Roubal Care and Rehabilitation Center
N 306 Maple Street · Stephenson, MI · 49887 · 9067534981
39 certified beds For profit - Individual
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Actual harm · G June 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 24, 2025 · Pharmacy Service
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Potential for harm · F June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 24, 2025 · Nutrition and Dietary
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Potential for harm · F June 26, 2025
Provide and implement an infection prevention and control program.
Corrected July 24, 2025 · Infection Control
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Potential for harm · D June 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2025 · Quality of Life and Care
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No harm found · C June 26, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 24, 2025 · Resident Rights
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No harm found · C June 26, 2025
Post nurse staffing information every day.
Corrected July 24, 2025 · Nursing and Physician Services
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Potential for harm · E May 15, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 21, 2024 · Resident Rights
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Potential for harm · D May 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · F May 15, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 21, 2024 · Nursing and Physician Services
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Potential for harm · F May 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 21, 2024 · Infection Control
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Potential for harm · D May 15, 2024 · found via complaint
Implement a program that monitors antibiotic use.
Corrected June 21, 2024 · Infection Control
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Potential for harm · F May 15, 2024 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected June 21, 2024 · Infection Control
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Potential for harm · D May 15, 2024 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 21, 2024 · Infection Control
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Potential for harm · D June 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 14, 2023 · Quality of Life and Care
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Potential for harm · D June 16, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected July 14, 2023 · Quality of Life and Care
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Potential for harm · E June 16, 2023
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 July 14, 2023 · Pharmacy Service
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Potential for harm · F June 16, 2023
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 July 14, 2023 · Nutrition and Dietary
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Potential for harm · E June 16, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 14, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235591 · certified since August 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.