B90

McLaren Lapeer Region

Grade B 90/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

19

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

1375 North Main Street, Lapeer, MI 48446
8106675588

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
4.17h
LPN
0.47h
CNA
1.64h
Total
6.28h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MCLAREN HEALTH CARE CORPORATION

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 1992

100%

MCLAREN HEALTH CARE CORPORATION

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 1992

DAVIS, TIFFANY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

SHARMA, VISHNU

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

VARGAS, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

BURKE, MICHAEL

IndividualCORPORATE DIRECTORSince Mar 2020

BURROUGH, ERIC

IndividualCORPORATE DIRECTORSince Jan 2016

GRANT, CHAD

IndividualCORPORATE DIRECTORSince Jul 2019

INCARNATI, PHILIP

IndividualCORPORATE DIRECTORSince Oct 1992

NOUNOU, MAJED

IndividualCORPORATE DIRECTORSince Feb 2025

RIEHL, ROBERT

IndividualCORPORATE DIRECTORSince Feb 2025

SCOTT, JUSTUS

IndividualCORPORATE DIRECTORSince Jan 2003

SHARMA, VISHNU

IndividualCORPORATE DIRECTORSince Mar 2025

SMITH, D. WESLEY

IndividualCORPORATE DIRECTORSince Feb 2025

DAVIS, TIFFANY

IndividualCORPORATE OFFICERSince Feb 2025

VARGAS, TIMOTHY

IndividualCORPORATE OFFICERSince Feb 2025

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (22)

September 4, 2025Health2 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 25, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 25, 2025
September 9, 2024Health6 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Sep 26, 2024
0761DMinimal harm, Isolated

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

Corrected Sep 26, 2024
0868FMinimal harm, Widespread

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Sep 26, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 26, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 26, 2024
0700EMinimal harm, Pattern

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

Corrected Sep 26, 2024
July 13, 2023Health14 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Aug 11, 2023
0655EMinimal harm, Pattern

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

Corrected Aug 11, 2023
0656DMinimal harm, Isolated

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

Corrected Aug 11, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Aug 11, 2023
0710DMinimal harm, Isolated

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies

Corrected Aug 11, 2023
0726DMinimal harm, Isolated

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

Corrected Aug 11, 2023
0761DMinimal harm, Isolated

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

Corrected Aug 11, 2023
0809DMinimal harm, Isolated

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

Corrected Aug 11, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 11, 2023
0868DMinimal harm, Isolated

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Aug 11, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 11, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 11, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 11, 2023
0947DMinimal harm, Isolated

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

Corrected Aug 11, 2023

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Frequently Asked Questions

What is the CareGrader rating for McLaren Lapeer Region?

McLaren Lapeer Region in Lapeer, Michigan has a CareGrader grade of B (Good), with a composite score of 89.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for McLaren Lapeer Region?

McLaren Lapeer Region has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does McLaren Lapeer Region have?

McLaren Lapeer Region has 22 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does McLaren Lapeer Region have?

McLaren Lapeer Region has 19 certified beds with approximately 15 current residents (79% occupancy). The facility is located at 1375 North Main Street, Lapeer, Michigan 48446. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.