Page 13 of Best Nursing Homes in Michigan

Why trust this guide? Our editorial team analyzed 159 nursing homes in MI using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MI
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Last updated
We analyzed These are the facilities in Michigan our team has analyzed — not a count of every nursing home provider in Michigan.
159 homes
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Info below is compiled from CMS reports & the MI Licensing & Regulatory Affairs (LARA), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Michigan average is: 59.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Medilodge of Grand Rapids
NH
AL
MC
SNF
Grand Rapids (Northeast)
103
Facility 103
MI AVG 105
Rank #63 / 133
47.6%
Facility 47.6%
MI AVG 77.4%
Rank #99 / 109
-38%
4.23
Facility 4.23
MI AVG 4.30
Rank #48 / 129
? -15%-2%
$57.7k
Facility $57.7k
MI AVG $87.6k
Rank #108 / 129
68
Facility 68
MI AVG 33.5
Rank #124 / 128
7.6
Facility 7.6
MI AVG 5.2
Rank #117 / 128
649-
40
Facility 40
MI AVG 41
Rank #81 / 160
Grand Rapids Opco, LLC
$9.9MFiscal year ending 12/2023
Facility $9.9MFiscal year ending 12/2023
MI AVG $13.2M
Rank #83 / 120
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
MI AVG $7.7M
Rank #73 / 120
59.5%Fiscal year ending 12/2023
Facility 59.5%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #41 / 120
235038
Canterbury-on-the-Lake
NH
AL
CCRC
HOS
IL
MC
SNF
Waterford Twp (Waterford Township)
128
Facility 128
MI AVG 105
Rank #39 / 133
--
3.45
Facility 3.45
MI AVG 4.30
Rank #121 / 129
? -57%-20%
$45.5k
Facility $45.5k
MI AVG $87.6k
Rank #103 / 129
73
Facility 73
MI AVG 33.5
Rank #126 / 128
5.6
Facility 5.6
MI AVG 5.2
Rank #84 / 128
316A+
22
Facility 22
MI AVG 41
Rank #120 / 160
Leigh Mcleod
$20.8MFiscal year ending 06/2024
Facility $20.8MFiscal year ending 06/2024
MI AVG $13.2M
Rank #18 / 120
$11.2MFiscal year ending 06/2024
Facility $11.2MFiscal year ending 06/2024
MI AVG $7.7M
Rank #17 / 120
53.9%Fiscal year ending 06/2024
Facility 53.9%Fiscal year ending 06/2024
MI AVG 59.2%
Rank #70 / 120
235555
Harmony Village of Beverly Hills-
NH
SNF
Beverly Hills
96
Facility 96
MI AVG 105
Rank #76 / 133
46.3%
Facility 46.3%
MI AVG 77.4%
Rank #100 / 109
-40%
5.02
Facility 5.02
MI AVG 4.30
Rank #16 / 129
F----12%+17%
$3.1k
Facility $3.1k
MI AVG $87.6k
Rank #82 / 129
58
Facility 58
MI AVG 33.5
Rank #113 / 128
5.8
Facility 5.8
MI AVG 5.2
Rank #89 / 128
344-
75
Facility 75
MI AVG 41
Rank #16 / 160
Anikasala Calhoun
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
MI AVG $13.2M
Rank #100 / 120
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
MI AVG $7.7M
Rank #93 / 120
63.6%Fiscal year ending 12/2023
Facility 63.6%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #29 / 120
235664

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MI nursing home we track that reports that metric, not just the 159 on this page. See how we rank facilities

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Overview of Harmony Village of Clinton

Harmony Village of Clinton offers nursing home and skilled nursing care in Clinton Township, MI. Skilled nursing provides licensed nursing care on site around the clock, so the community may be a good fit for someone who needs ongoing clinical support rather than assistance with daily tasks alone.

Payment options include Medicare, Medicaid, and private pay. Medicare can cover short-term skilled care after a hospital stay, Medicaid may help cover a longer stay for an eligible resident, and private pay means the resident or family pays directly.

Contact Harmony Village of Clinton

Overview of Bay County Medical Care Facility

Bay County Medical Care Facility is a nursing home in Bay City, MI, offering dialysis, rehabilitation, and skilled nursing. With a compassionate and home-like setting, the community ensures older adults are treated well throughout their stay. Exceptional services, including 24-hour care, nutritious meals, and recreational activities, are also provided to improve residents’ quality of life. The community also doubles its efforts to get to know residents’ needs and habits, ensuring their healing and recovery.

Bake club, sporting events, and religious services ensure residents can maintain holistic wellness and have fun. Spacious rooms and accessible amenities also ensure residents can rest and move around comfortably. Located near Quanicassee Wildlife Area and Soehnel Nature Trail Parking in Bay City, the community guarantees a laid-back lifestyle. This nursing home is committed to helping older adults thrive in retirement, making it one of the best choices for senior living in Michigan.

Contact Bay County Medical Care Facility

Medilodge of Capital Area

2100 Provincial House Dr, Lansing, Mi 48910, United States, Lansing, MI 48910
Overview of Medilodge of Capital Area

Medilodge of Capital Area embraces seniors with open arms in Lansing, Michigan. From intensive rehabilitation to long-term skilled nursing care, this cherished home provides a comprehensive range of healthcare services tailored to individual needs. With an emphasis on fall management programs, IV medication therapy, and wound care, residents find comfort in a community dedicated to their well-being. Beyond these essential offerings, Medilodge of Capital Area goes the extra mile, extending its embrace to respite care, outpatient therapy, hospice support, and a secure and nurturing memory care unit.
State-of-the-art therapy equipment stands ready to support residents’ rehabilitation journeys, while the soothing ambiance of on-site salon and spa services brings comfort and relaxation. Amidst manicured gardens and inviting outdoor courtyards, residents can find solace and connection. As they enjoy the convenience of on-site dental services and enriching religious offerings, Medilodge of Capital Area stands as a testament to its commitment to seniors’ quality of life. With open arms and compassionate care, this home addresses not only healthcare needs but also the heartfelt nursing home questions and concerns that often accompany the journey of senior living.

Contact Medilodge of Capital Area

Overview of Lakeside Manor Nursing and Rehabilitation Center

Lakeside Manor Nursing and Rehabilitation Center manages a 66-bed skilled nursing facility in Sterling Heights, Michigan. Operating as a voluntary non-profit, the clinical team focuses on therapy-driven recovery, advanced wound management, and ongoing pain control. Daily shift logs show an average of 3 hours and 42 minutes of direct nursing care per resident. On-site physicians and 24-hour nursing teams provide continuous oversight for individuals transitioning out of hospital care or managing complex medical needs.

The property currently runs at an occupancy level of 69 percent, which indicates immediate room availability for new admissions. Financial coverage remains flexible, as the home accepts Medicare, Medicaid, and standard private-pay structures. The typical resident length of stay averages 275 days, reflecting a blend of post-acute rehabilitation and extended long-term care. Structured rehabilitation and social schedules are organized through the dedicated In-House Therapy and Stay Active initiatives.

The surrounding Sterling Heights neighborhood holds a walkability score of 46 out of 100, which defines the immediate layout as car-dependent. Running standard errands outside the building or travelling to local medical offices usually requires a personal vehicle.

Prospective residents or family members researching local physical therapy options and advanced nursing care can contact the admissions coordinator at Lakeside Manor Nursing and Rehabilitation Center to check available floor plans and confirm current insurance coverage details.

Contact Lakeside Manor Nursing and Rehabilitation Center

Green House Homes

1015 & 1029 East Paris Avenue Se, Grand Rapids, MI 49546
Overview of Green House Homes

Operated as a single-story facility with private room options, Green House Homes is a nursing home in Grand Rapids, Michigan. It delivers skilled nursing care focusing on hands-on support for occupants needing assistance with daily activities and medical needs.

Staffing levels here reflect a commitment to direct care: nursing aides provide around 3 hours 30 minutes of care per resident day, while registered nurses and licensed practical nurses complement this with additional time. This combination of staffing builds a groundwork for 24-hour coverage and resident oversight. The community stands in an area with a Walk Score of 32, meaning some nearby services are walkable, with most errands and activities needing transportation. This setting type can suit residents and families wanting a calmer neighborhood over a more urban, commercial location.

For families considering Green House Homes, touring it is a good way to understand the environment, see the private rooms, and learn about the daily routines and care approach. Speaking directly with staff and current occupants or their families can also provide valuable perspectives on what life is like there daily.

Contact Green House Homes

Overview of Brookdale Battle Creek

If you’re looking for quality care and a whole lot of fun to go along with it, then Brookdale Battle Creek is the perfect senior living community for you. Located in the vibrant city of Battle Creek, Michigan, Brookdale Battle Creek offerS both assisted living and memory care, providing personalized care tailored to each resident’s unique needs. A compassionate team is available 24/7 for assistance and emergencies, ensuring a safe and supportive environment for all residents.

Committed to creating a convenient environment where residents can live a worry-free lifestyle, Brookdale Battle Creek offers a variety of amenities designed for residents’ convenience and enjoyment, including restaurant-style dining with chef-prepared meals, and an engaging social calendar filled with diverse events and activities. Residents receive gentle guidance with daily activities such as bathing, dressing, and medication management. With comprehensive services like cooking, cleaning, and scheduled transportation, residents can focus on living their lives to the fullest while the dedicated team handles the chores.

Contact Brookdale Battle Creek

Overview of Harvest Pointe at Thornapple Manor

Harvest Pointe at Thornapple Manor is a 70 bed nursing home in Hastings, MI, offering assisted living, memory care, and skilled nursing. Skilled nursing and nursing home care provide licensed nursing care on site around the clock. Assisted living supports daily tasks such as dressing, bathing, and medication while residents maintain their own apartment, and memory care provides a secured setting with supervision for someone at risk of wandering.

With several care levels on one campus, the community may be a good fit for a resident whose care needs could grow over time without requiring a move to another community. Pets are allowed, so residents may keep a pet at the community. A Walk Score of 70 means the area is very walkable, with most errands possible on foot, allowing a resident who no longer drives to get out independently.

The community has a full-service beauty salon, fitness center, and wellness program with on-site therapy and rehabilitation services. Residents can arrange salon appointments, exercise, and rehabilitation without arranging transportation elsewhere. Short-term rehabilitation is also available for residents who need a temporary stay focused on recovery, and County of Barry d/b/a Thornapple Manor operates the community.

Contact Harvest Pointe at Thornapple Manor

Brookdale Delta

7323 Delta Commerce Dr, Lansing, MI 48917
Overview of Brookdale Delta

Brookdale Delta embodies the remarkable standard upheld by all Brookdale communities. Situated in the heart of Lansing, Michigan, this residence offers the perfect fusion of comfort and convenience, providing not only a warm abode but also the assurance of a stress-free lifestyle. As an assisted living community, Brookdale Delta stands as a testament to its commitment to residents’ well-being, with 24/7 staffing ensuring their needs are met around the clock.

Amidst beautifully landscaped grounds, a charming beauty and barber shop, an inviting piano room, and a lively game hub, every facet of this community is thoughtfully designed to enhance resident comfort. With the added safety net of an emergency alert system, residents and their families find reassurance in Brookdale Delta’s unwavering dedication to exceptional care. This welcoming haven adheres to assisted living guidelines, underscoring its dedication to enriching the lives of its residents through compassionate support.

Contact Brookdale Delta

Overview of Pomeroy Living Northville Assisted & Memory Care

Pomeroy Living Northville Assisted & Memory Care offers assisted living, memory care, independent living, respite care, hospice and palliative care, and skilled nursing in Northville, MI. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident keeps a private apartment, while memory care offers a secured setting with supervision for someone at risk of wandering. Independent living provides private living with community services and no daily care, and respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

Skilled nursing provides licensed nursing care on site around the clock. Hospice and palliative care focus on comfort and symptom management for residents with serious illness. With multiple care levels, the community may be a good fit for a resident whose needs grow over time and who may be able to move between services without leaving the community.

The community has 109 beds. Its Walk Score is 83, placing the area in the very walkable range, so most errands can be done on foot and a resident who no longer drives may still get out independently. Outpatient rehabilitation provides therapy without an inpatient rehabilitation stay, while short-term rehabilitation and recovery support a temporary period focused on rehabilitation. Beacon Square Northville operates the community.

Contact Pomeroy Living Northville Assisted & Memory Care

Brookdale Northville

40405 Six Mile Rd, Township Of Northville, MI 48168
Overview of Brookdale Northville

Nestled in the bustling Detroit suburb of Northville, Michigan, Brookdale Northville offers exceptional assisted living services to extraordinary seniors, empowering them to redefine independence. The community surrounds residents with vibrant, interesting people, including college students through the Perfect Pair intergenerational program from the University of Michigan. Residents have peace of mind knowing that staff is available 24/7 for emergencies.

Located off Six Mile Road, Brookdale Northville provides easy access to restaurants, shopping, and attractions like Mill Race Historical Village, Maybury State Park, and the annual Victorian Festival. The community’s activity-packed days allow residents to live their best lives, whether rekindling old hobbies or discovering new passions. Residents savor restaurant-style dining in the elegant dining room, with menus featuring their feedback, favorite recipes, and requests. Brookdale Northville combines a vibrant, engaging lifestyle with personalized care to help seniors thrive in a supportive, welcoming environment.

Contact Brookdale Northville

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Nursing Homes in Michigan at a glance

Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Michigan. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Michigan. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Michigan. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5
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Frequently Asked Questions about Nursing Homes in Michigan

What's the difference between assisted living and a nursing home in Michigan?

Assisted living in Michigan is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Michigan Medicaid cover nursing home care?

Yes — Michigan Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 159 nursing homes in Michigan. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Michigan?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Michigan, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Michigan?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.