Ely Manor
1200 Ely St · Allegan, MI · 49010 · 2696731500
101 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $138,302 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$138,302 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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 | 3.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 8 · $179,146 |
Inspection citations (67 in the current record)
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Potential for harm · D November 21, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 21, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Respond appropriately to all alleged violations.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 21, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 9, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 9, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 9, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2025
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected December 9, 2025 · Nursing and Physician Services
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Potential for harm · D November 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 21, 2025
Provide and implement an infection prevention and control program.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D November 21, 2025
Implement a program that monitors antibiotic use.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D November 21, 2025
Have policies on smoking.
Corrected December 9, 2025 · Environmental
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No harm found · C November 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 9, 2025 · Resident Rights
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Immediate jeopardy · J August 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J August 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 22, 2025 | Fine | $138,302 |
| July 22, 2025 | Payment Denial | 2 days |
| August 23, 2023 | Fine | $15,593 |
| August 21, 2023 | Fine | $3,846 |
| August 14, 2023 | Fine | $3,496 |
| August 7, 2023 | Fine | $3,882 |
| July 17, 2023 | Fine | $9,440 |
| June 26, 2023 | Fine | $2,470 |
| June 20, 2023 | Fine | $2,117 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235264 · certified since April 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.