The Laurels of Fulton
4735 Ranger Road, Perrinton, MI 48871 · Gratiot County · 50 certified beds · avg 41 residents/day · certified since Dec 26, 1991
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: ★★☆☆☆2/5 · 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)
▲ Immediate jeopardy, one-off · Oct 8, 2025 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 22, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Nov 21, 2024 · F-0657
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.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
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: Dec 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 21, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 21, 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: Dec 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 9, 2023 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 11, 2023 (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 |
|---|---|---|
| Dec 18, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | D · Potential for harm, one-off | 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. |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 8, 2025 | ▲ J · Immediate jeopardy, 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 |
| Nov 21, 2024 | ▲ G · Actual 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. |
| Nov 21, 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. |
| Nov 21, 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 |
| Nov 21, 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. |
| Nov 21, 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. |
| Nov 21, 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Aug 23, 2024 | 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 |
| Nov 9, 2023 | ▲ 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. |
| Nov 9, 2023 | 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. |
| Nov 9, 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. |
| Aug 4, 2023 | D · Potential for 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 |
| Aug 4, 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. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2024 | 8 | 3 | G ▲ |
| 2025 | 14 | 1 | J ▲ |
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)
2 fines totaling $58,635.
| Date | Type | Amount / length |
|---|---|---|
| Oct 8, 2025 | Fine | $19,120 |
| Nov 9, 2023 | Fine | $39,515 |
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) | 4.18 | 4.32 | 3.95 | top 44% in Michigan; top 33% in the U.S. |
| Registered Nurse hours | 0.87 | 0.84 | 0.69 | top 39% in Michigan; top 23% in the U.S. |
| Weekend total nurse staffing | 3.74 | 3.79 | 3.50 | top 40% in Michigan; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.49 | 0.48 | top 29% in Michigan; top 26% in the U.S. |
| Total nursing staff turnover (%) | 37.5 | 44.1 | 45.8 | top 30% in Michigan; top 30% in the U.S. |
| RN turnover (%) | 45.5 | 39.2 | 42.9 | bottom 38% in Michigan; bottom 43% 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 3.81, RN 0.79, weekend 3.41. 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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Laurel Health Care Holdings, INC. | Organization | Direct 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 | 03/28/2025 |
| Di Rezze, Justin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Di Rezze, Justin | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Fulton Senior Leasing, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Khan, Anis | Individual | Corporate Officer | 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 |
| Patrick, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2024 |
| Patrick, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 10/07/2024 |
| Qazi, Mohammad | Individual | Corporate Director | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2016 |
| Qazi, Mohammad | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Qazi, Mohammad | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Stobb, David | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2016 |
| Stobb, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How do you explain health changes and treatment options to residents and their families?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 Carson City | 7.7 mi | Carson City, MI | ★★★★☆ | 3/5 | |
| Ashley Healthcare Center | 11.3 mi | Ashley, MI | ★☆☆☆☆ | 2/5 | |
| Hazel I Findlay Country Manor | 13.6 mi | Saint Johns, MI | ★★★★★ | 4/5 | |
| Michigan Masonic Home | 16.3 mi | Alma, MI | ★★★★★ | 4/5 | |
| Riverside Healthcare Center | 17.8 mi | St. Louis, MI | ★★★☆☆ | 3/5 | |
| Schnepp Senior Care and Rehabilitation Center | 18.2 mi | St. Louis, MI | ★★★★☆ | 2/5 | abuse |
| Ovid Healthcare Center | 19.3 mi | Ovid, MI | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235513.