Bay County Medical Care Facility in Essexville, MI has an overall 2-star rating, with 2 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. It has a recent abuse citation and $116,805 in fines over the last 24 months; reported nurse staffing is 6.39 hours per resident per day, above the federal benchmark of 4.1.
Last inspection: January 27, 2026Penalties, last 24 months: $116,805recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.3916.
Staffing detail
Registered nurses
1.32
Licensed practical nurses
1.32
Nurse aides
3.75
Weekend nursing
5.39
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 81%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.8%6.9%Improving
Residents with a fall causing major injury
0%2.6%Worsening
Residents with pressure ulcers (bedsores)
4.3%2.9%Improving
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
8.7%7.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.3%1.7%Improving
Residents whose ability to walk got worse
—5.1%—
Long-stay residents on antianxiety or sleep medication
29%17.6%Improving
Short-stay residents newly given an antipsychotic
1.8%0%Improving
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
22%24.9%Worsening
Residents with depressive symptoms
2.9%1.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.7%Worsening
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
93%94.6%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $116,805 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $165,536 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Mar 11, 2025
29 days
Federal fine
Mar 11, 2025
$116,805
Medicare/Medicaid payment denial
Mar 13, 2024
11 days
Federal fine
Mar 13, 2024
$48,731
Operator & ownership
Ownership
Government - County
Occupancy
93.7 residents on an average day (58% of 161 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 59 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.