Mackinac Straits Long Term Care Unit

Name: Mackinac Straits Long Term Care Unit
Address: 1140 North State Street, St. Ignace, MI, 49781, US
Telephone: 9066430462

1140 North State Street, St. Ignace, MI 49781 · Mackinac County · 48 certified beds · avg 48 residents/day · certified since Jan 1, 1967

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.33

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 15, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Nov 10, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 26, 2024 · F-0686

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Jul 25, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (13)

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
Oct 15, 2025	▲ G · Actual 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
May 29, 2025	D · Potential for harm, one-off	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.
May 29, 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.
May 29, 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.
May 29, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 29, 2025	D · Potential for harm, one-off	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated.
May 29, 2025	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.
Jun 26, 2024	▲ G · Actual 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.
Jun 26, 2024	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.
Jun 26, 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.
Jul 21, 2023	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.
Jul 21, 2023	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jul 21, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	D
2024	3	1	G ▲
2025	7	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)	5.33	4.32	3.95	top 13% in Michigan; top 9% 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	4.98	3.79	3.50	top 11% in Michigan; top 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.49	0.48	top 12% in Michigan; top 12% in the U.S.
Total nursing staff turnover (%)	23.3	44.1	45.8	top 5% in Michigan; top 5% in the U.S.
RN turnover (%)	36.4	39.2	42.9	top 48% in Michigan; top 40% 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 4.27, RN 0.97, weekend 3.99. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Mackinac Straits Health System INC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/1967
Anderson, Jason	Individual	Corporate Director	NOT APPLICABLE	06/06/2008
Autore, Steven	Individual	Corporate Director	NOT APPLICABLE	06/06/2008
Brown, Prentiss	Individual	Corporate Director	NOT APPLICABLE	02/12/2013
Buhr, Lauren	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Buhr, Lauren	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Cheeseman, Karen	Individual	Corporate Director	NOT APPLICABLE	07/13/2017
Cheeseman, Karen	Individual	Corporate Officer	NOT APPLICABLE	07/13/2017
Cheeseman, Karen	Individual	ADP of the SNF	NOT APPLICABLE	07/13/2017
Doud, Margaret	Individual	Corporate Director	NOT APPLICABLE	06/06/2008
Elmblad, Mark	Individual	Corporate Director	NOT APPLICABLE	05/14/2015
Mackinac Straits Health System INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1967
Mackinac Straits Health System INC	Organization	ADP of the SNF	NOT APPLICABLE	07/05/2008
Massaway, Keith	Individual	Corporate Director	NOT APPLICABLE	05/14/2015
McElroy, Kevin	Individual	Corporate Director	NOT APPLICABLE	01/02/2013
Moffat, John	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Moffat, John	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
North, James	Individual	Corporate Director	NOT APPLICABLE	02/12/2013
Shannon, Patrick	Individual	Corporate Director	NOT APPLICABLE	06/06/2008
Smith, Richard	Individual	Corporate Director	NOT APPLICABLE	06/06/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Medilodge of Cheboygan	21.4 mi	Cheboygan, MI	★★☆☆☆	2/5	abuse
Bay Bluffs-Emmet County Medical Care Facility	33.8 mi	Harbor Springs, MI	★★★★☆	2/5
The Villa at the Bay	38.5 mi	Petoskey, MI	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in St. Ignace →

Facility data as of CMS processing date 2026-08-01. CCN 235041.

The Care File

Visit checklist — Mackinac Straits Long Term Care Unit

1140 North State Street, St. Ignace, MI 49781 · 9066430462

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

Most serious findings on record:

▲ Oct 15, 2025 (F-0689, Actual 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.
▲ Jun 26, 2024 (F-0686, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 235041 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)