3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Westgate Living Center is a 34-bed skilled nursing and assisted living community in Ironwood, Michigan, offering long-term care, short-term rehabilitation, memory care, and hospice and palliative care services in Gogebic County. The facility is privately owned and operated by Heather Watt.
Westgate holds a 4-star CMS overall rating. Across five inspections since 2011, the facility averages 1.3 deficiencies per year — 75% better than the Michigan average of 5.2. The most recent renewal inspection in October 2024 cited four deficiencies involving physician orders for assistive devices, tuberculosis screening timelines, staff training documentation, and sanitation logs.
A substantiated complaint investigation in June 2024 found that a resident sustained fractures after staff left her unattended contrary to her service plan — the one material finding in the record. No fines, immediate jeopardy findings, or license actions appear in any report.
Nurse staffing averages 4 hours and 32 minutes per resident per day, above the Michigan average of 4 hours and 15 minutes, placing Westgate 35th of 133 Michigan skilled nursing facilities on that measure. The Health Inspection and Staffing CMS sub-ratings each exceed the state average, while Quality Measures trails. Additional services include respite care, caregiver education, and dietary services, which round out the program offering alongside the rehabilitation and memory care tracks.
Westgate Living Center is best suited for residents seeking long-term or memory care placement in a small, privately operated community, as well as post-acute patients pursuing short-term rehabilitation in Ironwood.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 30m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 26m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 8 | This facility has 38% fewer total deficiencies than a typical Michigan assisted living residence (5 vs. MI avg 8).↓ 38% better |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 0.3 | 0.5 | This facility has 40% fewer deficiencies per year than a typical Michigan assisted living residence (0.3 vs. MI avg 0.5).↓ 40% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jun 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 17 citations resulted from standard inspections; 1 of 17 resulted from complaint investigations; and 4 of 17 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
37 total: 34 full-time employees and 3 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,391 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 3 | 37 | 10,400 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,589 | 92 | 100% | 8.4 |
| Nurse Aide in Training | 9 | 0 | 9 | 2,190 | 92 | 100% | 7 |
| Registered Nurse | 7 | 0 | 7 | 2,048 | 90 | 98% | 8.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 847 | 67 | 73% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 693 | 72 | 78% | 6.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 663 | 78 | 85% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 529 | 60 | 65% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 472 | 62 | 67% | 7.5 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 162 | 27 | 29% | 6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 63 | 33 | 36% | 1.9 |
| Qualified Social Worker | 0 | 1 | 1 | 15 | 10 | 11% | 1.5 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
22% lower than State averageState average: $76K
48% more fines than State averageState average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
13% worse than State averageState average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
In line with State averageState average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
32% worse than State averageState average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
16.3%
6% worse than State averageState average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
17% better than State averageState average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.9%
150% worse than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.7%
70% better than State averageState average: 5.7%
Percent of long-stay residents with a urinary tract infection
1.4%
18% better than State averageState average: 1.7%
Percent of long-stay residents who lose too much weight
5.2%
7% better than State averageState average: 5.7%
Percent of long-stay residents who have depressive symptoms
5.9%
54% worse than State averageState average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
25.4%
69% worse than State averageState average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with State averageState average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with State averageState average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
In line with State averageState average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.9%
7% worse than State averageState average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
52% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Westgate Living Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #127 / 143Payroll — State benchmarkedThis home is ranked 127th out of 143 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #58 / 143Payroll % — State benchmarkedThis home is ranked 58th out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Ironwood's city center to Westgate Living Center's address, calculated via Google Maps.
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The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Chelsea Retirement Community | NH AL IL MC SNF | Chelsea | - | 172 | - | 13 | Studio / 1 Bed / 2 Bed / Cottage |
| Iron County Medical Care Facility | NH AL MC SNF | Crystal Falls (Us 2) | - | 200 | A+ | 11 | Private Rooms |
| Westgate Living Center | NH AL PC RC SNF | Ironwood | - | 34 | - | 76 | - |
| Canterbury-on-the-Lake | NH AL HOS IL MC SNF | Waterford Twp (Waterford Township) | - | 128 | A+ | 22 | Studio / 1 Bed / 2 Bed |
| Majestic Care of Flushing Assisted Living | NH AL | Flushing | - | 40 | A+ | 5 | Studio |
Westgate Living Center is legally operated by Atrium Ironwood LLC.
Westgate Living Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MI state health department records, Westgate Living Center's license number is AH270236923.
According to MI state health department records, Westgate Living Center's license expires on July 31, 2026.
Westgate Living Center's occupancy is 66.2%.
Westgate Living Center is registered as a for-profit in MI.
Westgate Living Center has 34 beds.
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