.014.323.95bottom 45% in Michigan; top 39% in the U.S.
Registered Nurse hours0.900.840.69top 35% in Michigan; top 21% in the U.S.
Weekend total nurse staffing3.663.793.50top 46% in Michigan; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.450.490.48top 43% in Michigan; top 39% in the U.S.
Total nursing staff turnover (%)37.044.145.8top 28% in Michigan; top 29% in the U.S.
RN turnover (%)30.039.242.9top 32% in Michigan; top 29% in the U.S.

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 3.41, RN 0.76, weekend 3.11.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.41 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Grayling Nursing & Rehabilitation Community. 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 - Corporation

Owner / managerTypeRoleStakeSince
Bailey, EsselIndividual5% or Greater Indirect Ownership Interest74%12/27/2012
Finney, DonaldIndividual5% or Greater Indirect Ownership Interest25%12/27/2012
Orion Operating Services LLCOrganization5% or Greater Direct Ownership Interest100%01/01/2007
Albright Ross, SusanIndividualCorporate OfficerNOT APPLICABLE01/02/2018
Albright Ross, SusanIndividualOperational/Managerial ControlNOT APPLICABLE01/02/2018
Atrium Centers Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE10/01/2007
Bailey, EsselIndividualCorporate DirectorNOT APPLICABLE10/01/2007
Ferkany, JamesIndividualCorporate OfficerNOT APPLICABLE08/01/2018
Finney, DonaldIndividualCorporate DirectorNOT APPLICABLE08/22/2012
Lockhart, DennisIndividualCorporate DirectorNOT APPLICABLE08/01/2018
Lockhart, DennisIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2018
Malcomson, JenniferIndividualOperational/Managerial ControlNOT APPLICABLE06/28/2015

All 12 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 Atrium Centers — 26 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.

Listed by state, then facility name — not a ranking. Showing 8 of the 25 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

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?"
  • "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Munson Healthcare Crawford Continuing Care Center1.1 miGrayling, MI★★★★★4/5
Intersect Healthcare of Roscommon11.7 miRoscommon, 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.

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