Wexford Senior Care Center

Name: Wexford Senior Care Center
Address: 460 Pearl Street, Cadillac, MI, 49601, US
Telephone: 2317750101

460 Pearl Street, Cadillac, MI 49601 · Wexford County · 131 certified beds · avg 77 residents/day · certified since Jan 25, 1967

Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.70

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · 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 (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
Jun 22, 2026	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
Aug 7, 2025	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.
Aug 7, 2025	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.
Aug 14, 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.
Aug 14, 2024	E · Potential for 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.
Aug 14, 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.
Aug 14, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Aug 30, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Aug 30, 2023	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 30, 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.
Aug 30, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Aug 30, 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 30, 2023	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.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 30, 2023	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.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2023	10	E
2024	4	F
2025	2	D
2026	1	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)

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)	4.70	4.32	3.95	top 22% in Michigan; top 18% in the U.S.
Registered Nurse hours	1.17	0.84	0.69	top 16% in Michigan; top 10% in the U.S.
Weekend total nurse staffing	4.34	3.79	3.50	top 17% in Michigan; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.71	0.49	0.48	top 18% in Michigan; top 15% in the U.S.
Total nursing staff turnover (%)	48.4	44.1	45.8	bottom 35% in Michigan; bottom 41% in the U.S.
RN turnover (%)	57.1	39.2	42.9	bottom 19% in Michigan; bottom 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 4.13, RN 1.03, weekend 3.82. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Branscum, James	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Eisenberg, Leo	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Nexcare Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2024
Perry, Michael	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Prestage, Richard	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Robin Eisenberg 2014 Family Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Sangster, Todd	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Wronski, Frank	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Branscum, James	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Branscum, James	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Gamble, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Gamble, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Nexcare Health Systems, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Perry, Michael	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/23/2025
Robin Eisenberg 2014 Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/13/2025
Sangster, Todd	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Sheikh, Kamran	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024

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?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"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
Autumnwood of McBain	10.2 mi	McBain, MI	★☆☆☆☆	1/5

Compare this facility with the 1 closest →

All facilities in Cadillac →

Facility data as of CMS processing date 2026-08-01. CCN 235094.

The Care File

Visit checklist — Wexford Senior Care Center

460 Pearl Street, Cadillac, MI 49601 · 2317750101

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235094 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)