Stonegate Health Campus
2525 Demille Road, Lapeer, MI 48446 · Lapeer County · 80 certified beds · avg 75 residents/day · certified since Jan 11, 2013
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Jan 9, 2024 · F-0686 · triggered by a complaint
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: Mar 14, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 9, 2024 · 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: Feb 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 |
|---|---|---|
| Feb 11, 2026 | 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 11, 2026 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 11, 2026 | E · Potential for harm, repeated | 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. |
| Feb 11, 2026 | 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. |
| Feb 11, 2026 | 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. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Feb 11, 2026 | 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. |
| Jan 16, 2025 | 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 16, 2025 | 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 16, 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. |
| Sep 19, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jan 9, 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. · from a complaint |
| Jan 9, 2024 | ▲ 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 |
| Jan 9, 2024 | 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. |
| Jan 9, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 9, 2024 | D · Potential for harm, one-off | 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. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. |
| Jan 9, 2024 | 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. · from a complaint |
| Jan 9, 2024 | 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. · from a complaint |
| Jan 9, 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. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 9, 2024 | 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. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 2 | G ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 7 | 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)
1 fine totaling $66,414, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jan 9, 2024 | Fine | $66,414 |
| Jan 9, 2024 | Payment Denial | 34 days from Feb 9, 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) | 4.33 | 4.32 | 3.95 | top 37% in Michigan; top 28% in the U.S. |
| Registered Nurse hours | 0.72 | 0.84 | 0.69 | bottom 45% in Michigan; top 34% in the U.S. |
| Weekend total nurse staffing | 3.61 | 3.79 | 3.50 | top 48% in Michigan; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.49 | 0.48 | bottom 48% in Michigan; top 45% in the U.S. |
| Total nursing staff turnover (%) | 51.8 | 44.1 | 45.8 | bottom 26% in Michigan; bottom 32% 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 4.50, RN 0.75, weekend 3.76. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Northstar Healthcare Income INC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Northstar Healthcare Income Operating Partnership LP | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Trilogy Holdings Nt-Hci, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Badia, Marcus | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/22/2020 |
| Barney, Leigh | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Bryant, William | Individual | Corporate Officer | NOT APPLICABLE | 01/05/2016 |
| Bufford, Randall | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Conner, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 06/03/2021 |
| Corbin, Kathy | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/10/2011 |
| Davis, David | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2017 |
| Fightmaster, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2015 |
| Keybank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/01/2018 |
| Prosky, Danny | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Streiff, Mathieu | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Trilogy Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "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 |
|---|---|---|---|---|---|
| The Orchards at Lapeer | 0.8 mi | Lapeer, MI | ★★☆☆☆ | 1/5 | |
| Lapeer County Medical Care Facility | 1.3 mi | Lapeer, MI | ★★☆☆☆ | 2/5 | |
| McLaren Lapeer Region | 1.5 mi | Lapeer, MI | ★★★★★ | 4/5 | |
| Briarwood Nursing and Rehabilitation | 15.3 mi | Flint, MI | ★★★☆☆ | 2/5 | |
| Medilodge of Grand Blanc | 15.4 mi | Grand Blanc, MI | ★☆☆☆☆ | 1/5 | |
| The Oaks at Woodfield | 17.2 mi | Grand Blanc, MI | ★★★★☆ | 3/5 | |
| Regency at Grand Blanc | 18.6 mi | Grand Blanc, MI | ★★★★★ | 3/5 | |
| Lake Orion Nursing Center | 18.6 mi | Lake Orion, MI | ★★☆☆☆ | 2/5 | abuse |
| Wellbridge of Grand Blanc | 19.3 mi | Grand Blanc, MI | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235661.