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.
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.
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
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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.