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No fines or payment denials in the published 3-year window.
460 Pearl Street, Cadillac, MI 49601 (opens Google Maps) · Wexford County · (231) 775-0101· 131 certified beds · avg 77 residents/day · certified since Jan 25, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
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 F-0689
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. F-0578
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 22, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 14, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Aug 14, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Aug 14, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 14, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Aug 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Aug 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0661 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 4 | 0 | F |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Wexford Senior Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Nexcare Health Systems — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumnwood of McBain | 10.2 mi | McBain, MI | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 235094.
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