Public Record
Bay Bluffs-Emmet County Medical Care Facility
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 120
- Avg. residents per day
- 71.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 32
- Inspections on file
- 6
- Last inspection
- 2025-04-17
*CMS
*CMS
*CMS
Citations
32 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0100Generalpotential for harm
Meet other general requirements.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0361Generalpotential for harm
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- 0753Generalpotential for harm
Have restrictions on the use of highly flammable decorations.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0761Generalpotential for harm
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.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0222Generalpotential for harm
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.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0343Generalpotential for harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0781Generalpotential for harm
Have restrictions on the use of portable space heaters.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0916Generalpotential for harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0222Generalpotential for harm
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.
FAQ
Questions and answers
- What is Bay Bluffs-Emmet County Medical Care Facility?
- Bay Bluffs-Emmet County Medical Care Facility is a Medicare- and Medicaid-certified nursing home in Harbor Springs, MI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 235033.
- What is the CMS rating for Bay Bluffs-Emmet County Medical Care Facility?
- Bay Bluffs-Emmet County Medical Care Facility has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Bay Bluffs-Emmet County Medical Care Facility have?
- Bay Bluffs-Emmet County Medical Care Facility is certified for 120 beds. It serves an average of 71.4 residents per day.
- How many citations does Bay Bluffs-Emmet County Medical Care Facility have?
- Bay Bluffs-Emmet County Medical Care Facility has 32 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Bay Bluffs-Emmet County Medical Care Facility last inspected?
- Bay Bluffs-Emmet County Medical Care Facility was last inspected on April 17, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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