Elder Care Record

Michigan › Charlevoix County › Charlevoix

Boulder Park Terrace

14676 West Upright, Charlevoix, MI 49720

CCN 235526 · Non-profit, corporation · 72 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Boulder Park Terrace, in Charlevoix, Michigan, is certified for 72 beds under non-profit, corporation ownership.

CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 58 health deficiencies across the three most recent survey cycles (31, 17, 10 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 80.6 per 100 beds, more than the state median of 29.4.

CMS lists 2 penalties in the period covered: no fines and 2 payment denials.

CMS flags that the facility carries the CMS abuse icon.

58health deficiencies, 3 survey cycles7 at actual harm or worse
$0fines listed by CMS2 penalties in period
—nurse hours per resident per daystate median 3.8
68%occupancy (residents ÷ beds)49 residents a day

Compared with county, state and nation

MeasureThis facilityCharlevoix Co. medianMichigan medianUS average
Overall star rating1333.0
Health citations, 3 cycles58582928.7
Citations per 100 beds80.680.629.426.8
Total nurse hours per resident day—4.43.83.9
RN hours per resident day—0.90.70.7
Nursing staff turnover—42.7%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (2 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)31
Cycle 217
Cycle 310

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 15 May 2024.

Severity mix: G ×7 D ×37 E ×7 F ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Mar 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation1 May 2026
25 Mar 2026F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint investigation1 May 2026
25 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation1 May 2026
25 Mar 2026F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation1 May 2026
21 Nov 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation6 Feb 2026
21 Nov 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.GComplaint investigation6 Feb 2026
21 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation19 Dec 2025
21 Nov 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation19 Dec 2025
21 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Dec 2025
14 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Sep 2025
14 Aug 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation12 Sep 2025
14 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Sep 2025
17 Jul 2025F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint investigation9 Sep 2025
5 Jun 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey7 Jul 2025
5 Jun 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EComplaint investigation7 Jul 2025
5 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint investigation7 Jul 2025
5 Jun 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation7 Jul 2025
5 Jun 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey7 Jul 2025
5 Jun 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation7 Jul 2025
5 Jun 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint investigation7 Jul 2025
5 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation3 Sep 2025
5 Jun 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation7 Jul 2025
5 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 Sep 2025
5 Jun 2025F0610Respond appropriately to all alleged violations.DComplaint investigation7 Jul 2025
5 Jun 2025F0638Assure that each resident’s assessment is updated at least once every 3 months.DComplaint investigation7 Jul 2025
5 Jun 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey7 Jul 2025
5 Jun 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Jul 2025
5 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Jul 2025
5 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation7 Jul 2025
5 Jun 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation7 Jul 2025
5 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation7 Jul 2025
5 Jun 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation7 Jul 2025
13 Mar 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation29 Mar 2025
13 Nov 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation13 Dec 2024
13 Nov 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation13 Dec 2024
13 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Dec 2024
13 Nov 2024F0610Respond appropriately to all alleged violations.DComplaint investigation13 Dec 2024
13 Nov 2024F0732Post nurse staffing information every day.CComplaint investigation13 Dec 2024
20 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation9 Jul 2024
15 May 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey11 Jun 2024
15 May 2024F0572Give residents a notice of rights, rules, services and charges.EStandard survey11 Jun 2024
15 May 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation11 Jun 2024
15 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation11 Jun 2024
15 May 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey11 Jun 2024
15 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Jun 2024
15 May 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey11 Jun 2024
15 May 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey11 Jun 2024
15 May 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey11 Jun 2024
15 May 2024F0791Provide or obtain dental services for each resident.DStandard survey11 Jun 2024
15 May 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation11 Jun 2024
1 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Feb 2024
1 Feb 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.GComplaint investigation22 Feb 2024
8 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Jun 2023
8 Jun 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey15 Jun 2023
8 Jun 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey15 Jun 2023
8 Jun 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Jun 2023
8 Jun 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Jun 2023
8 Jun 2023F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey15 Jun 2023

Penalties

DateTypeAmountDetail
21 Nov 2025Payment denial—44 days
5 Jun 2025Payment denial—7 days

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.9%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.3%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.4%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Charlevoix Nursing Home Corporation.

OrganisationRole in the CMS recordInterestSince
Mclaren Northern Michigan5% or greater direct ownership interest75%01/01/2013
Munson Healthcare Charlevoix Hospital5% or greater direct ownership interest25%06/10/1992
Mclaren Health Care CorporationIndirect ownership interestNOT APPLICABLE01/01/2013
Mclaren Health Care CorporationAdp of the snfNOT APPLICABLE09/16/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Charlevoix County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Grandvue Medical Care Facilityabuse iconEast Jordan1133251916.8—22 Apr 2026

All 2 facilities in Charlevoix County

Questions and answers

How many deficiencies has Boulder Park Terrace been cited for?

58 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Boulder Park Terrace been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Boulder Park Terrace compare?

CMS does not report staffing hours for this facility.

Who operates Boulder Park Terrace?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Mclaren Northern Michigan, Munson Healthcare Charlevoix Hospital and Mclaren Health Care Corporation. Individual owners and managers are not listed on this site.

When was Boulder Park Terrace last inspected?

The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 5 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.