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Westgate Living Center
Nursing Home, Assisted Living, Palliative Care, Respite Care & Skilled Nursing · Ironwood, MI
CMS overall rating
2/5
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.
Nursing Home, Assisted Living, Palliative Care, Respite Care & Skilled Nursing · Ironwood, MI
CMS overall rating
2/5
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.
Westgate Living Center accepts Medicare, Medicaid, and private pay.
Overview of Westgate Living Center
Westgate Living Center provides nursing home, assisted living, palliative care, respite care, and skilled nursing in Ironwood, Michigan. Skilled nursing includes licensed nursing care around the clock, while nursing home care covers both long term care and short term rehabilitation. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication.
Palliative care focuses on comfort and symptom relief for someone living with serious illness. Respite care offers a short stay when a usual caregiver needs to travel or recover. For a family that needs short term support while the primary caregiver is away or recovering, respite care may make Westgate a good fit.
With 34 beds, Westgate is a smaller community where staff and residents can get to know each other. Rehabilitation services support residents working toward recovery, and caregiver education gives family caregivers information they can use when supporting a resident. Dietary services, hospice care, and palliative care are also available.
A Walk Score of 76 places the area in the very walkable band, meaning most errands can be done on foot. A resident who no longer drives can still get out independently. Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 4 hours and 30 minutes per resident per day, representing the daily nurse staffing time assigned to each resident, and Atrium Ironwood operates Westgate Living Center.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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
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.
Hours per resident per day vs Michigan averages
Rank#32 / 129Nurse hours — State benchmarkedThis nursing home is ranked 32nd out of 129 nursing homes we track in Michigan for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 129 Michigan facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This nursing home is ranked 32nd out of 129 nursing homes we track 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.
4h 30m
5% above state avg
This facilityState avg 4h 18m
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.
49m
−4% State avg: 50m per day · National avg: 42m per day
LPN / LVNLicensed 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.
36m
−36% State avg: 57m per day · National avg: 52m per day
Nurse AideCertified 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 6m
+23% State avg: 2h 32m per day · National avg: 2h 24m per day
Weekend Total NursingCombined 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 54m
+3% State avg: 3h 48m per day · National avg: 3h 31m per day
Physical TherapistHours 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.
1m
−78% State avg: 4m per day · National avg: 4m per day
Weekend RNRegistered 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.
18m
−39% State avg: 30m per day · National avg: 29m per day
4 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.34Rank#122 / 133Bed count — State benchmarkedThis nursing home is ranked 122nd out of 133 nursing homes we track in Michigan for bed count. Shows this facility's certified or reported bed count compared to other Michigan facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Smaller home
· May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.Rank#18 / 40Years in operation — State benchmarkedThis nursing home is ranked 18th out of 40 nursing homes we track in Michigan for years in operation. Shows how long this facility has been in operation compared to other Michigan facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1year
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#12 / 160Walk Score — State benchmarkedThis nursing home is ranked 12th out of 160 nursing homes we track in Michigan for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Michigan facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
76/ 100
Residents per day The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
6
Avg. Length of Stay
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.
185days
About this community
License Details
Facility TypeHomes For The Aged
IssuanceAugust 1, 2025
CountyGogebic
License NumberAH270236923
CMS Certification Number235565
Ownership & Operating Entity
Owner NameAtrium Ironwood LLC
Therapy & Rehabilitation
2 services
Rehabilitation Services
Respite Care
Additional Policies & Features
Pets not allowed
Amenities & Lifestyle
Specific ProgramsDietary Services, Hospice & Palliative Care, Caregiver Education
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
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.
Since 2011 · 15 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.5 deficiencies5 inspections
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 2011 vs. Michigan state average
Overall vs. MI average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Michigan average:
• Total deficiencies (50% below)
• Deficiencies per inspection (39% below)
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.
5
10
This facility has 50% fewer total deficiencies than a typical Michigan nursing home (5 vs. MI avg 10).↓ 50% better
Deficiencies per inspection Average deficiencies per inspection.
1.0
1.64
This facility has 39% fewer deficiencies per inspection than a typical Michigan nursing home (1 vs. MI avg 1.64).↓ 39% better
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
MI Average
vs. MI Avg
Total inspections Combined count of all inspections conducted at this facility.
5
5
This facility has total inspections in line with the Michigan average (5 vs. MI avg 5).— At avg
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2023 · 3 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections4
State average6.7
Last Health inspection on Dec 2025
Total health citations
21Rank#45 / 128Health citations — State benchmarkedThis nursing home is ranked 45th out of 128 nursing homes we track in Michigan for health citations. Shows this facility's total health deficiency citations benchmarked to the Michigan State average, with a ranking across all 128 MI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average32.6
Citations per inspection
5.25Rank#78 / 128Citations per inspection — State benchmarkedThis nursing home is ranked 78th out of 128 nursing homes we track in Michigan for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Michigan mean across 128 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average4.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 4 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average
State average: 0.3
Serious health citations
3
67% worse than State average
State average: 1.8
0 critical citationsState average: 0.3
3 serious citationsState average: 1.8
17 moderate citationsState average: 30.1
1 minor citationState average: 0.4
Citations history (last 3 years)
Infection Control moderate citationDec 04, 2025
Corrected
Nutrition moderate citationDec 04, 2025
Corrected
Nutrition moderate citationDec 04, 2025
Corrected
Pharmacy moderate citationDec 04, 2025
Corrected
Citations history (last 3 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff81
Employees65
Contractors16
Staff to resident ratio1.37 : 1
19% fewer staff per resident than Michigan average
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
(Data as of Jan 2026)
Total fines amount
$60K Rank#109 / 129Federal fines — State benchmarkedThis nursing home is ranked 109th out of 129 nursing homes we track in Michigan for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Michigan average among facilities with fines, and where it ranks among 129 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
22% lower than Michigan average
Michigan average: $76K
Number of fines
3
48% more fines than Michigan average
Michigan average: 2.0
Payment DenialsSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Michigan average
Michigan average: 0.8
Fines amount comparison
Fines amount comparison
This facility$60K
Michigan average$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Sep 11, 2024
$45K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Sep 14, 2023
$7K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Sep 14, 2023
$7K
Last updated: Jan 2026
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 scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.9.5
13% worse than Michigan average
Michigan average: 8.4
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.16.7
In line with Michigan average
Michigan average: 16.3
Long-stay resident measures
Below averageCMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased16.4%
32% worse than Michigan average
Michigan average: 12.5%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened16.3%
6% worse than Michigan average
Michigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder17.4%
17% better than Michigan average
Michigan average: 21.0%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury7.9%
150% worse than Michigan average
Michigan average: 3.2%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers1.7%
70% better than Michigan average
Michigan average: 5.7%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection1.4%
18% better than Michigan average
Michigan average: 1.7%
Lost Too Much Weight Percent of long-stay residents who lose too much weight5.2%
7% better than Michigan average
Michigan average: 5.7%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms5.9%
54% worse than Michigan average
Michigan average: 3.9%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication25.4%
69% worse than Michigan average
Michigan average: 15.0%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine98.6%
In line with Michigan average
Michigan average: 94.9%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.3%
In line with Michigan average
Michigan average: 95.0%
Short-stay resident measures
Significantly below averageCMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine82.4%
In line with Michigan average
Michigan average: 82.5%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.0%
100% better than Michigan average
Michigan average: 1.4%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine73.9%
7% worse than Michigan average
Michigan average: 79.5%
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
52% of new residents, often for short stays.
Typical stay6 - 7 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay2 - 3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents59
Medicare
7
11.9% of residents
Medicaid
26
44.1% of residents
Private pay or other
26
44.1% 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
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 Westgate Living Center from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income$204.2K↓ ~$551.8K vs 2022
Payroll Costs$3.3M↑ ~$263.5K vs 2022
Operating Margin3.1%↓ 7.9pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Occupancy %
63.0%
64.6%
59.0%
63.3%
65.8%
68.8%
70.1%
89.2%
60.1%
67.5%
71.7%
67.7%
66.2%
Beds
113
113
113
99
99
99
99
65
99
99
99
99
99
Net Income
$557,222
$543,568
$102,271
$21,066
$75,777
$196,790
$287,442
-$22,736
$195,006
$788,654
$832,687
$1,128,415
$421,349
Gross Revenue
$6,682,312
$7,516,089
$7,316,796
$7,232,187
$7,343,059
$7,673,789
$7,805,442
$6,449,398
$7,832,538
$7,575,484
$7,380,098
$8,846,892
$8,597,471
Operating Expenses
$4,365,493
$4,692,285
$4,695,356
$4,535,607
$4,590,527
$4,807,942
$5,051,340
$5,306,760
$5,717,307
$6,092,730
$5,661,813
$6,145,176
$6,476,366
Net Patient Income
$537,154
$528,953
$84,900
-$9,274
$41,112
$150,674
-$189,463
-$519,912
$139,017
$441,111
$151,714
$756,004
$204,235
Net Patient Revenue
$4,902,647
$5,221,238
$4,780,256
$4,526,333
$4,631,639
$4,958,616
$4,861,877
$4,786,848
$5,856,324
$6,533,841
$5,813,527
$6,901,180
$6,680,601
Payroll Costs
$2,203,750
$2,263,197
$2,106,631
$1,973,312
$2,121,310
$2,259,473
$2,388,564
$2,513,800
$2,714,072
$2,877,927
$2,707,605
$3,080,436
$3,343,904
Operating Margin %
11.0%
10.1%
1.8%
-0.2%
0.9%
3.0%
-3.9%
-10.9%
2.4%
6.8%
2.6%
11.0%
3.1%
Medicare %
5.5%
9.4%
9.4%
6.2%
5.2%
9.2%
10.8%
8.9%
10.8%
15.6%
8.5%
9.9%
8.4%
Medicaid %
65.5%
63.0%
64.1%
80.4%
69.1%
58.6%
71.3%
58.4%
75.1%
45.1%
39.3%
46.0%
41.5%
Private %
29.0%
27.6%
26.5%
13.4%
25.7%
32.1%
17.9%
32.7%
14.0%
39.3%
52.2%
44.1%
50.0%
Net Patient Revenue/Day
$189
$195
$197
$198
$195
$199
$192
$226
$270
$267
$225
$282
$276
Cost/Day
$168
$176
$193
$198
$193
$193
$200
$251
$263
$249
$219
$251
$268
Avg Length of Stay
285.0 days
220.2 days
218.3 days
392.4 days
528.4 days
511.5 days
148.3 days
278.5 days
219.4 days
272.4 days
331.4 days
357.4 days
184.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a business corporation.
Net patient revenueNet 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."
$6.7M
Net patient incomeNet 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."
$204.2K
For-profit Operated by a business corporation.
Net patient revenueNet 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."
$6.7M Rank#108 / 120Net patient revenue — State benchmarkedThis nursing home is ranked 108th out of 120 nursing homes we track in Michigan. Shows this facility's net patient revenue compared to the Michigan average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
$204.2K
Other incomeMoney 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.
$217.1K
Payroll costsStaff 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.Rank#113 / 120Payroll costs — State benchmarkedThis nursing home is ranked 113th out of 120 nursing homes we track in Michigan. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Michigan average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$3.3M
50.1% of net patient revenue
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.Rank#95 / 120Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 95th out of 120 nursing homes we track in Michigan. Shows payroll as a percentage of net patient revenue versus the Michigan average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$3.1M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.5M
Certification details
License Number:235565
Owner Name:Atrium Ironwood LLC
Rural vs. Urban:Rural
County:Gogebic
Type of Control:For-profit — Operated by a business corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 6 - 7 months.
Admissions
122 total
Coverage residents most often arrive under.
Medicare38%
Private pay52%
Medicaid10%
Discharges
126 total
Coverage residents most often leave under.
Medicare26%
Private pay54%
Medicaid20%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Westgate Living Center
0.0 miles from city center Estimated distance in miles from Ironwood's city center to Westgate Living Center'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-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 TableAL (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
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.
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 5 on this page. See how we rank facilities