Pinecrest Medical Care Facility
N15995 Main Street · Powers, MI · 49874 · 9064975244
120 certified beds Government - County
- Inspection results have improved across recent cycles.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (40 in the current record)
-
Potential for harm · D July 17, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 20, 2025 · Resident Rights
-
Potential for harm · D July 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 20, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 17, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 20, 2025 · Quality of Life and Care
-
Potential for harm · D July 25, 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 August 30, 2024 · Resident Rights
-
Potential for harm · D July 25, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 25, 2024
Respond appropriately to all alleged violations.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 25, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 30, 2024 · Resident Rights
-
Potential for harm · D July 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 25, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 30, 2024 · Quality of Life and Care
-
Potential for harm · E July 25, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 30, 2024 · Nursing and Physician Services
-
Potential for harm · D July 25, 2024
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 August 30, 2024 · Nursing and Physician Services
-
Potential for harm · D July 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 30, 2024 · Pharmacy Service
-
Potential for harm · E July 25, 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 August 30, 2024 · Pharmacy Service
-
Potential for harm · D July 25, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected August 30, 2024 · Nutrition and Dietary
-
Potential for harm · E July 25, 2024 · 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 August 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F July 25, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 30, 2024 · Infection Control
-
Potential for harm · F January 16, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2024 · Infection Control
-
Actual harm · G July 27, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 23, 2023 · Quality of Life and Care
-
Potential for harm · D July 27, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 23, 2023 · Resident Rights
-
Potential for harm · D July 27, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 19, 2023 · Resident Rights
-
Potential for harm · D July 27, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 23, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D July 27, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 19, 2023 · Quality of Life and Care
-
Potential for harm · D July 27, 2023
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 20, 2023 · Quality of Life and Care
-
Potential for harm · D July 27, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 23, 2023 · 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 27, 2023 | Payment Denial | 25 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 235069 · 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.