McLaren Lapeer Region
1375 North Main Street, Lapeer, MI 48446 · Lapeer County · 19 certified beds · avg 17 residents/day · certified since Jul 8, 1997
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 |
|---|---|---|
| Sep 4, 2025 | E · Potential for harm, repeated | 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. |
| Sep 4, 2025 | 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. |
| Sep 9, 2024 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Sep 9, 2024 | 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. · from a complaint |
| Sep 9, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 9, 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. · from a complaint |
| Sep 9, 2024 | D · Potential for harm, one-off | 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. |
| Sep 9, 2024 | 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 13, 2023 | E · Potential for harm, repeated | 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. |
| Jul 13, 2023 | E · Potential for harm, repeated | 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 13, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 13, 2023 | 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 13, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jul 13, 2023 | D · Potential for harm, one-off | 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. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jul 13, 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 decreased between the last two inspection cycles (6 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 14 | 0 | E |
| 2024 | 6 | 0 | F |
| 2025 | 2 | 0 | E |
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) | 6.73 | 4.32 | 3.95 | top 2% in Michigan; top 2% in the U.S. |
| Registered Nurse hours | 4.45 | 0.84 | 0.69 | top 1% in Michigan; top 1% in the U.S. |
| Weekend total nurse staffing | 5.74 | 3.79 | 3.50 | top 2% in Michigan; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 3.39 | 0.49 | 0.48 | top 1% in Michigan; top 1% in the U.S. |
| Total nursing staff turnover (%) | 45.5 | 44.1 | 45.8 | bottom 47% in Michigan; bottom 49% in the U.S. |
| RN turnover (%) | 36.8 | 39.2 | 42.9 | top 49% in Michigan; top 41% 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 6.81, RN 4.51, weekend 5.81. 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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| McLaren Health Care Corporation | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/1992 |
| Burke, Michael | Individual | Corporate Director | NOT APPLICABLE | 03/30/2020 |
| Burke, Michael | Individual | Trustee of the SNF | NOT APPLICABLE | 03/30/2020 |
| Burrough, Eric | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Burrough, Eric | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2016 |
| Davis, Tiffany | Individual | Corporate Officer | NOT APPLICABLE | 02/19/2025 |
| Davis, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/19/2025 |
| Davis, Tiffany | Individual | Trustee of the SNF | NOT APPLICABLE | 02/19/2025 |
| Grant, Chad | Individual | Corporate Director | NOT APPLICABLE | 07/29/2019 |
| Grant, Chad | Individual | Trustee of the SNF | NOT APPLICABLE | 07/29/2019 |
| Incarnati, Philip | Individual | Corporate Director | NOT APPLICABLE | 10/01/1992 |
| Incarnati, Philip | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/1992 |
| McLaren Health Care Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/1992 |
| McLaren Health Care Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/1992 |
| Nounou, Majed | Individual | Corporate Director | NOT APPLICABLE | 02/19/2025 |
| Nounou, Majed | Individual | Trustee of the SNF | NOT APPLICABLE | 02/19/2025 |
| Riehl, Robert | Individual | Corporate Director | NOT APPLICABLE | 02/19/2025 |
| Riehl, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 02/19/2025 |
| Scott, Justus | Individual | Corporate Director | NOT APPLICABLE | 01/01/2003 |
| Scott, Justus | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2003 |
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?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Lapeer County Medical Care Facility | 0.7 mi | Lapeer, MI | ★★☆☆☆ | 2/5 | |
| The Orchards at Lapeer | 1.0 mi | Lapeer, MI | ★★☆☆☆ | 1/5 | |
| Stonegate Health Campus | 1.5 mi | Lapeer, MI | ★★★☆☆ | 3/5 | |
| Briarwood Nursing and Rehabilitation | 16.1 mi | Flint, MI | ★★★☆☆ | 2/5 | |
| Medilodge of Grand Blanc | 16.8 mi | Grand Blanc, MI | ★☆☆☆☆ | 1/5 | |
| The Oaks at Woodfield | 18.6 mi | Grand Blanc, MI | ★★★★☆ | 3/5 | |
| Fisher Senior Care and Rehabilitation | 19.6 mi | Mayville, MI | ★★★★★ | 4/5 | |
| Lake Orion Nursing Center | 19.7 mi | Lake Orion, MI | ★★☆☆☆ | 2/5 | abuse |
| Regency at Grand Blanc | 19.8 mi | Grand Blanc, MI | ★★★★★ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235577.