Jamieson Nursing Home

Name: Jamieson Nursing Home
Address: 790 S U.S. Highway 23, Box 369, Harrisville, MI, 48740, US
Telephone: 9897246889

790 S U.S. Highway 23, Box 369, Harrisville, MI 48740 · Alcona County · 39 certified beds · avg 21 residents/day · certified since May 16, 2007 · 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 →

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.47

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: 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.

All citations in the current public record (16)

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
Jan 7, 2026	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.
Jan 7, 2026	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 7, 2026	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.
Jan 24, 2025	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.
Jan 24, 2025	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.
Jan 24, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jan 24, 2025	E · Potential for harm, repeated	The facility did not make sure that paid feeding assistants — staff hired to help residents eat and drink — had the training they need.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 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.
Feb 7, 2024	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 7, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 7, 2024	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.
Feb 7, 2024	E · Potential for harm, repeated	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both.
Feb 7, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2024	6	F
2025	7	F
2026	3	F

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)	3.47	4.32	3.95	bottom 8% in Michigan; bottom 35% in the U.S.
Registered Nurse hours	1.21	0.84	0.69	top 15% in Michigan; top 9% in the U.S.
Weekend total nurse staffing	3.49	3.79	3.50	bottom 42% in Michigan; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.93	0.49	0.48	top 7% in Michigan; top 7% in the U.S.
Total nursing staff turnover (%)	15.4	44.1	45.8	top 1% in Michigan; top 1% in the U.S.
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 2.87, RN 1.01, weekend 2.90. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Smith, James	Individual	Direct Ownership Interest	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	Direct Ownership Interest	NOT APPLICABLE	07/01/2009
Wilkins, Lori	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2016
Rao, Raj	Individual	Operational/Managerial Control	NOT APPLICABLE	12/18/2018
Rao, Raj	Individual	ADP of the SNF	NOT APPLICABLE	12/18/2018
Smith, James	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2009
Smith, James	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2009
Smith, James	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	Corporate Director	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	Corporate Officer	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2009
Smith, Sally	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2009
Wilkins, Lori	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2016
Wilkins, Lori	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2016

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 many hours a day is a registered nurse physically in the building, including weekends?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who helps residents eat at mealtimes, and what training have they completed?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"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
Lincoln Haven Nursing & Rehabilitation Community	2.8 mi	Lincoln, MI	★★★☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Harrisville →

Facility data as of CMS processing date 2026-08-01. CCN 235628.

The Care File

Visit checklist — Jamieson Nursing Home

790 S U.S. Highway 23, Box 369, Harrisville, MI 48740 · 9897246889

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

Questions for the administrator:

☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who helps residents eat at mealtimes, and what training have they completed?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "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 235628 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)