The Laurels of Carson City
620 North Second Street, Carson City, MI 48811 · Montcalm County · 82 certified beds · avg 75 residents/day · certified since Dec 7, 2007
Part of chain: CIENA HEALTHCARE/LAUREL HEALTH CARE (81 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Immediate jeopardy, repeated · May 2, 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.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 31, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · May 2, 2024 · F-0880 · triggered by a complaint
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: May 31, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 2, 2024 · F-0883
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Why it matters: Flu and pneumonia are leading causes of serious illness and death in nursing homes, and vaccines are a key defense.
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: May 31, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 |
|---|---|---|
| Jun 24, 2026 | 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. · from a complaint |
| Jun 24, 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. |
| Jun 24, 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. |
| Jun 24, 2026 | 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. |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Apr 25, 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. |
| Apr 25, 2025 | E · Potential for harm, 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. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 25, 2025 | 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. |
| Apr 25, 2025 | B · Minimal risk, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 2, 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. · from a complaint |
| May 2, 2024 | ▲ K · Immediate jeopardy, repeated | 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 2, 2024 | ▲ H · Actual harm, repeated | 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. · from a complaint |
| May 2, 2024 | ▲ G · Actual harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 2, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| May 2, 2024 | E · Potential for harm, repeated | 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 |
| May 2, 2024 | E · Potential for harm, repeated | 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. |
| May 2, 2024 | 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. · from a complaint |
| May 2, 2024 | E · Potential for harm, repeated | The facility employed staff who were not licensed, certified, or registered as required by state law. |
| May 2, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 2, 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. |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint |
| Nov 1, 2023 | 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. · from a complaint |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 15 | 3 | K ▲ |
| 2025 | 5 | 0 | F |
| 2026 | 5 | 0 | D |
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 $121,908, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $121,908 |
| May 2, 2024 | Payment Denial | 13 days from Jun 5, 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) | 3.99 | 4.32 | 3.95 | bottom 43% in Michigan; top 40% in the U.S. |
| Registered Nurse hours | 1.25 | 0.84 | 0.69 | top 13% in Michigan; top 8% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.79 | 3.50 | bottom 49% in Michigan; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.71 | 0.49 | 0.48 | top 17% in Michigan; top 15% in the U.S. |
| Total nursing staff turnover (%) | 42.5 | 44.1 | 45.8 | top 43% in Michigan; top 43% in the U.S. |
| RN turnover (%) | 22.2 | 39.2 | 42.9 | top 18% in Michigan; top 17% 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 3.59, RN 1.13, weekend 3.22. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Laurel Acquisition Holding Corporation | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Laurel Health Care Holdings, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Mohammad a Qazi Living Trust Dated 09/26/97 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2016 |
| Ciena Healthcare Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Ciena Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Estep, Billiejo | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Estep, Billiejo | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Khan, Anis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2016 |
| Khan, Anis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2016 |
| Khan, Anis | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2016 |
| Mohammad a Qazi Living Trust Dated 09/26/97 | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2016 |
| Smith, Garrett | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Smith, Garrett | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Stobb, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| The Laurels of Carson City Real Estate, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2016 |
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?"
- "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 and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 Laurels of Fulton | 7.7 mi | Perrinton, MI | ★★★☆☆ | 2/5 | |
| Michigan Masonic Home | 16.9 mi | Alma, MI | ★★★★★ | 4/5 | |
| Optalis Health & Rehabilitation of Ionia | 16.9 mi | Ionia, MI | ★★★☆☆ | 3/5 | |
| Ashley Healthcare Center | 18.5 mi | Ashley, MI | ★☆☆☆☆ | 2/5 | |
| Riverside Healthcare Center | 18.9 mi | St. Louis, MI | ★★★☆☆ | 3/5 | |
| Schnepp Senior Care and Rehabilitation Center | 19.8 mi | St. Louis, MI | ★★★★☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 235636.