01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-31 | 7 | 2025-07-31 | 5 |
| Cycle 2 | 2024-08-28 | 4 | 2024-08-28 | 4 |
| Cycle 3 | 2023-10-05 | 2 | 2023-10-05 | 3 |
CMS CCN 2354072026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kalkaska Memorial Health Center
419 South Coral Street · Kalkaska, MI 49646 · Kalkaska County
Certified beds104CMS provider file
Recent citation rows25current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-14 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-05-01 · complaint2026-01-02 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-27 · complaint2025-11-26 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-09-19 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-17 · complaint2025-07-31 · HEALTHF0552Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-31 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-31 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-31 · FIREK0100Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-08-302025-07-31 · FIREK0111Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Correction field: Deficient, Provider has date of correction · 2025-08-302025-07-31 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-08-302025-07-31 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-08-302025-07-31 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-08-302025-05-02 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-02-19 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-03-21 · complaint2024-08-28 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-08-28 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-08-28 · FIREK0133Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-08-28 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-08-28 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-08-28 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-09-302023-10-05 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2023-11-032023-10-05 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-11-032023-10-05 · FIREK0325Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2023-10-192023-10-05 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-10-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-09-19 | Payment Denial | $0 | 1 |
| 2025-05-02 | Fine | $10,549 | 0 |
| 2025-05-02 | Payment Denial | $0 | 1 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KALKASKA MEMORIAL HEALTH CENTEROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/1990
- BANKER, GEORGEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2016
- BARR, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/23/2020
- BRADLEY, GREGORYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2020
- BRENNER, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/14/2025
- BROERING, NOREENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/15/2024
- CANNON, NELSONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/30/2010
- CERVONE, LYNNETTEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/20/2024
- COX, JANETIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/16/2024
- DE KORNE, DALEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/23/2020
- GENTELIA, GAYENELLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/13/2024
- HART, ALANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/20/2024
- HENDRICKS, ERICIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/02/2014
- KLIMEK, KARLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/05/2021
- NEEDHAM, DIANAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/11/2019
- NICHOL, TERESAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/01/2020
- PAUCH, MELANIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/23/2020
- STEPHENS, KIMBERLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/23/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.98per resident day
RN hours1.23per resident day
Weekend nurse hours4.40per resident day
Staff turnover17.4%CMS reported field
06 / LOCAL RECORDS
Open the Michigan ledger →Other published facilities nearby
No second facility in the same city met the directory rule.