Iosco County Medical Care Facility
1201 Harris Avenue · Tawas City, MI · 48763 · 9893624424
78 certified beds Government - City/county
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
0.58 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
91% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 0.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 0.47 | ≈ weekday level |
| Nursing turnover / year | 91% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
-
Actual harm · G January 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 13, 2026 · Quality of Life and Care
-
Potential for harm · E January 8, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
-
Potential for harm · D January 8, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 13, 2026 · Resident Rights
-
Potential for harm · D January 8, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected February 13, 2026 · Quality of Life and Care
-
Potential for harm · E January 8, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 13, 2026 · Nursing and Physician Services
-
Potential for harm · D January 8, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 13, 2026 · Pharmacy Service
-
Potential for harm · D January 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2026 · Nutrition and Dietary
-
Potential for harm · F January 8, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 13, 2026 · Administration
-
Potential for harm · F January 8, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 13, 2026 · Administration
-
Potential for harm · F January 8, 2026
Provide and implement an infection prevention and control program.
Corrected February 13, 2026 · Infection Control
-
Potential for harm · F January 8, 2026
Implement a program that monitors antibiotic use.
Corrected February 13, 2026 · Infection Control
-
Potential for harm · D November 20, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 23, 2024 · Resident Rights
-
Potential for harm · D November 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 23, 2024 · Quality of Life and Care
-
Potential for harm · D November 20, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 23, 2024 · Quality of Life and Care
-
Potential for harm · D November 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 23, 2024 · Quality of Life and Care
-
Potential for harm · D November 20, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 23, 2024 · Pharmacy Service
-
Potential for harm · D November 20, 2024
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 December 23, 2024 · Pharmacy Service
-
Actual harm · G November 21, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 29, 2023 · Quality of Life and Care
-
Actual harm · G November 21, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 29, 2023 · Quality of Life and Care
-
Potential for harm · D November 21, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 29, 2023 · Resident Rights
-
Potential for harm · D November 21, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 29, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 8, 2026 | Payment Denial | 6 days |
| November 21, 2023 | Payment Denial | 7 days |
Better-scoring options nearby
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235011 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.