McLaren Lapeer Region

1375 North Main Street
Lapeer, MI, 48446
8106675588
CCN: 235577
5
Overall
4
Health
5
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MCLAREN HEALTH CARE CORPORATION5% OR GREATER DIRECT OWNERSHIP INTEREST100%
INCARNATI, PHILIPCORPORATE DIRECTORNOT APPLICABLE
GRANT, CHADCORPORATE DIRECTORNOT APPLICABLE
NOUNOU, MAJEDCORPORATE DIRECTORNOT APPLICABLE
RIEHL, ROBERTCORPORATE DIRECTORNOT APPLICABLE
SCOTT, JUSTUSCORPORATE DIRECTORNOT APPLICABLE
SHARMA, VISHNUCORPORATE DIRECTORNOT APPLICABLE
SMITH, D. WESLEYCORPORATE DIRECTORNOT APPLICABLE
BURKE, MICHAELCORPORATE DIRECTORNOT APPLICABLE
BURROUGH, ERICCORPORATE DIRECTORNOT APPLICABLE
VARGAS, TIMOTHYCORPORATE OFFICERNOT APPLICABLE
DAVIS, TIFFANYCORPORATE OFFICERNOT APPLICABLE
DAVIS, TIFFANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHARMA, VISHNUOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VARGAS, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCLAREN HEALTH CARE CORPORATIONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (22)
2025-09-04 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-09 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F761 · Pharmacy Service Deficiencies
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.
E
F700 · Quality of Life and Care Deficiencies
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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-07-13 · Health
D
F947 · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F809 · Nutrition and Dietary Deficiencies
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.
D
F761 · Pharmacy Service Deficiencies
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.
D
F726 · Nursing and Physician Services Deficiencies
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.
D
F710 · Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
6.86
3.68
RN Hrs/Resident/Day
4.56
0.54
LPN Hrs/Resident/Day
0.51
0.81
CNA Hrs/Resident/Day
1.79
2.33
PT Hrs/Resident/Day
0.35
0.12
Data as of 2026-03-01