B83

Medilodge of Leelanau

Grade B 83/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

72

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

124 West 4th Street, Suttons Bay, MI 49682
2312711200

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.23h
LPN
0.52h
CNA
2.21h
Total
3.96h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

EVEREST OPCO GROUP LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2018

100%

B&Y HEALTHCARE S CORP

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2018

B&Y TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2018

CODY HEALTHCARE S CORP

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2018

CRAIG FLASHNER 2007 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2018

BLOSSOM HEALTHCARE MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

PRESTIGE ADMINISTRATIVE SERVICES, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

FLASHNER, CRAIG

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

PERLSTEIN, YITZCHOK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

FLASHNER, CRAIG

IndividualCORPORATE DIRECTORSince Feb 2018

PERLSTEIN, YITZCHOK

IndividualCORPORATE DIRECTORSince Feb 2018

NORCROSS, ROBERT

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2018

ROGERS, STACEY

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2018

KIRK, KRISTINE

IndividualW-2 MANAGING EMPLOYEESince Feb 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (35)

December 11, 2024Health11 deficiencies
0887DMinimal harm, Isolated

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies

Corrected Jan 14, 2025
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 14, 2025
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jan 14, 2025
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 14, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 14, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jan 14, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jan 14, 2025
0809DMinimal harm, Isolated

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Nutrition and Dietary Deficiencies

Corrected Jan 14, 2025
0838FMinimal harm, Widespread

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies

Corrected Jan 14, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 14, 2025
0725FMinimal harm, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jan 14, 2025
September 13, 2024Health2 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 16, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 16, 2024
January 23, 2024Health9 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Feb 26, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 26, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Feb 26, 2024
0807FMinimal harm, Widespread

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Nutrition and Dietary Deficiencies

Corrected Feb 26, 2024
0809EMinimal harm, Pattern

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Nutrition and Dietary Deficiencies

Corrected Feb 26, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 26, 2024
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 26, 2024
0725FMinimal harm, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Feb 26, 2024
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Feb 26, 2024
June 1, 2023Health3 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 6, 2023
0740EMinimal harm, Pattern

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected Jul 6, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jul 6, 2023
December 15, 2022Health10 deficiencies
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 19, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 19, 2023
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jan 19, 2023
0725FMinimal harm, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jan 19, 2023
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Jan 19, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 19, 2023
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 19, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 19, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jan 19, 2023
0842FMinimal harm, Widespread

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 19, 2023

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Frequently Asked Questions

What is the CareGrader rating for Medilodge of Leelanau?

Medilodge of Leelanau in Suttons Bay, Michigan has a CareGrader grade of B (Good), with a composite score of 82.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Medilodge of Leelanau?

Medilodge of Leelanau has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Medilodge of Leelanau have?

Medilodge of Leelanau has 35 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Medilodge of Leelanau have?

Medilodge of Leelanau has 72 certified beds with approximately 69 current residents (96% occupancy). The facility is located at 124 West 4th Street, Suttons Bay, Michigan 49682. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.