Autumnwood of McBain
220 South Hughston Street · McBain, MI · 49657 · 2318252990
95 certified beds For profit - Limited Liability company Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $39,000 |
Inspection citations (34 in the current record)
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Actual harm · G May 27, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 18, 2025 · Nursing and Physician Services
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Actual harm · G May 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 18, 2025 · Pharmacy Service
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Potential for harm · D May 27, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 18, 2025 · Nursing and Physician Services
-
Actual harm · H March 26, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 22, 2025 · Nursing and Physician Services
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Potential for harm · D March 26, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D March 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2025
Honor each resident's preferences, choices, values and beliefs.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · E March 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 22, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 22, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 22, 2025 · Nutrition and Dietary
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Potential for harm · F March 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 22, 2025 · Nutrition and Dietary
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Potential for harm · E March 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 22, 2025 · Infection Control
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Potential for harm · D March 26, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 22, 2025 · Infection Control
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Potential for harm · F March 26, 2025
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected April 22, 2025 · Environmental
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Potential for harm · D March 26, 2025
Ensure that paid feeding assistants have the training they need.
Corrected April 22, 2025 · Nursing and Physician Services
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Potential for harm · E March 26, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · E March 26, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · E March 26, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · E April 17, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D April 17, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · F April 17, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 15, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2025 | Fine | $39,000 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235438 · certified since April 29, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.