McLaren Lapeer Region
1375 North Main Street, Lapeer, MI 48446 · CCN 235577
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 19
- Avg residents/day
- 15.4
- Phone
- 8106675588
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 | 2025-09-04 | 2 | 9.9 | 9.5 | -7.9 better |
| 2 | 2024-09-09 | 6 | 11.4 | 9.8 | -5.4 better |
| 3 | 2023-07-13 | 14 | 12.0 | 9.3 | +2.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.86 | 41.9% |
| RN staffing (reported) | 4.56 | 27.8% |
| Total nurse staffing (adjusted) | 6.28 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (22)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-04 · Health · corrected 2025-09-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-04 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- EF0700Try 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.2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0761Ensure 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.2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-09 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-07-13 · Health · corrected 2023-08-11
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.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0761Ensure 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.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0809Ensure 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.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-07-13 · Health · corrected 2023-08-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCLAREN HEALTH CARE CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1992-10-01 |
| MCLAREN HEALTH CARE CORPORATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1992-10-01 |
| DAVIS, TIFFANY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-19 |
| SHARMA, VISHNU | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-19 |
| VARGAS, TIMOTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-19 |
| BURKE, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2020-03-30 |
| BURROUGH, ERIC | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| GRANT, CHAD | Individual | CORPORATE DIRECTOR | — | 2019-07-29 |
| INCARNATI, PHILIP | Individual | CORPORATE DIRECTOR | — | 1992-10-01 |
| NOUNOU, MAJED | Individual | CORPORATE DIRECTOR | — | 2025-02-19 |
| RIEHL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2025-02-19 |
| SCOTT, JUSTUS | Individual | CORPORATE DIRECTOR | — | 2003-01-01 |
| SHARMA, VISHNU | Individual | CORPORATE DIRECTOR | — | 2025-03-19 |
| SMITH, D. WESLEY | Individual | CORPORATE DIRECTOR | — | 2025-02-19 |
| DAVIS, TIFFANY | Individual | CORPORATE OFFICER | — | 2025-02-19 |
| VARGAS, TIMOTHY | Individual | CORPORATE OFFICER | — | 2025-02-19 |
Other facilities in Lapeer
| Name | Overall | Beds |
|---|---|---|
| Lapeer County Medical Care Facility | ★★★★☆ | 202 |
| Stonegate Health Campus | ★★★☆☆ | 80 |
| The Orchards at Lapeer | ★★☆☆☆ | 87 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.