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
Data as of July 1, 2026
4 of 5 overall
4 out of 5 stars overall. Roubal Care and Rehabilitation Center has strong quality measures (5 stars) and staffing (4 stars), with a 3-star health inspection rating; it reported 3.47 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4669 hrs/resident/day
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 3.4669.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.14
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 38%
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
9.1%19.2%Worsening
Residents with a fall causing major injury
3%6.1%Worsening
Residents with pressure ulcers (bedsores)
2.9%5.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4%4.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.7%0%Improving
Residents whose ability to walk got worse
—5.8%—
Long-stay residents on antianxiety or sleep medication
11.5%11.5%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
39.5%24.6%Improving
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%81.8%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.
View the original federal record
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.
View the original federal record
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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- 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
- 36.8 residents on an average day (94% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 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.