The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: H
Nursing home report
Autumnwood of McBain
McBain, MI · Medicare-certified · 95 beds
Needs attention
For-profitChain member
1 of 5 overall
Autumnwood of McBain has a 1-star overall rating, with a 1-star health inspection score, a recent federal penalty, and $39,000 in fines over the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.36 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.3624 hrs/resident/day
Quality measures
Last inspection: May 27, 2025Penalties, last 24 months: $39,000recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3624.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.55
- Nurse aides
- 2.10
- Weekend nursing
- 3.17
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14%18%Worsening
Residents with a fall causing major injury
4.5%1.4%Improving
Residents with pressure ulcers (bedsores)
8.2%3%Improving
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
8.3%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%17.2%Improving
Residents whose ability to walk got worse
34.2%14.4%Improving
Long-stay residents on antianxiety or sleep medication
20%16.7%Improving
Short-stay residents newly given an antipsychotic
1.5%1.4%No change
Residents with a long-term catheter
0%1.4%Worsening
Residents with new or worsening incontinence
30.7%25.7%Improving
Residents with depressive symptoms
3.3%1.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.9%—
Short-stay residents given the pneumonia vaccine
98.4%95%Worsening
What the inspectors found
The nursing home failed to ensure the resident’s doctor reviewed their care and properly wrote, signed, and dated required notes and orders during visits. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 711 — 42 CFR §483.30 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure there was enough outside ventilation in the area, through windows, mechanical systems, or both. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 923 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $39,000 was recorded.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $39,000 in total fines.
- $39,000
Federal fine
Mar 26, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CIENA HEALTHCARE/LAUREL HEALTH CARE · 83 homes · 2.9 stars avg
- Occupancy
- 90.1 residents on an average day (95% of 95 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.