The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Boulder Park Terrace
Charlevoix, MI · Medicare-certified · 72 beds
Needs attention
Special Focus candidateAbuse citationNon-profit
1 of 5 overall
Boulder Park Terrace in Charlevoix, MI has a 1 out of 5 star overall rating, with a 1-star health inspection rating and a 2-star quality measures rating; it is flagged as a Special Focus Facility candidate. Reported nurse staffing is 3.62 hours per resident day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6166 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6166.
Staffing detail
- Registered nurses
- 1.80
- Licensed practical nurses
- 0.47
- Nurse aides
- 1.35
- Weekend nursing
- 3.29
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.5%Improving
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
6.2%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18%Improving
Residents whose ability to walk got worse
27.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
34.6%Improving
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
4.2%Improving
Residents with new or worsening incontinence
21.3%Worsening
Residents with depressive symptoms
2.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98%Worsening
Short-stay residents given the seasonal flu vaccine
95.7%Steady
Short-stay residents given the pneumonia vaccine
93.3%Worsening
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 602 — 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 November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 payment denials.
- 44 days
Medicare/Medicaid payment denial
Nov 21, 2025
- 7 days
Medicare/Medicaid payment denial
Jun 5, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 51.2 residents on an average day (71% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.