The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Tuscola County Medical Care Facility
Caro, MI · Medicare-certified · 159 beds
In good standing
Government-run
5 of 5 overall
Tuscola County Medical Care Facility in Caro, MI has an overall 5 out of 5 stars, with strong staffing and quality ratings but a lower 3 out of 5 health inspection score. It reported 5.81 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection issues included pressure ulcer care, food safety, and facility safety/cleanliness.
Facility ratings
Health inspections
Staffing
5.8075 hrs/resident/day
Quality measures
Last inspection: December 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.8075.
Staffing detail
- Registered nurses
- 0.98
- Licensed practical nurses
- 1.01
- Nurse aides
- 3.82
- Weekend nursing
- 5.05
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 22%
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
15.8%14.3%Improving
Residents with a fall causing major injury
1.7%1.5%No change
Residents with pressure ulcers (bedsores)
1.6%2.2%Worsening
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
5.9%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%2.3%Improving
Residents whose ability to walk got worse
27.2%4.1%Improving
Long-stay residents on antianxiety or sleep medication
24.5%25.7%Worsening
Short-stay residents newly given an antipsychotic
4.1%0%Improving
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
33.9%21.5%Improving
Residents with depressive symptoms
9.1%6.4%Improving
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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.9%—
Short-stay residents given the pneumonia vaccine
96.8%98.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 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 keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — 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 October 2024 — 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 ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 137.6 residents on an average day (87% of 159 beds)
- Resident voice
- Resident council
- 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.