Marlette Community Hospital LTCU
2770 Main Street, Marlette, MI 48453 · Sanilac County · 39 certified beds · avg 36 residents/day · certified since Jan 1, 1967
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.
All citations in the current public record (22)
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 |
|---|---|---|
| Aug 7, 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. |
| Aug 7, 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. |
| Aug 7, 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 14, 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. |
| Aug 14, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 14, 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. |
| Aug 14, 2024 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Aug 14, 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. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb. |
| Jul 26, 2023 | F · Potential for harm, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Jul 26, 2023 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 26, 2023 | 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. |
| Jul 26, 2023 | E · Potential for harm, repeated | 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. |
| Jul 26, 2023 | E · Potential for harm, repeated | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 26, 2023 | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Jul 26, 2023 | B · Minimal risk, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | F |
| 2024 | 6 | 0 | F |
| 2025 | 5 | 0 | 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) | 5.46 | 4.32 | 3.95 | top 12% in Michigan; top 8% in the U.S. |
| Registered Nurse hours | 1.79 | 0.84 | 0.69 | top 3% in Michigan; top 3% in the U.S. |
| Weekend total nurse staffing | 4.54 | 3.79 | 3.50 | top 14% in Michigan; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.11 | 0.49 | 0.48 | top 5% in Michigan; top 4% in the U.S. |
| Total nursing staff turnover (%) | 22.4 | 44.1 | 45.8 | top 3% in Michigan; top 4% in the U.S. |
| RN turnover (%) | 14.3 | 39.2 | 42.9 | top 9% in Michigan; top 7% 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 4.86, RN 1.59, weekend 4.04. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bluewater Healthcare Network | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/28/2012 |
| Brown, Judy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Buttar, Nick | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Buttar, Nick | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Curtis, Patrick | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Daniels, Andrew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Daniels, Andrew | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Daniels, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Denton, Gail | Individual | Corporate Director | NOT APPLICABLE | 05/09/2016 |
| Ellis, Steven | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Fahrner, Faith | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Gentner, Kimberly | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| McConnachie, Angela | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| McConnachie, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Meiburg, Victoria | Individual | Corporate Director | NOT APPLICABLE | 05/10/2022 |
| Messing, David | Individual | Corporate Director | NOT APPLICABLE | 10/09/2018 |
| Orr, Scott | Individual | Corporate Director | NOT APPLICABLE | 11/09/2009 |
| Rohling, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Stafford, Brooke | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Stafford, Brooke | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
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 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?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "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 |
|---|---|---|---|---|---|
| Sanilac Medical Care Facility | 14.1 mi | Sandusky, MI | ★★★☆☆ | 3/5 | |
| Fisher Senior Care and Rehabilitation | 14.4 mi | Mayville, MI | ★★★★★ | 4/5 | |
| Tuscola County Medical Care Facility | 19.4 mi | Caro, MI | ★★★★★ | 3/5 | |
| Medilodge of Cass City | 19.6 mi | Cass City, MI | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235074.