Paul Oliver Memorial Hospital LTCU
224 Park Avenue, Frankfort, MI 49635 · Benzie County · 35 certified beds · avg 28 residents/day · certified since Jan 28, 1987
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 · Jun 27, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Aug 3, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 6, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 6, 2026 | 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. |
| May 6, 2026 | D · Potential for harm, one-off | 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. |
| May 6, 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. |
| May 6, 2026 | 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. |
| Mar 20, 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. |
| Jun 27, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 28, 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 28, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Feb 28, 2024 | 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. |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Feb 28, 2024 | 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. |
| Feb 28, 2024 | 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. |
| Feb 28, 2024 | C · Minimal risk, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 11 | 1 | G ▲ |
| 2025 | 1 | 0 | F |
| 2026 | 5 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 27, 2024 | Payment Denial | 8 days from Jul 26, 2024 |
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) | 6.04 | 4.32 | 3.95 | top 6% in Michigan; top 4% in the U.S. |
| Registered Nurse hours | 1.79 | 0.84 | 0.69 | top 3% in Michigan; top 2% in the U.S. |
| Weekend total nurse staffing | 5.51 | 3.79 | 3.50 | top 4% in Michigan; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.44 | 0.49 | 0.48 | top 1% in Michigan; top 2% in the U.S. |
| Total nursing staff turnover (%) | 22.5 | 44.1 | 45.8 | top 4% in Michigan; top 4% in the U.S. |
| RN turnover (%) | 28.6 | 39.2 | 42.9 | top 29% in Michigan; top 26% 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 5.86, RN 1.74, weekend 5.35. 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: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bloem, Kenneth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Bloem, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Dixon, Kathy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Dixon, Kathy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Hoppe, Ruth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Hoppe, Ruth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| King, Jennifer | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| King, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Konopacki, Paul | Individual | Corporate Director | NOT APPLICABLE | 12/27/2024 |
| Konopacki, Paul | Individual | Corporate Officer | NOT APPLICABLE | 12/27/2024 |
| Lanphier, Edward | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Lanphier, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2026 |
| Marinoff, Peter | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Marinoff, Peter | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Marinoff, Peter | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Menegebier, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Menegebier, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Munson Healthcare | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/09/1985 |
| Munson Healthcare | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2010 |
| Nelson, Timothy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "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 |
|---|---|---|---|---|---|
| Maples Benzie County Medical Care | 2.1 mi | Frankfort, MI | ★★★★☆ | 3/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235460.