Mackinac Straits Long Term Care Unit

1140 North State Street, St. Ignace, MI 49781 (opens Google Maps) · Mackinac County · (906) 643-0462· 48 certified beds · avg 48 residents/day · certified since Jan 1, 1967 · 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)

inspected May 29, 2025

Serious findings on record

most recent Oct 15, 2025

Fines, last 3 years

5.33

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: ★★★★☆4/5 · CMS overall rating: 5/5 · 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 · 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): 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: Nov 10, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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.

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

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

Oct 15, 2025G · Actual harm, isolated
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 F-0689
May 29, 2025D · Potential for more than minimal harm, isolated
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. F-0605
May 29, 2025D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

View all 13 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.

Date	Severity	What the facility was cited for
Oct 15, 2025	▲ G · Actual harm, isolated	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 · F-0689
May 29, 2025	D · Potential for more than minimal harm, isolated	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. · F-0605
May 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 29, 2025	D · Potential for more than minimal harm, isolated	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. · F-0657
May 29, 2025	D · Potential for more than minimal harm, isolated	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. · F-0700
May 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · F-0807
May 29, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Jun 26, 2024	▲ G · Actual harm, isolated	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. · F-0686
Jun 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 21, 2023	D · Potential for more than minimal harm, isolated	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. · F-0686
Jul 21, 2023	D · Potential for more than minimal harm, isolated	The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Jul 21, 2023	D · Potential for more than minimal harm, isolated	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. · F-0947

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

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

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)

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)

5.33

4.32

3.95

Registered Nurse hours

1.21

0.84

0.69

Weekend total nurse staffing

4.98

3.79

3.50

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

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 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 4.27, RN 0.97, weekend 3.99.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Mackinac Straits Long Term Care Unit. 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 →

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

Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.

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.

"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?"

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 23% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Mackinac Straits Long Term Care Unit

1140 North State Street, St. Ignace, MI 49781 · (906) 643-0462

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

Most serious findings on record:

▲ Oct 15, 2025 (F-0689, Actual harm, isolated): 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, isolated): 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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 23% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)