Iron River Care Center

330 Lincoln Avenue · Iron River, MI · 49935 · 9062655168

69 certified beds For profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

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

2.93 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 66
Staffing 20% 57
Federal penalties 15% 30
Trend 10% 70
Context 5% 100

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: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.933.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day2.47≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $42,575

Inspection citations (43 in the current record)

  • Actual harm · G February 3, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · D February 3, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E August 14, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · D August 14, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 14, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 14, 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 November 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 14, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 14, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 14, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · F August 14, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected September 17, 2025 · Administration

  • Potential for harm · F August 14, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 16, 2025 · Infection Control

  • Potential for harm · D August 14, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 17, 2025 · Environmental

  • Potential for harm · E December 23, 2024 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected January 8, 2025 · Resident Rights

  • Potential for harm · D August 28, 2024 · found via complaint

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected September 30, 2024 · Resident Rights

  • Potential for harm · D August 28, 2024 · found via complaint

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

    Corrected September 30, 2024 · Quality of Life and Care

  • Potential for harm · D August 28, 2024

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

    Corrected September 30, 2024 · Resident Rights

  • Potential for harm · D August 28, 2024

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

    Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 28, 2024

    Respond appropriately to all alleged violations.

    Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 28, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 30, 2024 · Resident Rights

  • Potential for harm · D August 28, 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 September 30, 2024 · Resident Rights

  • Potential for harm · D August 28, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 28, 2024

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

    Corrected September 30, 2024 · Quality of Life and Care

  • Potential for harm · D August 28, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 30, 2024 · Quality of Life and Care

  • Potential for harm · E August 28, 2024

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

    Corrected September 30, 2024 · Pharmacy Service

  • Potential for harm · E August 28, 2024

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

    Corrected September 30, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 14, 2025Payment Denial32 days
August 24, 2023Fine$42,575
August 24, 2023Payment Denial20 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235601 · certified since May 10, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.