Michigan › Gratiot County › Perrinton
The Laurels of Fulton
4735 Ranger Road, Perrinton, MI 48871
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.
The Laurels of Fulton is a For-profit, corporation nursing home in Perrinton, Michigan, certified for 50 beds and caring for about 41 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Michigan median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (14, 8, 5 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 54.0 per 100 beds, more than the state median of 29.4.
CMS lists 2 penalties in the period covered: fines totalling $59K.
Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Michigan median of 3.8; nursing staff turnover is 37.5%.
Compared with county, state and nation
| Measure | This facility | Gratiot Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 29 | 28.7 |
| Citations per 100 beds | 54.0 | 46.0 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.8 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 37.5% | 37.5% | 44.6% | 45.8% |
| Fines listed | $58,635 | $0 | $0 | — |
County and state figures are medians across facilities (5 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: 18 Dec 2025, 21 Nov 2024.
Severity mix: J ×1 G ×4 D ×18 E ×2 F ×2
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 |
|---|---|---|---|---|---|
| 18 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 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 | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Jan 2026 |
| 18 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 Jan 2026 |
| 8 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Sep 2025 |
| 21 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Standard survey | 23 Dec 2024 |
| 21 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 23 Dec 2024 |
| 21 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Dec 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 23 Dec 2024 |
| 21 Nov 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 | 23 Dec 2024 |
| 21 Nov 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 23 Dec 2024 |
| 21 Nov 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | Waiver has been granted |
| 23 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Sep 2024 |
| 9 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 11 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 11 Dec 2023 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Dec 2023 |
| 4 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Sep 2023 |
| 4 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Oct 2025 | Fine | $19,120 | |
| 9 Nov 2023 | Fine | $39,515 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 37.5%, RNs 45.5%; 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 | 11.9% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 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 | 6.8% | 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 | 15.0% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.5% | 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, corporation. Legal business name: Laurel Health Care Company Of Perrinton. Chain: Ciena Healthcare/Laurel Health Care (81 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Laurel Health Care Holdings, Inc. | Direct ownership interest | NOT APPLICABLE | 02/01/2016 |
| Ciena Healthcare Management Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| Ciena Healthcare Management Inc | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
| Fulton Senior Leasing, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
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 Gratiot County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Michigan Masonic Home | Alma | 204 | 5 | 4 | 5 | 13 | 6.4 | — | 29 Jan 2026 |
| Schnepp Senior Care and Rehabilitation Centerabuse icon | St. Louis | 97 | 4 | 2 | 5 | 17 | 17.5 | — | 13 Aug 2025 |
| Riverside Healthcare Center | St. Louis | 39 | 3 | 3 | 3 | 37 | 94.9 | — | 22 Apr 2026 |
| Ashley Healthcare Center | Ashley | 63 | 1 | 2 | 4 | 29 | 46.0 | $71K | 25 Feb 2026 |
All 5 facilities in Gratiot County
Questions and answers
How many deficiencies has The Laurels of Fulton been cited for?
27 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has The Laurels of Fulton been fined?
Yes. CMS lists fines totalling $59K in the period covered.
How does staffing at The Laurels of Fulton compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates The Laurels of Fulton?
It is part of the Ciena Healthcare/Laurel Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Laurel Health Care Holdings, Inc. and Ciena Healthcare Management Inc. Individual owners and managers are not listed on this site.
When was The Laurels of Fulton last inspected?
The most recent survey or investigation in the CMS record is dated 18 Dec 2025; the most recent standard health survey was 18 Dec 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.