The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Roubal Care and Rehabilitation Center
Stephenson, MI · Medicare-certified · 39 beds
In good standing
For-profit
3 of 5 overall
Roubal Care and Rehabilitation Center in Stephenson, MI has an overall 3-star rating. Its staffing is low at 1 star, while health inspections are 3 stars and quality measures are 5 stars; it had no fines in the last 24 months, but recent inspections cited accident prevention, food handling, and infection control issues.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
18.2%11.5%Improving
Residents with a fall causing major injury
3%2.9%No change
Residents with pressure ulcers (bedsores)
0%2.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.5%6.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%0%Improving
Residents whose ability to walk got worse
—7.3%—
Long-stay residents on antianxiety or sleep medication
3.4%17.2%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.8%37.8%Worsening
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
97%76.5%Worsening
Short-stay residents given the pneumonia vaccine
—61.9%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 June 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 14 days
Medicare/Medicaid payment denial
Jun 26, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 36.5 residents on an average day (94% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 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.