4/5
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.
4/5
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.
With a capacity of 200 residents, Iron County Medical Care Facility is a nursing home in Crystal Falls, MI, that offers nursing care and rehabilitation services. For 25 years, the community has been operated by the County of Iron with private rooms in a single-story setting. Along with Skyway Rehab Services and Victorian Heights Assisted Living, the community also accepts Medicare, Medicaid, and private pay.
The community is currently at a 57.2% occupancy rate, with an average length of stay of 231 days. Moreover, an average of 4 hours and 56 minutes of nursing care is provided each day from registered nurses, licensed practical nurses, and nurse aides. Through this staffing, the community can provide consistent support for ongoing medical needs and rehabilitation.
With a Walk Score of 11, the community’s surrounding area is highly car-dependent. This requires transportation to complete most errands.
State inspections have also reviewed the community’s practices in areas such as medication management, controlled substance security, infection prevention, incident reporting, and quality of care.
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.
| 42m per day | ▼ 10% 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.
| 39m per day | ▼ 26% 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.
| 2h 53m per day | ▲ 21% State avg: 2h 23m per day · National avg: 2h 21m 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 36m per day | ■ Avg State avg: 3h 31m per day · National avg: 3h 26m 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 | ▼ 56% 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.
| 26m per day | ▼ 9% State avg: 29m per day · National avg: 29m 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.
| 19 | 8 | This facility has 138% more total deficiencies than a typical Michigan nursing home (19 vs. MI avg 8).↑ 138% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Michigan average 6.5
Last Health inspection on Apr 2025
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.
14 of 17 citations resulted from standard inspections; 2 of 17 resulted from complaint investigations; and 1 of 17 came from combined inspections (standard and complaint).
100% better than Michigan averageMichigan average: 0.3
100% better 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.
6% fewer 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 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursAssists with medical care and medications.
16 total: 8 full-time employees and 8 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
96 total: 74 full-time employees and 22 contractors.
96
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,414 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 74 | 22 | 96 | 28,967 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 8 | 8 | 16 | 6,838 | 92 | 100% | 9.1 |
| Registered Nurse | 16 | 0 | 16 | 4,015 | 91 | 99% | 10.9 |
| Other Dietary Services Staff | 8 | 0 | 8 | 3,078 | 92 | 100% | 7.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,790 | 65 | 71% | 7.8 |
| Physical Therapist | 7 | 0 | 7 | 1,976 | 92 | 100% | 7 |
| Speech Language Pathologist | 1 | 1 | 2 | 1,345 | 66 | 72% | 10.8 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,265 | 77 | 84% | 7 |
| Mental Health Service Worker | 2 | 0 | 2 | 900 | 64 | 70% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Dietitian | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 307 | 51 | 55% | 6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 113 | 27 | 29% | 4.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 50 | 30 | 33% | 1.7 |
| Medical Director | 0 | 1 | 1 | 36 | 15 | 16% | 2.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 33 | 18 | 20% | 1.8 |
| RN Director of Nursing | 1 | 0 | 1 | 10 | 2 | 2% | 4.9 |
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.
12.5
49% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.5
38% worse than Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.7%
82% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
19.8%
29% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
19% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
93% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.3%
45% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
2.9%
74% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
5.6%
In line with 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
20.5%
37% worse than 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%
Number of hospitalizations per 1,000 long-stay resident days.
0.81
53% better than Michigan averageMichigan average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.20
43% worse than Michigan averageMichigan average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
20% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
20% better than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.5%
22% worse than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
30.4%
164% worse than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
41.7%
18% worse than Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
45% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Data 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 Iron County Medical Care Facility 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.
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.
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).
No pets allowed
Housing Options: Private Rooms
Building Type: Single-story
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 9 - 10 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 miles from city center
Estimated distance in miles from Crystal Falls's city center to Iron County Medical Care Facility's address, calculated via Google Maps.
Add your location
Iron County Medical Care Facility is located in Crystal Falls, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Iron County Medical Care Facility is in the US 2 neighborhood of Crystal Falls.
Iron County Medical Care Facility has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
Iron County Medical Care Facility's occupancy is 57.8%.
Iron County Medical Care Facility has been operating for approximately 25 years, based on available licensing and registration records.
No, Iron County Medical Care Facility has a no-pet policy.
Iron County Medical Care Facility is a government-operated nursing facility in MI.
Yes — there are 4 photos of Iron County Medical Care Facility in the photo gallery on this page.
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