Michigan Masonic Home

Nursing Home, Assisted Living, Independent Living, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Alma, MI

CMS overall rating

1200 Wright Avenue, Alma, MI 48801 View map

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Michigan Masonic Home accepts Medicare, Medicaid, and private pay.

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Michigan Masonic Home accepts Medicare, Medicaid, and private pay.

Overview of Michigan Masonic Home

Michigan Masonic Home is a 124-bed care facility on Wright Avenue in Alma, Michigan, that provides skilled nursing and rehabilitation. Owned and operated under the Michigan Masonic Home name, the building accepts Medicare, Medicaid, and private payments to cover resident costs. The surrounding neighborhood is moderately walkable, allowing visitors to handle some errands on foot.

The building currently runs at 52 percent occupancy, with 64 residents using the available beds. The average length of stay is 134 days, showing that the daily routine serves a combination of short-term post-hospital recovery and continuous long-term residential care. To manage daily medical needs, the floor staff logs about 3 hours and 51 minutes of total nursing care per resident each day, which breaks down to 1 hour and 32 minutes from registered nurses and 2 hours and 33 minutes from nurse aides.

Families researching local placement options can find open beds and flexible timing for admissions due to the current capacity level. The main office can be reached to ask about room availability, double-check insurance details, or arrange an in-person walkthrough of the building. Coordinators are also available to help guide you through the initial paperwork and medical intake requirements.

Facility Direct Line (989) 463-3141

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Michigan state averages

Total nursing care / resident

3h 51m per day

This facility Michigan avg (4h 18m per day)

vs Michigan avg

-10%

1 of 6 metrics below state avg

Standout metric Weekend RN is +150% above state avg

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.	1h 39m per day	▲ 115% 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.	19m per day	▼ 65% 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 41m per day	▲ 12% State avg: 2h 23m 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.	4h 8m per day	▲ 17% 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.	4m per day	▲ 8% 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.	1h 13m per day	▲ 150% State avg: 29m per day · National avg: 28m per day

Capacity and availability

134 days

124-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 67 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

52%

Lower than the Michigan average: 75.8%

Occupied beds

64 / 124

Average occupied beds in Michigan homes 84 beds

Facility TypeHomes For The Aged

StatusRegular

IssuanceAugust 1, 2026

ExpirationJuly 31, 2027

CountyGratiot

License NumberAH290278031

CMS Certification Number235020

Owner NameMichigan Masonic Home, Inc

Staffing

Key information about the people who lead and staff this community.

ContactMs. Cindy Bosley, CEO (per BBB, record updated Jul 2026)

Rehabilitation Services

Pets not allowed

Since 2021 · 5 years of data 14 deficiencies

Inspection Scorecard 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.

Since 2021 vs. Michigan state average

Overall vs. MI average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MI Average	vs. MI Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	14	8	This facility has 75% more total deficiencies than a typical Michigan nursing home (14 vs. MI avg 8).↑ 75% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

June 26, 2025 complaint investigation found employees administering medications without formal training or competency checks, violating medication administration protocols.
May 21, 2025 complaint investigation substantiated inadequate staffing, causing prolonged call light response times and impacting resident care and medication administration.
June 11, 2025 complaint investigation found inconsistent shower documentation and incomplete service plan details for Resident A’s care needs, though allegations of rudeness and unclean room were unsubstantiated.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average 6.5

Last Health inspection on Dec 2024

Total health citations

State average 33.5

Citations per inspection

State 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 4 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

100% better than State average

State average: 1.9

0 critical citations State average: 0.3

0 serious citations State average: 1.9

9 moderate citations State average: 30.8

0 minor citations State average: 0.5

Citations history (last 4 years)

Environmental moderate citation Dec 18, 2024

Corrected

Infection Control moderate citation Dec 18, 2024

Corrected

Quality of Care moderate citation Dec 18, 2024

Corrected

Resident Rights moderate citation Dec 18, 2024

Corrected

Total staff 158

Employees 129

Contractors 29

Staff to resident ratio 1.74 : 1

0% compared with Michigan average

Avg staff/day 61

Average shift 8.5 hours

8% better than Michigan average

Total staff hours (quarter) 47,717

Nursing staff breakdown

9.8 hours

8.8 hours

9 hours

Contractor staffing

4,343 contractor hours this quarter

Licensed Practical Nurse: 6 Occupational Therapy Assistant: 5 Registered Nurse: 4 Respiratory Therapy Technician: 4 Occupational Therapy Aide: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	64	0	64	22,585	92	100%	9
Registered Nurse	32	4	36	10,640	92	100%	9.8
Clinical Nurse Specialist	7	0	7	2,844	64	70%	7.9
Licensed Practical Nurse	5	6	11	2,623	90	98%	8.8
Qualified Activities Professional	10	0	10	2,550	92	100%	8.3
Dental Services Staff	2	0	2	952	64	70%	8
Physical Therapy Assistant	0	2	2	905	66	72%	7.3
Respiratory Therapy Technician	0	4	4	610	69	75%	5.7
Dietitian	2	0	2	609	62	67%	7.6
Speech Language Pathologist	0	2	2	500	66	72%	4.1
Administrator	1	0	1	488	61	66%	8
Nurse Practitioner	1	0	1	432	54	59%	8
Occupational Therapy Aide	0	3	3	403	82	89%	4.6
Other Dietary Services Staff	3	0	3	390	34	37%	7.6
Physical Therapy Aide	0	2	2	375	68	74%	5
Qualified Social Worker	0	1	1	317	55	60%	5.8
Medical Director	1	0	1	260	50	54%	5.2
Feeding Assistant	1	0	1	192	60	65%	3.2
Occupational Therapy Assistant	0	5	5	44	38	41%	1

64 Certified Nursing Assistant

% of Days 100%

36 Registered Nurse

% of Days 100%

7 Clinical Nurse Specialist

% of Days 70%

11 Licensed Practical Nurse

% of Days 98%

10 Qualified Activities Professional

% of Days 100%

2 Dental Services Staff

% of Days 70%

2 Physical Therapy Assistant

% of Days 72%

4 Respiratory Therapy Technician

% of Days 75%

2 Dietitian

% of Days 67%

2 Speech Language Pathologist

% of Days 72%

1 Administrator

% of Days 66%

1 Nurse Practitioner

% of Days 59%

3 Occupational Therapy Aide

% of Days 89%

3 Other Dietary Services Staff

% of Days 37%

2 Physical Therapy Aide

% of Days 74%

1 Qualified Social Worker

% of Days 60%

1 Medical Director

% of Days 54%

1 Feeding Assistant

% of Days 65%

5 Occupational Therapy Assistant

% of Days 41%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 4.0

53% better than Michigan average

Michigan average: 8.4

Functional decline score 8.8

46% better than Michigan average

Michigan average: 16.3

Long-stay resident measures

Significantly above average Michigan avg: 4.1

Need for Help with Daily Activities Increased 3.2%

74% better than Michigan average

Michigan average: 12.5%

Walking Ability Worsened 5.4%

65% better than Michigan average

Michigan average: 15.3%

Low Risk Residents with Bowel/Bladder Incontinence 17.7%

16% better than Michigan average

Michigan average: 21.0%

Falls with Major Injury 0.9%

72% better than Michigan average

Michigan average: 3.2%

High Risk Residents with Pressure Ulcers 5.0%

12% better than Michigan average

Michigan average: 5.7%

Urinary Tract Infection 0.9%

47% better than Michigan average

Michigan average: 1.7%

Lost Too Much Weight 5.4%

In line with Michigan average

Michigan average: 5.7%

Depressive Symptoms 0.7%

81% better than Michigan average

Michigan average: 3.9%

Antipsychotic Use 8.6%

42% better than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine 100.0%

5% better than Michigan average

Michigan average: 94.9%

Influenza Vaccine 98.9%

In line with Michigan average

Michigan average: 95.0%

Hospitalizations per 1,000 days 1.58

9% better than Michigan average

Michigan average: 1.74

ED visits per 1,000 days 1.35

12% better than Michigan average

Michigan average: 1.54

Short-stay resident measures

Above average Michigan avg: 3.3

Pneumococcal Vaccine 99.5%

21% better than Michigan average

Michigan average: 82.5%

Antipsychotic medication increase 1.1%

25% better than Michigan average

Michigan average: 1.4%

Influenza Vaccine 86.4%

9% better than Michigan average

Michigan average: 79.5%

Re-hospitalized after SNF stay 15.4%

36% better than Michigan average

Michigan average: 24.2%

Emergency department visits 14.1%

23% worse than Michigan average

Michigan average: 11.5%

Falls with major injury 0.0%

100% better than Michigan average

Michigan average: 0.8%

Ability to care for self at discharge 40.6%

24% worse than Michigan average

Michigan average: 53.7%

Successful return to home or community 57.7%

14% better than Michigan average

Michigan average: 50.6%

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

Total residents 91

Medicare

4.4% of residents

Medicaid

72.5% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Michigan Masonic Home from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 03/2024.

Occupancy Rate 40.0% ↓ 17.3pp vs 2023

Net Patient Income -$8.3M ↓ ~$151.8K vs 2023

Payroll Costs $14.8M ↓ ~$1.6M vs 2023

Operating Margin -38.2% ↓ 5.8pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	87.5%	87.1%	85.7%	86.0%	83.0%	80.2%	80.3%	79.2%	75.7%	66.1%	54.4%	57.2%	40.0%
Beds	425	425	425	425	425	425	425	425	425	425	425	425	425
Net Income	-$244,447	$1,987,493	$610,807	$2,648,192	$3,527,488	$4,823,368	$4,552,543	$5,379,811	$3,780,946	$3,712,669	$4,592,975	$162,721	$691,563
Gross Revenue	$31,848,294	$32,143,019	$34,841,046	$35,316,080	$39,597,889	$41,184,200	$42,710,366	$44,959,360	$43,928,516	$37,742,547	$36,964,911	$33,318,621	$31,140,090
Operating Expenses	$30,205,525	$29,746,996	$30,654,026	$29,432,505	$29,316,541	$29,996,873	$31,321,544	$31,701,113	$33,479,695	$34,803,352	$36,086,148	$33,084,063	$29,857,225
Net Patient Income	-$5,103,807	-$2,738,167	-$3,795,325	-$2,774,251	$1,769,611	$2,356,220	$2,280,196	$2,956,475	$1,225,958	-$5,962,753	-$10,297,539	-$8,105,309	-$8,257,083
Net Patient Revenue	$25,101,718	$27,008,829	$26,858,701	$26,658,254	$31,086,152	$32,353,093	$33,601,740	$34,657,588	$34,705,653	$28,840,599	$25,788,609	$24,978,754	$21,600,142
Payroll Costs	$13,167,734	$12,963,135	$13,845,284	$14,202,075	$14,076,398	$13,706,660	$14,246,818	$15,440,070	$15,775,501	$17,606,259	$16,620,282	$16,383,750	$14,772,170
Operating Margin %	-20.3%	-10.1%	-14.1%	-10.4%	5.7%	7.3%	6.8%	8.5%	3.5%	-20.7%	-39.9%	-32.5%	-38.2%
Medicare %	7.9%	6.3%	6.9%	5.8%	6.1%	6.2%	6.5%	4.9%	4.8%	3.6%	1.6%	0.9%	1.8%
Medicaid %	29.9%	29.4%	28.3%	30.8%	32.0%	30.7%	33.1%	34.7%	35.8%	34.9%	46.2%	36.9%	34.5%
Private %	62.2%	64.3%	64.8%	63.4%	61.8%	63.1%	60.4%	60.4%	59.3%	61.5%	52.3%	62.1%	63.6%
Net Patient Revenue/Day	$185	$200	$202	$200	$241	$260	$270	$282	$295	$281	$305	$281	$348
Cost/Day	$222	$220	$231	$221	$227	$241	$252	$258	$284	$339	$427	$373	$480
Avg Length of Stay	154.4 days	132.3 days	136.2 days	127.4 days	183.9 days	170.7 days	197.4 days	228.0 days	262.9 days	398.3 days	272.4 days	353.2 days	134.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Net patient revenue

$21.6M

Net patient income

-$8.3M

Nonprofit Nonprofit Corporation

Net patient revenue

$21.6M

Net patient income

-$8.3M

Other income

$8.9M

Payroll costs

$14.8M 68.4% of net patient revenue

Other operating costs

$15.1M

Total costs

$29.9M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (76% of admissions), and a typical private pay stay runs around 1 years.

Coverage residents most often arrive under.

Medicare 20%

Private pay 76%

Medicaid 4%

Coverage residents most often leave under.

Medicare 16%

Private pay 57%

Medicaid 27%

0.0 miles from city center Estimated distance in miles from Alma's city center to Michigan Masonic Home's address, calculated via Google Maps.

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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 to lowest based on our ranking methodology.


Chelsea Retirement Community	NH AL IL MC SNF	Chelsea	172 Facility 172 MI AVG 74 Rank #18 / 430	48.3% Facility 48.3% MI AVG 74 Rank #104 / 119	-35%	4.49	-12%	+5%	$0	14	3.5	-	83	-	13 Facility 13 MI AVG 39 Rank #582 / 703	Umrcph, Inc	$36.6MFiscal year ending 06/2024	$19.8MFiscal year ending 06/2024	54.3%Fiscal year ending 06/2024	235021
Lourdes Senior Community	NH AL HOS IL MC SNF	Waterford Twp (Watkins-Pontiac Estates)	80 Facility 80 MI AVG 74 Rank #176 / 430	88.0% Facility 88.0% MI AVG 74 Rank #46 / 119	+19%	4.06	+37%	-5%	$15.6k	11	3.7	1	70	-	8 Facility 8 MI AVG 39 Rank #621 / 703	Richard Acho	$10.9MFiscal year ending 12/2023	$5.6MFiscal year ending 12/2023	51.7%Fiscal year ending 12/2023	235252
Michigan Masonic Home	NH AL IL MC PC RC SNF	Alma	124 Facility 124 MI AVG 74 Rank #66 / 430	51.6% Facility 51.6% MI AVG 74 Rank #99 / 119	-30%	3.86	+123%	-10%	$0	9	3.0	-	64	A+	67 Facility 67 MI AVG 39 Rank #88 / 703	Michigan Masonic Home	$21.6MFiscal year ending 03/2024	$14.8MFiscal year ending 03/2024	68.4%Fiscal year ending 03/2024	235020
Bay Bluffs Emmet County Medical Care Facility	NH HOS MC SNF	Harbor Springs	120 Facility 120 MI AVG 74 Rank #71 / 430	59.5% Facility 59.5% MI AVG 74 Rank #91 / 119	-20%	6.16	+72%	+43%	$0	12	3.0	-	71	-	29 Facility 29 MI AVG 39 Rank #438 / 703	County Of Emmet	$9.2MFiscal year ending 12/2023	$9.4MFiscal year ending 12/2023	102.2%Fiscal year ending 12/2023	235033
The Willows at Howell	NH ADC AL IL MC SNF	Howell	39 Facility 39 MI AVG 74 Rank #293 / 430	-	-	3.73	+87%	-13%	$0	20	4.0	-	55	-	78 Facility 78 MI AVG 39 Rank #36 / 703	Jamie Scott	$13.1MFiscal year ending 12/2023	$7.0MFiscal year ending 12/2023	53.3%Fiscal year ending 12/2023	235707

Nursing Home Explorer

Is Michigan Masonic Home in a walkable area?

Michigan Masonic Home has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Michigan Masonic Home?

According to MI state health department records, Michigan Masonic Home's license number is AH290278031.

When does Michigan Masonic Home's license expire?

According to MI state health department records, Michigan Masonic Home's license expires on July 31, 2027.

What is the occupancy rate at Michigan Masonic Home?

Michigan Masonic Home's occupancy is 52%.

Are pets allowed at Michigan Masonic Home?

No, Michigan Masonic Home has a no-pet policy.

Does Michigan Masonic Home operate as a for-profit or non-profit?

Michigan Masonic Home is registered as a non-profit in MI.

How many beds does Michigan Masonic Home have?

Michigan Masonic Home has 124 beds.

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Michigan Masonic Home

Overview of Michigan Masonic Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Additional Policies & Features

Contact Michigan Masonic Home

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

64 Certified Nursing Assistant

36 Registered Nurse

7 Clinical Nurse Specialist

11 Licensed Practical Nurse

10 Qualified Activities Professional

2 Dental Services Staff

2 Physical Therapy Assistant

4 Respiratory Therapy Technician

2 Dietitian

2 Speech Language Pathologist

1 Administrator

1 Nurse Practitioner

3 Occupational Therapy Aide

3 Other Dietary Services Staff

2 Physical Therapy Aide

1 Qualified Social Worker

1 Medical Director

1 Feeding Assistant

5 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Nurse Aide Training

CCRC

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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