Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
Ely Manor in Allegan, MI has a 1 out of 5 overall rating, with a 1-star health inspection rating, 4-star staffing, and 3-star quality measures. It is a Special Focus Facility candidate/flagged special focus, had $138,302 in fines over the last 24 months, and reported nurse staffing of 3.43 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: November 21, 2025Penalties, last 24 months: $138,302special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4285.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.48
Nurse aides
2.07
Weekend nursing
3.09
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.6%Worsening
Residents with a fall causing major injury
1.3%Steady
Residents with pressure ulcers (bedsores)
3.5%Worsening
Residents with a urinary tract infection
1.9%Steady
Residents who lost too much weight
3.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.5%Improving
Residents whose ability to walk got worse
1.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.2%Worsening
Short-stay residents newly given an antipsychotic
2.6%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
24%Worsening
Residents with depressive symptoms
1.9%Worsening
Long-stay residents given the seasonal flu vaccine
97.8%Steady
Long-stay residents given the pneumonia vaccine
99.4%Worsening
Short-stay residents given the seasonal flu vaccine
91.4%Steady
Short-stay residents given the pneumonia vaccine
86.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 909 — 42 CFR §483.90 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 20 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $138,302 was recorded.
Penalties & enforcement
On record with Medicare: 9 fines · $180,894 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jul 22, 2025
2 days
Federal fine
Jul 22, 2025
$138,302
Federal fine
Aug 23, 2023
$15,593
Federal fine
Aug 21, 2023
$3,846
Federal fine
Aug 14, 2023
$3,496
Federal fine
Aug 7, 2023
$3,882
Federal fine
Jul 17, 2023
$9,440
Federal fine
Jun 26, 2023
$2,470
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CIENA HEALTHCARE/LAUREL HEALTH CARE · 83 homes · 2.9 stars avg
Occupancy
83.9 residents on an average day (83% of 101 beds)
Resident voice
Resident council
Medicare history
Certified for 50 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.