Michigan › Leelanau County › Suttons Bay
Medilodge of Leelanau
124 West 4th Street, Suttons Bay, MI 49682
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.
Certified for 72 beds, Medilodge of Leelanau serves Suttons Bay in Leelanau County, Michigan and has taken Medicare and Medicaid residents since 1971.
CMS gives it 4 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (7, 13, 9 by cycle, most recent first), none at the actual-harm level. That is 40.3 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 3.4 hours per resident per day (1.1 RN), close to the Michigan median of 3.8; nursing staff turnover is 44.6%.
Compared with county, state and nation
| Measure | This facility | Leelanau Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 29 | 28.7 |
| Citations per 100 beds | 40.3 | 86.4 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.0 | 3.8 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.7 | 0.7 |
| Nursing staff turnover | 44.6% | 44.6% | 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
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 11 Dec 2024.
Severity mix: D ×18 E ×5 F ×5 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0761 | Ensure 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. | E | Standard survey | 1 May 2026 |
| 25 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 May 2026 |
| 25 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 May 2026 |
| 25 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 May 2026 |
| 25 Mar 2026 | F0688 | Provide 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. | D | Standard survey | 1 May 2026 |
| 25 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 1 May 2026 |
| 21 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Jan 2026 |
| 11 Dec 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 14 Jan 2025 |
| 11 Dec 2024 | F0838 | Conduct 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. | F | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Jan 2025 |
| 11 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Standard survey | 14 Jan 2025 |
| 11 Dec 2024 | F0887 | Educate 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. | D | Standard survey | 14 Jan 2025 |
| 13 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Oct 2024 |
| 13 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Oct 2024 |
| 23 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 26 Feb 2024 |
| 23 Jan 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | F | Standard survey | 26 Feb 2024 |
| 23 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 26 Feb 2024 |
| 23 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 26 Feb 2024 |
| 23 Jan 2024 | F0761 | Ensure 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. | E | Complaint investigation | 26 Feb 2024 |
| 23 Jan 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 26 Feb 2024 |
| 23 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Feb 2024 |
| 23 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Feb 2024 |
| 23 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 26 Feb 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 44.6%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.0% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 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, limited liability company. Legal business name: Leelanau Opco Llc. Chain: Medilodge (53 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Everest Opco Group LLC | 5% or greater direct ownership interest | 100% | 02/01/2018 |
| B&Y Healthcare S Corp | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2018 |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2018 |
| Blossom Healthcare Management LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2018 |
| Prestige Administrative Services, LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2018 |
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 Leelanau County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Orchard Creek Skilled Nursingabuse icon | Traverse City | 22 | 4 | 2 | 5 | 19 | 86.4 | — | 4 Sep 2025 |
| Maple Valley Nursing Home | Maple Valley | 25 | 3 | 3 | 4 | 45 | 180.0 | $119K | 6 May 2026 |
All 3 facilities in Leelanau County
Questions and answers
How many deficiencies has Medilodge of Leelanau been cited for?
29 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 Medilodge of Leelanau been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Medilodge of Leelanau compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Medilodge of Leelanau?
It is part of the Medilodge chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Everest Opco Group LLC, B&Y Healthcare S Corp and Cody Healthcare S Corp. Individual owners and managers are not listed on this site.
When was Medilodge of Leelanau last inspected?
The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 25 Mar 2026.
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.