D

Douglas Cove Health and Rehabilitation

243 Wiley Road, Douglas, MI 49406
Score: 47 / 100

Douglas Cove Health And Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 36th percentile among Michigan nursing homes, suggesting significant room for improvement.

Staffing at Douglas Cove Health And Rehabilitation is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 27 deficiencies at Douglas Cove Health And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.60 3.8 Average
Registered Nurses (RN) 0.35 0.7 Below Average
Licensed Practical Nurses (LPN) 1.11 0.7 Above Average
Certified Nursing Assistants (CNA) 2.14 2.4 Below Average
Weekend Total Nursing 3.23 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
Sep 4, 2025
Most Recent Inspection
🟠 27 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Sep 4, 2025 · Quality of Life and Care Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Sep 4, 2025 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Sep 4, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Jul 16, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.1% 4.5% Worse
Falls with major injury 3.3% 3.0% Worse
On antipsychotic medication 21.7% 14.5% Worse
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 17.1% 14.0% Worse
Excessive weight loss 9.7% 7.5% Worse
New/worsened incontinence 24.9% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
51
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 16, 2025
Deficiencies (Cycle 1)
13