Occupancy rate
70%
In line with Michigan averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Michigan Masonic Home
Nursing Home in Michigan
CMS overall rating
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.
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.
Michigan Masonic Home
Nursing Home in Michigan
CMS overall rating
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.
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.
Michigan Masonic Home is a not-for-profit organization located in Alma, Michigan, dedicated to providing the best in senior care and senior living services. It offers a variety of lifestyle options including independent living, assisted living, memory care, and rehabilitation services. The facility is committed to enhancing lives through innovative services and exceptional care.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 57th out of 103 homes in Michigan.
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.
This home is ranked 57th out of 103 homes in Michigan.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.
3h 51m per day
vs Michigan avg
-9%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
92
Avg. Length of Stay
134 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
76% of new residents, often for short stays.
Typical stay
1 years
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
12 - 13 years
Finances and operations
Voluntary non-profit community
Home revenue
$40.1M
Surplus of revenue
$691.6K
Voluntary non-profit community
Home revenue
$40.1M
Surplus of revenue
$691.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$39.4M
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Michigan averageOccupied beds
64 / 92
Average residents
84 per day
Facility TypeHomes For The Aged
StatusRegular
CountyGratiot
License NumberAH290278031
CMS Certification Number235020
Owner NameMichigan Masonic Home, Inc.
Staffing
Key information about the people who lead and staff this community.
ContactCindy Bosley
Rehabilitation Services
Skilled Nursing
Specific ProgramsRehabilitation Services
Inspection History
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.
7 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Michigan average: 5 visits/inspections
Show Inspection Reports
Latest inspection
Date
June 26, 2025
Complaint Investigation5 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Michigan average: 8 deficiencies
Inspection Report Summary for Michigan Masonic Home
The most recent inspection on June 26, 2025, identified deficiencies related to employee training and competency checks for medication administration. Earlier inspections also noted issues with staffing shortages, incomplete care documentation, and medication administration practices. Prior reports cited inadequate staffing levels affecting resident care and medication delivery, as well as inconsistent documentation of resident care plans and food handling concerns. Complaint investigations found some allegations substantiated, including staffing inadequacies and unmet care needs, while other complaints such as staff rudeness and room cleanliness were unsubstantiated. The inspection history shows ongoing challenges with staffing and medication administration, with no clear pattern of improvement or worsening over time.
Health Inspection History
Inspections
Total health inspections
3
Michigan average 6.5
Last Health inspection on Dec 2024
Total health citations
9
Michigan average 33.5
Citations per inspection
3
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Michigan averageMichigan average: 0.3
Serious Health citations
0
0
100% better than Michigan averageMichigan average: 1.9
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 18, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 18, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 18, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 18, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 18, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 18, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 18, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 18, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Michigan The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
| Michigan Masonic Home |
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. | Alma | 425 | 40.0% | -47% | 3.86 | +145% | -10% | 0 | 9 | 3.0 | 0 | 92 | A+ | - | Michigan Masonic Home | $31.1M | $12.1M | 38.9% | 235020 | ||||
| Arden Courts (Bingham Farms) | - |
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. | Bingham Farms (Southfield Township) | 56 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Besser Senior Living Community | - |
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. | Alpena | 52 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Brentwood at Niles | - |
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. | Niles | 80 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Brookdale Farmington Hills North II | - |
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. | Farmington Hills | 32 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Financial Assistance for
Nursing Home in Michigan
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Estimated distance in miles from Alma's city center to Michigan Masonic Home's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
138
Employees
118
Contractors
20
Staff to resident ratio
1.52:1
13% worse than Michigan averageMichigan average ratio: 1.75:1
Avg staff/day
61
Average shift
8.6 hours
9% better than Michigan averageMichigan average: 7.9 hours
Total staff hours (quarter)
47,906
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9.7%
4,649 contractor hours this quarter
Occupational Therapy Assistant: 5
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Physical Therapy Aide: 2
Respiratory Therapy Technician: 2
Licensed Practical Nurse: 1
Registered Nurse: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 53 | 0 | 53 | 21,531 | 91 | 100% | 9.3 |
| Registered Nurse | 33 | 1 | 34 | 11,190 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 8 | 1 | 9 | 2,913 | 91 | 100% | 9.1 |
| Qualified Activities Professional | 10 | 0 | 10 | 2,580 | 91 | 100% | 8.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,490 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 1,319 | 70 | 77% | 7.1 |
| Dental Services Staff | 2 | 0 | 2 | 952 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 707 | 67 | 74% | 6.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 630 | 65 | 71% | 5.1 |
| Dietitian | 2 | 0 | 2 | 625 | 64 | 70% | 5.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 518 | 67 | 74% | 5.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 371 | 64 | 70% | 5.8 |
| Medical Director | 1 | 0 | 1 | 320 | 64 | 70% | 5 |
| Feeding Assistant | 1 | 0 | 1 | 252 | 63 | 69% | 4 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 45 | 36 | 40% | 1.1 |
53 Certified Nursing Assistant
% of Days
100%
34 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
10 Qualified Activities Professional
% of Days
100%
6 Clinical Nurse Specialist
% of Days
71%
3 Physical Therapy Assistant
% of Days
77%
2 Dental Services Staff
% of Days
69%
2 Respiratory Therapy Technician
% of Days
74%
2 Speech Language Pathologist
% of Days
71%
2 Dietitian
% of Days
70%
2 Physical Therapy Aide
% of Days
74%
1 Administrator
% of Days
70%
1 Occupational Therapy Aide
% of Days
67%
1 Nurse Practitioner
% of Days
64%
3 Qualified Social Worker
% of Days
70%
1 Medical Director
% of Days
70%
1 Feeding Assistant
% of Days
69%
5 Occupational Therapy Assistant
% of Days
40%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91
Medicare
4
4.4% of residents
Medicaid
66
72.5% of residents
Private pay or other
21
23.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.0
53% better than Michigan averageMichigan average: 8.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
46% better than Michigan averageMichigan average: 16.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
74% better than Michigan averageMichigan average: 12.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.4%
Percent of long-stay residents whose ability to move independently worsened
5.4%
65% better than Michigan averageMichigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
16% better than Michigan averageMichigan average: 21.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
72% better than Michigan averageMichigan average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
12% better than Michigan averageMichigan average: 5.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
47% better than Michigan averageMichigan average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.4%
Percent of long-stay residents who lose too much weight
5.4%
In line with Michigan averageMichigan average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
81% better than Michigan averageMichigan average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.6%
Percent of long-stay residents who received an antipsychotic medication
8.6%
42% better than Michigan averageMichigan average: 15.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Michigan averageMichigan average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
21% better than Michigan averageMichigan average: 82.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
25% better than Michigan averageMichigan average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
9% 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.
Financial Trends
Historical financial and operational data for Michigan Masonic Home based on CMS SNF Cost Reports.
Occupancy Rate
40.0%
↓ 17.3pp vs 2023
Net Income
$691.6K
↑ ~$528.8K vs 2023
Total Payroll
$14.8M
↓ ~$1.6M vs 2023
Profit Margin
2.2%
↑ 1.7pp vs 2023
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