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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.
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.
Tuscola County operates Heritage Hill Assisted Living & Memory Care, a 56-bed nursing home on Cleaver Road in Caro, in Tuscola County. The facility opened in 1987 and expanded substantially in 2013, adding a secured memory care unit and increasing licensed capacity from 38 to 56 beds. It accepts Medicare, Medicaid, and private pay.
The community offers secured memory care, private apartment-style suites, activity programs, transportation services, dietary accommodations, and pets. All features are confirmed and active.
Current occupancy is 36 percent (20 of 56 beds occupied), well below the state average, indicating immediate openings. The resident population is predominantly Medicaid (80 percent), with an average stay of 227 days, reflecting a long-term care model.
The June 2023 renewal inspection documented zero deficiencies and approved license renewal. This result aligns with prior inspections in 2013 and 2009, both of which also found full compliance. What sets Heritage Hill apart is staffing depth: nearly 6 hours of nursing care per resident daily, the second-highest in Michigan and 41 percent above the state average. That investment appears directly in its budget; payroll accounts for 70.8 percent of revenue, the sixth-highest proportion among Michigan nursing homes.
Heritage Hill serves residents seeking long-term skilled care in a rural setting with exceptional staffing resources and current availability.
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.
This home is ranked 2nd out of 133 homes in Michigan for nurse hours. 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.
| 59m per day | ▲ 27% State avg: 46m per day · National avg: 41m 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.
| 1h 1m per day | ▲ 14% State avg: 53m per day · National avg: 52m 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.
| 3h 49m per day | ▲ 64% State avg: 2h 20m per day · National avg: 2h 20m 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.
| 5h 3m per day | ▲ 44% State avg: 3h 31m per day · National avg: 3h 27m 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.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m 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.
| 32m per day | ▲ 9% State avg: 29m per day · National avg: 29m per day |
Lower than the Michigan average: 75.8%Heritage Hill Assisted Living & Memory Care is legally operated by Cleaver Road Opco LLC.
Key information about the people who lead and staff this community.
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, citation, 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.
Inspections
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 5 | This facility has 40% fewer total inspections than a typical Michigan nursing home (3 vs. MI avg 5).↓ 40% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Michigan average 6.5
Last Health inspection on Oct 2024
Michigan average 33.5
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 24 citations resulted from standard inspections.
100% better than Michigan averageMichigan average: 0.3
58% worse than Michigan averageMichigan average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% more staff per resident than Michigan average
0% compared with Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 23 RN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 141 CNA Staff are full-time employees. No contractors work on this role.
141
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,291 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 141 | 0 | 141 | 48,331 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 25 | 0 | 25 | 11,103 | 92 | 100% | 9.8 |
| Registered Nurse | 23 | 0 | 23 | 8,402 | 92 | 100% | 8.9 |
| Other Dietary Services Staff | 12 | 0 | 12 | 3,582 | 87 | 95% | 7.5 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 3,501 | 76 | 83% | 8.1 |
| RN Director of Nursing | 4 | 0 | 4 | 1,709 | 71 | 77% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,393 | 70 | 76% | 8 |
| Administrator | 2 | 0 | 2 | 952 | 62 | 67% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 793 | 68 | 74% | 7.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 500 | 69 | 75% | 7 |
| Other Social Services Staff | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 438 | 70 | 76% | 6.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 361 | 55 | 60% | 6.6 |
| Qualified Social Worker | 0 | 1 | 1 | 82 | 26 | 28% | 3.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 61 | 23 | 25% | 2.7 |
| Medical Director | 0 | 1 | 1 | 56 | 14 | 15% | 4 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.6
26% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
48% worse than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
20.2%
62% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
24.2%
58% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
33% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
48% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.5%
57% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
2.3%
34% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
4.5%
21% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
7.3%
89% worse than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
15.4%
In line with Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
19% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
73% worse than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
24% better than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
127Residents meet regularly to discuss policies, care quality, 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 Heritage Hill Assisted Living & Memory Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #9 / 134Payroll — State benchmarkedThis home is ranked 9th out of 134 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
28.9 miles from city center
Estimated distance in miles from Caro's city center to Heritage Hill Assisted Living & Memory Care's address, calculated via Google Maps.
Add your location
Heritage Hill Assisted Living & Memory Care is located in Caro, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Bay City Comfort Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bay City (Bangor Township) | 67
Facility
67
MI AVG
75
Rank
#227 / 435 |
52.2%
Facility
52.2%
MI AVG
75.8%
Rank
#179 / 386 | -31% | 4.27
Facility
4.27
MI AVG
4.30
Rank
#44 / 133 | -27% | -1% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 136 | 32
Facility
32
MI AVG
33.5
Rank
#76 / 135 | 8.0
Facility
8.0
MI AVG
5.2
Rank
#117 / 135 | - | 35 | A+ |
38
Facility
38
MI AVG
39
Rank
#341 / 703 | Bay City Comfort Care LLC | $9.7M
Facility
$9.7M
MI AVG
$15.8M
Rank
#118 / 134 | $3.8M
Facility
$3.8M
MI AVG
$5.6M
Rank
#121 / 134 | 39.3%
Facility
39.3%
MI AVG
39%
Rank
#81 / 134 | 235286 | ||||
| Heritage Hill Assisted Living & Memory Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Caro (Cleaver Road) | 56
Facility
56
MI AVG
75
Rank
#258 / 435 |
35.7%
Facility
35.7%
MI AVG
75.8%
Rank
#278 / 386 | -53% | 5.98
Facility
5.98
MI AVG
4.30
Rank
#2 / 133 | -4% | +39% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 136 | 24
Facility
24
MI AVG
33.5
Rank
#59 / 135 | 8.0
Facility
8.0
MI AVG
5.2
Rank
#117 / 135 | 3 | 20 | A+ |
20
Facility
20
MI AVG
39
Rank
#526 / 703 | Tuscola County | $23.7M
Facility
$23.7M
MI AVG
$15.8M
Rank
#37 / 134 | $16.8M
Facility
$16.8M
MI AVG
$5.6M
Rank
#9 / 134 | 70.8%
Facility
70.8%
MI AVG
39%
Rank
#6 / 134 | 235089 |
Heritage Hill Assisted Living & Memory Care is in the Cleaver Road neighborhood of Caro.
The legal owner and operator of Heritage Hill Assisted Living & Memory Care is Cleaver Road Opco LLC.
Heritage Hill Assisted Living & Memory Care has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MI state health department records, Heritage Hill Assisted Living & Memory Care's license number is AH790297374.
According to MI state health department records, Heritage Hill Assisted Living & Memory Care's license expires on July 31, 2027.
Heritage Hill Assisted Living & Memory Care's occupancy is 36%.
Heritage Hill Assisted Living & Memory Care has 56 beds.
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