Cascade Senior Care Center
2121 Robinson Road · Jackson, MI · 49203 · 5177874150
108 certified beds For profit - Individual Chain: Nexcare Health Systems
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 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 (33 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
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Potential for harm · D December 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D December 30, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D December 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 28, 2026 · Resident Assessment and Care Planning
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Actual harm · G June 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D June 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 4, 2025
Provide activities to meet all resident's needs.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 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 June 12, 2025 · Pharmacy Service
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Potential for harm · E June 4, 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 June 12, 2025 · Nursing and Physician Services
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Potential for harm · D February 24, 2025 · 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.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D June 7, 2024
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 July 5, 2024 · Resident Rights
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Potential for harm · D June 7, 2024
Ensure each resident receives an accurate assessment.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · F June 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 5, 2024 · Nutrition and Dietary
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Potential for harm · E June 7, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 5, 2024 · Environmental
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Potential for harm · D February 7, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 6, 2024 · Quality of Life and Care
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Immediate jeopardy · L March 21, 2023
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected April 12, 2023 · Administration
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Immediate jeopardy · L March 21, 2023
Provide and implement an infection prevention and control program.
Corrected May 18, 2023 · Infection Control
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Potential for harm · D March 21, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected April 12, 2023 · Resident Rights
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Potential for harm · D March 21, 2023
Ensure each resident receives an accurate assessment.
Corrected April 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 12, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235574 · certified since March 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.