Elder Care Record

Michigan › Jackson County › Jackson

Cascade Senior Care Center

2121 Robinson Road, Jackson, MI 49203

CCN 235574 · For-profit, individual · 108 certified beds · chain Nexcare Health Systems

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.

Cascade Senior Care Center is a For-profit, individual nursing home in Jackson, Michigan, certified for 108 beds and caring for about 79 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Michigan median; the health inspection rating is 3, staffing 3 and quality measures 4.

Inspectors recorded 34 health deficiencies across the three most recent survey cycles (14, 6, 14 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 31.5 per 100 beds, about the same as the state median of 29.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), close to the Michigan median of 3.8.

34health deficiencies, 3 survey cycles3 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.8
73%occupancy (residents ÷ beds)79 residents a day

Compared with county, state and nation

MeasureThis facilityJackson Co. medianMichigan medianUS average
Overall star rating3333.0
Health citations, 3 cycles34342928.7
Citations per 100 beds31.543.329.426.8
Total nurse hours per resident day4.34.23.83.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover—51.6%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (7 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)14
Cycle 26
Cycle 314

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2025, 7 Jun 2024.

Severity mix: L ×2 G ×1 D ×24 E ×2 F ×4 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
7 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation14 May 2026
5 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Feb 2026
5 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Feb 2026
5 Feb 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Feb 2026
30 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Jan 2026
30 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation28 Jan 2026
30 Dec 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation28 Jan 2026
30 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation28 Jan 2026
4 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey12 Jun 2025
4 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 investigation12 Jun 2025
4 Jun 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey12 Jun 2025
4 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Jun 2025
4 Jun 2025F0679Provide activities to meet all resident's needs.DStandard survey12 Jun 2025
4 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.DStandard survey12 Jun 2025
24 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Mar 2025
24 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Mar 2025
7 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jul 2024
7 Jun 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey5 Jul 2024
7 Jun 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey5 Jul 2024
7 Jun 2024F0641Ensure each resident receives an accurate assessment.DStandard survey5 Jul 2024
7 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation6 Mar 2024
21 Mar 2023F0839Employ staff that are licensed, certified, or registered in accordance with state laws.LStandard survey12 Apr 2023
21 Mar 2023F0880Provide and implement an infection prevention and control program.LStandard survey18 May 2023
21 Mar 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey12 Apr 2023
21 Mar 2023F0886Perform COVID19 testing on residents and staff.FStandard survey12 Apr 2023
21 Mar 2023F0895Have a Compliance and Ethics Program.FStandard survey12 Apr 2023
21 Mar 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey12 Apr 2023
21 Mar 2023F0641Ensure each resident receives an accurate assessment.DStandard survey12 Apr 2023
21 Mar 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Apr 2023
21 Mar 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey12 Apr 2023
21 Mar 2023F0761Ensure 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.DStandard survey12 Apr 2023
21 Mar 2023F0881Implement a program that monitors antibiotic use.DStandard survey12 Apr 2023
21 Mar 2023F0885Report COVID19 data to residents and families.DStandard survey12 Apr 2023
21 Mar 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.CStandard survey12 Apr 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.27 h
Nurse aides2.75 h
LPN0.94 h
RN0.58 h
Weekend total3.94 h

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 Stay10.1%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.4%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.1%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.2%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: for-profit, individual. Chain: Nexcare Health Systems (20 facilities).

OrganisationRole in the CMS recordInterestSince
Nexcare Holdings, LLC5% or greater direct ownership interest100%08/01/2024
Nexcare Health Systems, LLCAdp of the snfNOT APPLICABLE08/01/2024

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 Jackson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Jackson County Medical Care Facilityabuse iconJackson1944252010.3$69K16 Apr 2026
Vista Grande VillaJackson604332643.3—20 Feb 2026
Arbor Manor Rehabilitation and Nursing CenterSpring Arbor1223342923.8—7 May 2026
Faith Haven Senior Care Centreabuse iconJackson812233745.7$16K29 May 2026
Mission Point Health Campus of JacksonJackson502134794.0—4 Mar 2026
Regency At Jacksonabuse iconJackson8211188107.3$16K5 Jun 2026

All 7 facilities in Jackson County

Questions and answers

How many deficiencies has Cascade Senior Care Center been cited for?

34 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Cascade Senior Care Center been fined?

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

How does staffing at Cascade Senior Care Center compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Cascade Senior Care Center?

It is part of the Nexcare Health Systems chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Nexcare Holdings, LLC. Individual owners and managers are not listed on this site.

When was Cascade Senior Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 4 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.