Deficiency Index

Bishop Noa Home for Senior Citizens

Escanaba, Michigan · CCN 235651

26 surveys since 2010, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
86
Surveys
26
Harm or worse
5
Immediate jeopardy
2
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
81
Ownership
Non profit - Other
Chain
Independent
County
Delta · rural
Medicare-certified since
2010

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 96 facilities of 66–99 beds in Michigan.

Last survey on record

Apr 29, 2026

194 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.054.86
Registered-nurse hours per resident day1.27—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1460.9%E521.7%F417.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 86 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6892×

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

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

In the surveyor’s words

From the most serious findings on record at Bishop Noa Home for Senior Citizens, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF880Feb 2, 2022

    Based on observation, interview, and record review, the facility failed to: 1) implement appropriate source control during a COVID-19 outbreak to control the transmission; 2) follow transmission-based precautions (TBP); 3) properly utilize Personal Protective Equipment (PPE); 4) maintain social distancing during a group activity; 5) properly store medical supplies and linens. These deficient practices resulted in Immediate Jeopardy which began when the first of three residents was found to be COVID-19 positive on 1/25/22. Data as of the exit conference on 2/2/2022 at 4 p.m. showed three residents and 17 staff were identified as COVID-19 positive by the week of 1/6/2022. […]

  • No harm, potential for more than minimal, widespreadF851Apr 29, 2026

    Based on interview and record review the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid) resulting in inaccurate reporting of staffing levels with the potential to affect all 69 residents.Findings include:Review of the CMS PBJ Staffing Data Report FY (fiscal year) Quarter 1 2026 (October 1- December 31) revealed the metric Failed to Submit Data for the Quarter, One Star Staffing Rating Excessively Low Weekend Staffing, No RN Hours, and Failed to have Licensed Nursing Coverage 24 Hours/Day.During an interview on 4/29/26 at 9:27 a.m., Resident Account Representative I reported, I am responsible for submitting the PBJ information to CMS.I did not submit the information for that quarter [October 1-December 31] .During an interview on… […]

  • No harm, potential for more than minimal, widespreadF812Mar 20, 2024

    Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety as evidenced by failing to ensure that potentially hazardous food was labeled, dated, and cooled according to facility policy and food code guidelines. This deficient practice had the potential to result in food borne illness among any or all the 57 residents in the facility. Findings include: During a tour of the facility dietary department with Dietary Manager (Staff H) on [DATE] at 11:06 AM, the following observations were made: In the reach-in refrigerator: - A container of ranch salad dressing was found with an expired use by date of [DATE]. […]

  • No harm, potential for more than minimal, widespreadF868Mar 20, 2024

    Based on interview and record review, the facility failed to ensure that the Quality Assurance and Performance Improvement (QAPI) committee met at least quarterly with the required committee members. This deficient practice resulted in the potential for ineffective coordination of medical care and delayed resolution of facility issues, placing all 57 residents in the facility at risk for quality care concerns. Findings include: During an interview on 3/20/24 at 8:40 AM, the Nursing Home Administrator (NHA) reviewed the QAPI policy and the attendance for the quarterly QAPI meetings. The QAPI meeting sign in sheets revealed: - 1/17/24 The NHA, Medical Director, Infection Preventionist, DON (Director of Nursing) and more than two others were present. […]

  • No harm, potential for more than minimal, widespreadF880Mar 20, 2024

    Based on observation, interview, and record review, the facility failed to implement an infection prevention and control program to prevent the hospitalization of one Resident (R205) and prevent the spread of infectious organisms for eight Residents (R16, R47, R42, R13, R205, R32, R31, and R33) of eight residents reviewed for infection prevention and control as evidenced by failure to: 1. Post isolation precaution signage timely for residents with indwelling medical devices and/or wounds. 2. Post isolation precautions procedures in accordance with facility policy and/or standards of practice for residents with known contagious illnesses. 3. Post appropriate Personal Protective Equipment (PPE) information for residents diagnosed with infectious illnesses. 4. […]

Read 25 findings in full →The most serious and the most recent: 25 of 86 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 29, 2026Standard9 findings
  • May 1, 2025Complaint1 finding
  • Mar 6, 2025Standard5 findings
  • Dec 18, 2024Complaint1 finding
  • Mar 20, 2024Standard6 findings
  • Dec 27, 2023Complaint1 finding
  • May 4, 2023Standard1 finding
  • Feb 2, 2022Standard2 findings · 1 harm
Show the 18 earlier surveys
  • Oct 15, 2020Standard2 findings
  • Apr 25, 2019Standard4 findings
  • Jun 20, 2018Complaint2 findings · 1 harm
  • May 24, 2018Standard6 findings
  • Apr 5, 2017Standard3 findings
  • Sep 13, 2016Complaint1 finding
  • Jun 30, 2016Standard3 findings
  • Jul 23, 2015Standard10 findings
  • Jul 10, 2014Standard2 findings
  • May 16, 2013—4 findings · 1 harm
  • Nov 1, 2012—1 finding
  • Sep 11, 2012—1 finding
  • May 30, 2012—1 finding
  • May 3, 2012—5 findings
  • Jan 5, 2012Complaint4 findings · 2 harm
  • Nov 15, 2011—2 findings
  • Mar 2, 2011—6 findings
  • Sep 21, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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