Deficiency Index

Munson Healthcare Crawford Continuing Care Center

Grayling, Michigan · CCN 235201

23 surveys since 2011. The first finding at harm level was recorded in 2019.

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

Citations on record
88
Surveys
23
Harm or worse
4
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/23

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

The facility

Certified beds
39
Ownership
Non profit - Corporation
Chain
Independent
County
Crawford · rural
Medicare-certified since
1976

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 31 not-for-profit facilities with fewer than 66 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 day4.574.66
Registered-nurse hours per resident day0.94—
Annual nurse turnover20.7%34.7%

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

Enforcement

Fines
$27,600 across 1 penalty
Payment denials
1

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 harmG—H—I—
No harm, potential for more than minimalD1661.5%E415.4%F623.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 88 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

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

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5511×

    Give the resident's representative the ability to exercise the resident's rights.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

In the surveyor’s words

From the most serious findings on record at Munson Healthcare Crawford Continuing Care Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF686Oct 2, 2023

    Based on observation, interview, and record review, the facility failed to prevent, assess, treat, and avoid worsening of a pressure ulcer which resulted in the development of cellulitis within a stage 2 pressure ulcer. These deficiencies resulted in worsening of a stage 2 pressure ulcer into a stage 4 pressure ulcer, additional multiple stage 2 pressure ulcers to develop, required hospitalization , and provided for the increased likelihood of serious complications including sepsis, further hospitalization , and death for one Resident (Resident #10) of two residents reviewed for pressure ulcers. Findings include: Resident #10 was admitted on [DATE] to the facility without pressure ulcer on his left buttocks. […]

  • No harm, potential for more than minimal, widespreadF812Jul 8, 2024

    Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among any and all 26 residents. Findings include: On 7/2/24 at approximately 8:00 AM the morning meal was observed being served in the dining room. Included was a large pan of fresh cut cantalope melon. The temperature of the melon was measured using a Super fast Thermapen digital thermometer and found to vary between 45 F and 48 F. At this time an interview was conducted with Dietary Aide (DA) E related to the preparation of the melon. […]

  • No harm, potential for more than minimal, widespreadF851Jul 8, 2024

    Based on interview and record review, the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid). This deficient practice resulted in inaccurate reporting of staffing levels with the potential to affect all 26 residents. Findings include: Review of the CMS PBJ Staffing Data Report FY (fiscal year) Quarter 2 2024 (January 1- March 31) revealed the metric Failed to have Licensed Nursing Coverage 24 Hours/Day and No RN Hours Triggered with daily infractions from 1/1/24 to 3/31/24. On 7/8/24 at 8:55 AM, an interview was conducted with the Business Office Manager (BOM) P who verified she was responsible for submitting PBJ information to CMS. […]

  • No harm, potential for more than minimal, widespreadF867Jul 8, 2024

    Based on interview, and record review, the facility failed to implement an effective Quality Assurance & Performance Improvement (QAPI) program that included development, monitoring, and evaluation of performance indicators, identification of quality issues, and the conducting of distinct performance improvement projects to correct quality deficiencies and maintain sustained compliance. This failure had the potential to affect all 26 residents in the facility. Findings include: On the 7/8/24 at 12:41 PM, an interview was conducted with the Director of Nursing (DON) who verified she was in charge of leading the QAPI process. […]

  • No harm, potential for more than minimal, widespreadF868Jul 8, 2024

    Based on interview and record review, the facility failed to ensure the Infection Preventionist (IP) attended the Quality Assurance and Performance Improvement (QAPI) meetings on a quarterly basis. This deficient practice resulted in the potential for ineffective interdisciplinary communications regarding facility process with the potential to affect all 26 residents residing in the facility. Findings include: On the 7/8/24 at 12:41 PM, an interview was conducted with the Director of Nursing (DON) regarding the QAPI process. Attendance documents from the previous 3 quarterly meetings were reviewed with the DON which revealed the IP was not in attendance. […]

Read 24 findings in full →The most serious and the most recent: 24 of 88 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 29, 2026Complaint1 finding
  • Mar 25, 2026Standard5 findings
  • Aug 20, 2025Complaint1 finding
  • Feb 13, 2025Standard5 findings
  • Jul 8, 2024Standard14 findings
  • Oct 2, 2023Standard2 findings · 1 harm
  • Jun 21, 2022Standard and complaint6 findings
  • Feb 24, 2021Standard1 finding
Show the 15 earlier surveys
  • Apr 30, 2020Infection control1 finding · 1 harm
  • Jun 17, 2019Standard11 findings · 2 harm
  • May 11, 2018Standard5 findings
  • Jun 1, 2017Standard7 findings
  • Aug 4, 2016Standard2 findings
  • Sep 11, 2015Standard3 findings
  • Nov 14, 2014Standard4 findings
  • Sep 5, 2013—6 findings
  • Jul 2, 2013—1 finding
  • Jun 19, 2013—2 findings
  • Jul 11, 2012—5 findings
  • May 9, 2012Complaint2 findings
  • Mar 21, 2012—1 finding
  • Dec 15, 2011—1 finding
  • May 19, 2011—2 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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