Deficiency Index

Faith Haven Senior Care Centre

Jackson, Michigan · CCN 235359

43 surveys since 2010, 20 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
237
Surveys
43
Harm or worse
20
Immediate jeopardy
3
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file36/43

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

The facility

Certified beds
81
Ownership
For profit - Corporation
Chain
NEXCARE HEALTH SYSTEMS
County
Jackson
Medicare-certified since
1978

CMS ratings

Overall
2
Health inspection
2
Staffing
3
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 81 for-profit facilities of 66–99 beds in Michigan.

Last survey on record

May 29, 2026

164 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 day3.463.70
Registered-nurse hours per resident day0.48—
Annual nurse turnover51.6%46.8%

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

Enforcement

Fines
$15,872 across 1 penalty
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG410.8%H—I—
No harm, potential for more than minimalD2567.6%E718.9%F—
No harm, potential for minimalA—B12.7%C—
CMS’s current file: 37 of the 237 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5652×

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

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6842×

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

In the surveyor’s words

From the most serious findings on record at Faith Haven Senior Care Centre, in the surveyor’s own words.

  • Immediate jeopardy, patternF839May 18, 2022

    This Citation Pertains To Intake#MI 865 Based on observation, interview and record review, the facility failed to ensure two residents (R18 & R19) received oral medications that included narcotics by a licensed nurse, resulting in immediate jeopardy when an unqualified staff member administered medications including controlled substances and the Director of Nursing (DON) falsified medical records and assessments prior to and after the medication administration. On 5/12/2022 at approximately 10:50am during an interview with Licensed Practical Nurse (LPN) F she reported on 1/16/2022 she worked the floor with Registered Nurse (RN) K and Director of Nursing (DON) B. […]

  • Actual harm, isolatedF686May 29, 2026

    This citation pertains to Intake: 3011032Based on observation, interview, and record review the facility failed to prevent the development of pressure ulcers for one resident (R1) out of two residents with pressure ulcers reviewed, resulting in the development of R1 facility acquired stage 4 pressure ulcer that required hospital transfer for sepsis related to wound infection and surgical debridement.Review of the Face Sheet and Minimum Data Set (MDS) with Assessment Reference Date(ARD) of 5/20/26 reflected R1 was a [AGE] year old female admitted to the facility on [DATE] with recent readmission post hospital transfer 5/14/26 related to stage 4 (full thickness tissue loss with exposed muscle, tendon and or bone) pressure ulcer infection, with additional diagnoses that included hemiplegia… […]

  • Actual harm, isolatedF600Aug 21, 2025

    This citation pertains to intake 2575924Based on interview and record review, the facility failed to protect the resident's right to be free from mental abuse and verbal abuse by a staff member. Findings Include:Review of the medical record reflected that R1 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses including chronic pain syndrome, carpal tunnel syndrome, jaw pain, muscle spasms, restless legs syndrome, opioid dependence, intervertebral disc disorders (a condition that affects the disc between the vertebrae of the spine), adjustment disorder with mixed anxiety and depression, temporomandibular joint disorder (causing pain and dysfunction of the jaw), migraine, post-traumatic stress disorder, dental caries, anxiety disorder, depression, low back pain,… […]

  • Actual harm, isolatedF689Jan 17, 2024

    Based on observation, interview, and record review the facility failed to prevent incidents and accidents in 3 (Resident #43, #48 & #50) of 3 reviewed for incidents and accidents, resulting Resident #43 sustaining falls with a rib fracture, pain (Resident #50), and a head injury (Resident #48). Findings include: Resident #48 (R48) R48 was observed on 1/11/24 at 8:45 AM being transported from the dining room in a Broda chair (specialty wheelchair) with the footrest on chair folded up against leg rest. R48's feet were not supported. Two areas on the right side of chair were noted with white medical tape wrapped around a connection piece. […]

  • Actual harm, isolatedF686Nov 8, 2023

    This citation pertains to intakes MI110044 and MI00139379. Based on observation, interview and record review, the facility failed to prevent and treat pressure ulcers, in three of three residents reviewed for pressure ulcers (Resident #1, #2, and #3) resulting in worsening of pressure ulcers (Resident #3), facility acquired pressure ulcers, pain, and unmet needs. Findings include: Resident #3 (R3) In review of R3's Admission Nurse assessment dated [DATE], she had a Stage 1 pressure ulcer (alteration of intact skin) on her coccyx (tailbone) and had an indwelling catheter. Physical Therapy Evaluation dated 6/05/23 and diagnoses list revealed R3 fell at home when walking to the bathroom with a cane and sustained a right hip fracture. […]

Read 38 findings in full →The most serious and the most recent: 38 of 237 on record.

Every survey on record

FindingsAt actual harm or above

  • May 29, 2026Complaint1 finding · 1 harm
  • Mar 19, 2026Standard and complaint3 findings
  • Aug 21, 2025Complaint3 findings · 1 harm
  • Jan 6, 2025Standard14 findings
  • May 3, 2024Complaint1 finding
  • Jan 17, 2024Standard11 findings · 1 harm
  • Nov 8, 2023Complaint4 findings · 1 harm
  • Oct 19, 2022Standard11 findings
Show the 35 earlier surveys
  • May 18, 2022Complaint14 findings · 1 harm
  • Sep 21, 2021Complaint1 finding
  • Sep 2, 2021Standard8 findings
  • May 6, 2021Complaint1 finding
  • Mar 4, 2021Complaint1 finding
  • Mar 1, 2021Complaint3 findings
  • Dec 11, 2019Complaint1 finding
  • Aug 21, 2019Standard11 findings
  • Jul 31, 2018Standard and complaint14 findings
  • Nov 15, 2017Standard11 findings · 1 harm
  • Aug 2, 2017Complaint3 findings
  • Jun 26, 2017Complaint2 findings
  • Mar 8, 2017Complaint1 finding
  • Jan 11, 2017Standard8 findings
  • Aug 9, 2016Complaint1 finding · 1 harm
  • Feb 4, 2016Standard13 findings
  • Apr 3, 2015Standard1 finding
  • Feb 6, 2015Standard and complaint25 findings · 1 harm
  • Oct 30, 2014Complaint2 findings
  • Jun 24, 2014Complaint6 findings · 2 harm
  • Feb 26, 2014—1 finding
  • Jan 31, 2014—6 findings · 2 harm
  • Oct 10, 2013—1 finding · 1 harm
  • Sep 23, 2013—3 findings
  • Jun 26, 2013—4 findings
  • Mar 29, 2013—2 findings
  • Feb 1, 2013Standard14 findings
  • Nov 16, 2012—1 finding · 1 harm
  • Jul 26, 2012—1 finding · 1 harm
  • Jun 26, 2012—1 finding · 1 harm
  • Mar 23, 2012—12 findings
  • Aug 17, 2011—1 finding · 1 harm
  • Apr 1, 2011—9 findings · 1 harm
  • Jan 26, 2011—2 findings
  • Oct 20, 2010—4 findings · 2 harm

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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction