Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 0.94 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Crawford Continuing Care Center
Grayling, MI
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 0.94 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 25, 2026 cited 5 deficiencies.
View inspection evidenceCMS-published records list 107 ownership or control parties.
View ownership evidenceCMS records show a $27,600 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with MUNSON HEALTHCARE.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 3, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across MI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2013
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Feb 1, 2015
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Feb 1, 2015
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 3, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 30, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across MI.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 3, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 2 across MI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 21, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 21, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 21, 2026)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 21, 2026)
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 21, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Give the resident's representative the ability to exercise the resident's rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Penalties & enforcement
Published fine amount: $27,600.00
Payment denial length: 7 days
Questions to ask
Facility history
11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 4.21 to 4.57 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
4.21 → 4.57
CMS · Reported in a source release · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 1.00 to 0.84 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
1.00 → 0.84
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 4.85 to 4.40 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
4.85 → 4.40
CMS · Reported in a source release · View related evidence
RN staffing decreased from 1.30 to 1.00 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
1.30 → 1.00
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $27,600 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 7 days.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.653 | 4.365 |
| RN categories | 1.073 | 0.591 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.093 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.846 | 1.302 | 0.453 | 3.091 | 0% | 91 |
| 2025Q3 | 4.402 | 1.004 | 0.45 | 2.948 | 0% | 92 |
| 2025Q4 | 4.211 | 0.843 | 0.51 | 2.858 | 0% | 92 |
| 2026Q1 | 4.571 | 0.936 | 0.495 | 3.14 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.