Stratford Pines Nursing and Rehabilitation Center

2121 Rockwell Drive · Midland, MI · 48642 · 9896335350

100 certified beds For profit - Limited Liability company Chain: The Peplinski Group

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 88
Staffing 20% 77
Federal penalties 15% 73
Trend 10% 46
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.620.55–0.75
Weekend hours / resident-day3.90≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $16,801

Inspection citations (39 in the current record)

  • Potential for harm · E April 1, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has plan of correction · Resident Rights

  • Potential for harm · D April 1, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D April 1, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 1, 2026 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected May 7, 2026 · Quality of Life and Care

  • Potential for harm · D April 1, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Deficient, Provider has plan of correction · Quality of Life and Care

  • Potential for harm · D April 1, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has plan of correction · Quality of Life and Care

  • Potential for harm · D April 1, 2026 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected May 7, 2026 · Quality of Life and Care

  • Potential for harm · D April 1, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Deficient, Provider has plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025 · 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 11, 2025 · Resident Rights

  • Potential for harm · E May 8, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 11, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025 · found via complaint

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected June 11, 2025 · Environmental

  • Potential for harm · D January 30, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · E January 30, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 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 March 5, 2025 · Pharmacy Service

  • Potential for harm · E January 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · D January 30, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 5, 2025 · Infection Control

  • Actual harm · G December 4, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 28, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 4, 2024Fine$16,801

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235608 · certified since May 30, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.