Boulder Park Terrace
14676 West Upright, Charlevoix, MI 49720 · CCN 235526
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 72
- Avg residents/day
- 54.0
- Phone
- 2315471005
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-05 | 29 | 9.9 | 9.5 | +19.1 worse |
| 2 | 2024-05-15 | 17 | 11.4 | 9.8 | +5.6 worse |
| 3 | 2023-06-08 | 8 | 12.0 | 9.3 | -4.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 6 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 1 |
| Resident rights | 6 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.68 | — |
| RN staffing (reported) | 0.93 | — |
| Total nurse staffing (adjusted) | 3.07 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Inspection citations (54)7 actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-21 · Health · corrected 2026-02-06
Actual harm
- GF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-11-21 · Health · corrected 2026-02-06
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-21 · Health · corrected 2025-12-19
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-21 · Health · corrected 2025-12-19
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-11-21 · Health · corrected 2025-12-19
Actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-14 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-14 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-14 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2025-07-17 · Health · corrected 2025-09-09
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-05 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-05 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0761Ensure 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.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-06-05 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-13 · Health · corrected 2025-03-29
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-13 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-13 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-11-13 · Health · corrected 2024-12-13
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-13 · Health · corrected 2024-12-13
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-11-13 · Health · corrected 2024-12-13
Potential for minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-20 · Health · corrected 2024-07-09
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- EF0572Give residents a notice of rights, rules, services and charges.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-01 · Health · corrected 2024-02-22
Actual harm
- GF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-02-01 · Health · corrected 2024-02-22
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-06-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCLAREN NORTHERN MICHIGAN | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 75% | 2013-01-01 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 1992-06-10 |
| BURCH, TODD | Individual | CORPORATE DIRECTOR | — | 2020-06-01 |
| NAYLOR, ANDREA | Individual | CORPORATE OFFICER | — | 2016-08-30 |
| PETERS, DOUGLAS | Individual | CORPORATE OFFICER | — | 2010-03-23 |
| SAUR-MACKENZIE, DEBORAH | Individual | CORPORATE OFFICER | — | 2011-06-27 |
| SCHROEDER, JOANNE | Individual | CORPORATE OFFICER | — | 2017-06-19 |
| SAUR-MACKENZIE, DEBORAH | Individual | W-2 MANAGING EMPLOYEE | — | 1992-06-10 |
Other facilities in Charlevoix
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.