The Laurels of Fulton
4735 Ranger Road · Perrinton, MI · 48871 · 9892365433
50 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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
1 immediate-jeopardy citation 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 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $39,515 |
Inspection citations (29 in the current record)
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Potential for harm · D December 18, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 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 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · E December 18, 2025
Provide activities to meet all resident's needs.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2025 · Quality of Life and Care
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Actual harm · G November 21, 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
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Actual harm · G November 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 23, 2024 · Quality of Life and Care
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Actual harm · G November 21, 2024 · found via complaint
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
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Potential for harm · D November 21, 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 December 23, 2024 · Pharmacy Service
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Potential for harm · F November 21, 2024
Provide and implement an infection prevention and control program.
Corrected December 23, 2024 · Infection Control
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Potential for harm · D November 21, 2024
Implement a program that monitors antibiotic use.
Corrected December 23, 2024 · Infection Control
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Potential for harm · D November 21, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Waiver has been granted · Environmental
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Potential for harm · D August 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 9, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · D November 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · F November 9, 2023
Provide and implement an infection prevention and control program.
Corrected December 11, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 9, 2023 | Fine | $39,515 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235513 · certified since December 26, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.