Mclaren Lapeer Region
Lapeer, Lapeer County, Michigan · CCN 235577 · For-profit (Corporation) · not part of a chain
CMS rates Mclaren Lapeer Region 5 of 5 overall as of August 2026. 19 certified beds, 17 residents a day on average. 22 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | — / 5 of 5 |
Staffing
| Total nurse staffing | 6.81405 hours per resident per day |
|---|---|
| Registered nurses | 4.50934 hours per resident per day |
| Weekend total | 5.80885 hours per resident per day |
| Nursing staff turnover | 45.5% (registered nurses 36.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-09-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-25 |
| 2025-09-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2024-09-09 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-26 |
| 2024-09-09 complaint survey |
Try 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. Quality of Life and Care Deficiencies · tag F0700 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-26 |
| 2024-09-09 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-26 |
| 2024-09-09 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-26 |
| 2024-09-09 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-26 |
| 2024-09-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-26 |
| 2023-07-13 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · tag F0710 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Ensure 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. Nutrition and Dietary Deficiencies · tag F0809 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-07-13 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Mclaren Health Care Corporation Organization | adp of the snf | — | 1992-10-01 |
| Mclaren Health Care Corporation Organization | direct ownership interest | — | 1992-10-01 |
| Mclaren Health Care Corporation Organization | operational/managerial control | — | 1992-10-01 |
| Sharma, Vishnu Individual | adp of the snf | — | 2025-03-25 |
| Vargas, Timothy Individual | adp of the snf | — | 2025-03-19 |
| 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 |
| 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 | trustee of the snf | — | 2020-03-30 |
| Burrough, Eric Individual | trustee of the snf | — | 2016-01-01 |
| Davis, Tiffany Individual | trustee of the snf | — | 2025-02-19 |
| Grant, Chad Individual | trustee of the snf | — | 2019-07-29 |
| Incarnati, Philip Individual | trustee of the snf | — | 1992-10-01 |
| Nounou, Majed Individual | trustee of the snf | — | 2025-02-19 |
| Riehl, Robert Individual | trustee of the snf | — | 2025-02-19 |
| Scott, Justus Individual | trustee of the snf | — | 2003-01-01 |
| Smith, D. Wesley Individual | trustee of the snf | — | 2025-02-19 |
| Vargas, Timothy Individual | trustee of the snf | — | 2025-02-19 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Mclaren Lapeer Region.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lapeer County.