Maryhill Manor

Penalties

• Jun 25, 2024 — Fine ($50,606)

Inspection findings

1. Jun 16, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jul 7, 2026 · CMS health inspection

2. Mar 25, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Apr 8, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Apr 8, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 8, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Apr 8, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Apr 8, 2026 · CMS fire safety

3. Feb 4, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 26, 2026 · CMS health inspection

4. Mar 10, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Mar 24, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Mar 24, 2025 · CMS health inspection

5. Dec 18, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jan 7, 2025 · CMS health inspection

6. Nov 6, 2024 Fire Safety · 10 findings
   • Not serious Scope/severity E

     E0020 Emergency Preparedness Deficiencies

     Establish policies and procedures including evacuation.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 18, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Nov 18, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0751 Miscellaneous Deficiencies

     Have restrictions on the use of flammable curtains.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0753 Miscellaneous Deficiencies

     Have restrictions on the use of highly flammable decorations.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Nov 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Mar 25, 2025 · CMS fire safety

7. Jun 25, 2024 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jul 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jul 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jul 10, 2024 · CMS health inspection

8. Sep 27, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 11, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Oct 11, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 11, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Oct 11, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BAIER, PATRICIA — corporate director, NOT APPLICABLE, since 01/01/2016
• BAIER, PATRICIA — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• BAIER, PATRICIA — adp of the snf, NOT APPLICABLE, since 01/01/2016
• BRASURE, ANN — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• BRASURE, ANN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• BRASURE, ANN — corporate officer, NOT APPLICABLE, since 01/01/2024
• CROCKFORD, LYNNE — operational/managerial control, NOT APPLICABLE, since 01/01/2020
• CROCKFORD, LYNNE — corporate officer, NOT APPLICABLE, since 01/01/2020
• CROCKFORD, LYNNE — adp of the snf, NOT APPLICABLE, since 01/01/2020
• DECKER, DAN — corporate officer, NOT APPLICABLE, since 01/01/2024
• DECKER, DAN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• DECKER, DAN — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• EBLI, JIM — corporate officer, NOT APPLICABLE, since 01/01/2024
• EBLI, JIM — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• EBLI, JIM — adp of the snf, NOT APPLICABLE, since 01/01/2024
• FRANTZ, LANA — adp of the snf, NOT APPLICABLE, since 01/01/2016
• FRANTZ, LANA — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• FRANTZ, LANA — corporate director, NOT APPLICABLE, since 01/01/2016
• FREDRICK, AUDREY — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• FREDRICK, AUDREY — corporate director, NOT APPLICABLE, since 01/01/2024
• FREDRICK, AUDREY — adp of the snf, NOT APPLICABLE, since 01/01/2024
• HAYES, PAUL — adp of the snf, NOT APPLICABLE, since 01/01/2021
• HAYES, PAUL — operational/managerial control, NOT APPLICABLE, since 01/01/2021
• HERRIGES, ROSEMARY — operational/managerial control, NOT APPLICABLE, since 01/01/2021
• HERRIGES, ROSEMARY — corporate director, NOT APPLICABLE, since 01/01/2016
• HERRIGES, ROSEMARY — adp of the snf, NOT APPLICABLE, since 01/01/2021
• KALDOR, CARRIE — adp of the snf, NOT APPLICABLE, since 01/01/1999
• KALDOR, CARRIE — operational/managerial control, NOT APPLICABLE, since 01/01/1999
• MATTSON, ANN — corporate director, NOT APPLICABLE, since 01/01/2024
• MATTSON, ANN — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• MATTSON, ANN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• PULTZ, ROBERT — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• PULTZ, ROBERT — adp of the snf, NOT APPLICABLE, since 01/01/2016
• PULTZ, ROBERT — corporate director, NOT APPLICABLE, since 01/01/2016
• SIKORA, CHRISTY — operational/managerial control, NOT APPLICABLE, since 05/18/2021
• SIKORA, CHRISTY — adp of the snf, NOT APPLICABLE, since 05/18/2021
• FIRST BANK UPPER MICHIGAN — 5% or greater mortgage interest, NOT APPLICABLE, since 11/30/2022
• HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC — adp of the snf, NOT APPLICABLE, since 12/02/2025
• HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC — operational/managerial control, NOT APPLICABLE, since 06/01/2018
• PRIME TIME HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 12/02/2025
• PRIME TIME HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2019
• UP REHAB SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2018
• UP REHAB SERVICES LLC — adp of the snf, NOT APPLICABLE, since 12/02/2025
• WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 12/02/2025
• WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 01/01/1999