Schnepp Senior Care and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 427 East Washington, St. Louis, MI 48880
- CCN
- 235384
- Ownership type
- For-profit, limited liability company
- Certified beds
- 97
- Residents per day
- 93
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Schnepp Senior Care and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 5 Jun 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Michigan is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Gratiot County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Jun 2025 | 6 | 8 |
| Cycle 2 | 26 Jun 2024 | 8 | 9 |
| Cycle 3 | No date | 3 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 22 Aug 2025 |
| 13 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Aug 2025 |
| 13 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 22 Aug 2025 |
| 13 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 22 Aug 2025 |
| 5 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Jun 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jun 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Jun 2025 |
| 5 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Jun 2025 |
| 5 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Jun 2025 |
| 26 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Jul 2024 |
| 26 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Jul 2024 |
| 26 Jun 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 | 16 Jul 2024 |
| 26 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Jul 2024 |
| 26 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Jul 2024 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Feb 2024 |
| 14 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Feb 2024 |
| 14 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 20 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.79 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.82 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.43 | 0.88 | |
| Nurse aides | 2.54 | 2.33 | |
| All nurse staff, weekends | 3.50 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 34.2%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 15.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.7% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 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 | 11.4% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Schnepp Inc.
- Chain
- Nexcare Health Systems (20 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nexcare Health Systems, LLC | Operational/managerial control | 6 Oct 2011 |
The site shows organisations only. It does not show the names of persons.
Other homes in Gratiot County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Riverside Healthcare Center | St. Louis | 3 of 5 | 14 | $0 | 27 Mar 2025 | |
| Michigan Masonic Home | Alma | 5 of 5 | 7 | $0 | 29 Jan 2026 | |
| Ashley Healthcare Center | Ashley | 1 of 5 | 17 | $70,904 | 25 Feb 2026 | |
| The Laurels of Fulton | Perrinton | 3 of 5 | 14 | $58,635 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Schnepp Senior Care and Rehabilitation Center (CCN 235384). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/schnepp-senior-care-and-rehabilitation-center-st-louis-mi-235384/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Schnepp Senior Care and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 13 Aug 2025. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 26 Jun 2024.
- Who operates Schnepp Senior Care and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Nexcare Health Systems. The CMS ownership file names Nexcare Health Systems, LLC for operational or managerial control. This site does not show the names of persons.
- Is Schnepp Senior Care and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.