Ely Manor
1200 Ely St · Allegan, MI · 49010 · 2696731500
101 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $138,302 in fines in the last 24 months.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$138,302 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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 | 3.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 8 · $179,146 |
Inspection citations (67 in the current record)
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Potential for harm · D November 21, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 21, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Respond appropriately to all alleged violations.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 21, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 9, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 9, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 9, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2025
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected December 9, 2025 · Nursing and Physician Services
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Potential for harm · D November 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 21, 2025
Provide and implement an infection prevention and control program.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D November 21, 2025
Implement a program that monitors antibiotic use.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D November 21, 2025
Have policies on smoking.
Corrected December 9, 2025 · Environmental
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No harm found · C November 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 9, 2025 · Resident Rights
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Immediate jeopardy · J August 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J August 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 22, 2025 | Fine | $138,302 |
| July 22, 2025 | Payment Denial | 2 days |
| August 23, 2023 | Fine | $15,593 |
| August 21, 2023 | Fine | $3,846 |
| August 14, 2023 | Fine | $3,496 |
| August 7, 2023 | Fine | $3,882 |
| July 17, 2023 | Fine | $9,440 |
| June 26, 2023 | Fine | $2,470 |
| June 20, 2023 | Fine | $2,117 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235264 · certified since April 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.