Elder Care Record

Michigan › Sanilac County › Marlette

Marlette Community Hospital Ltcu

2770 Main Street, Marlette, MI 48453

CCN 235074 · Non-profit, corporation · 39 certified beds

Located in a hospital
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.

Marlette Community Hospital Ltcu, in Marlette, Michigan, is certified for 39 beds under non-profit, corporation ownership.

CMS gives it 5 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 4, staffing 5 and quality measures 2.

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (5, 6, 11 by cycle, most recent first), none at the actual-harm level. That is 56.4 per 100 beds, more than the state median of 29.4.

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

Reported nurse staffing is 4.9 hours per resident per day (1.6 RN), above the Michigan median of 3.8; nursing staff turnover is 22.4%.

22health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.9nurse hours per resident per daystate median 3.8
93%occupancy (residents ÷ beds)36 residents a day

Compared with county, state and nation

MeasureThis facilitySanilac Co. medianMichigan medianUS average
Overall star rating5333.0
Health citations, 3 cycles22222928.7
Citations per 100 beds56.431.729.426.8
Total nurse hours per resident day4.94.93.83.9
RN hours per resident day1.60.80.70.7
Nursing staff turnover22.4%26.9%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 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)5
Cycle 26
Cycle 311

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 14 Aug 2024.

Severity mix: D ×10 E ×5 F ×6 B ×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 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Sep 2025
7 Aug 2025F0880Provide and implement an infection prevention and control program.FStandard survey5 Sep 2025
7 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey5 Sep 2025
7 Aug 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey5 Sep 2025
7 Aug 2025F0791Provide or obtain dental services for each resident.DStandard survey5 Sep 2025
14 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 Sep 2024
14 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey26 Sep 2024
14 Aug 2024F0761Ensure 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 survey26 Sep 2024
14 Aug 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard survey26 Sep 2024
14 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey26 Sep 2024
14 Aug 2024F0696Provide appropriate care/assistance for a resident with a prosthesis.DStandard survey26 Sep 2024
26 Jul 2023F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard survey31 Aug 2023
26 Jul 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard survey31 Aug 2023
26 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 Aug 2023
26 Jul 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey31 Aug 2023
26 Jul 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey31 Aug 2023
26 Jul 2023F0578Honor 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 survey31 Aug 2023
26 Jul 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey31 Aug 2023
26 Jul 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey31 Aug 2023
26 Jul 2023F0880Provide and implement an infection prevention and control program.DStandard survey31 Aug 2023
26 Jul 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard survey31 Aug 2023
26 Jul 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.BStandard survey31 Aug 2023

Penalties

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

Staffing

Total nursing4.86 h
Nurse aides3.25 h
LPN0.02 h
RN1.59 h
Weekend total4.04 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 22.4%, RNs 14.3%; — 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 Stay24.6%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.3%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 Stay30.7%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.8%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: Marlette Regional Hospital.

OrganisationRole in the CMS recordInterestSince
Bluewater Healthcare NetworkOperational/managerial controlNOT APPLICABLE12/28/2012

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 Sanilac County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Autumnwood of DeckervilleDeckerville843341821.4$62K22 Apr 2026
Sanilac Medical Care FacilitySandusky1043343331.7—2 Feb 2026

All 3 facilities in Sanilac County

Questions and answers

How many deficiencies has Marlette Community Hospital Ltcu been cited for?

22 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Marlette Community Hospital Ltcu been fined?

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

How does staffing at Marlette Community Hospital Ltcu compare?

Reported total nurse staffing is 4.9 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Marlette Community Hospital Ltcu?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Bluewater Healthcare Network. Individual owners and managers are not listed on this site.

When was Marlette Community Hospital Ltcu last inspected?

The most recent survey or investigation in the CMS record is dated 7 Aug 2025; the most recent standard health survey was 7 Aug 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.