15 of the 422 Medicare-certified nursing homes in Michigan (4%) are hospital-based, and all are listed below. 12 of the 15 graded homes earn an A and 0 earn a D or F. They average 5.18 nursing hours per resident per day, 1.19 hours above the 3.99 for every home in Michigan. Paul Oliver Memorial Hospital Ltcu in Frankfort grades highest at A (97 out of 100).
How hospital-based homes in Michigan compare
This group set against every nursing home in Michigan, from the current CMS release.
Paul Oliver Memorial Hospital Ltcu runs 35 certified beds in Frankfort under corporate for-profit ownership, and the staffing numbers stand out: 5.86 nurse hours per resident day, roughly half again the national average of 3.86. Turnover sits at 22.5%, well under the 45.8% national figure, though weekend coverage dips about 9% below its own weekday level. Federal ratings put inspections at 4 of 5 stars and both quality measures and staffing at 5 of 5. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated March 20, 2025.
Lakeview runs on unusually steady ground. Nurse staffing sits at 5.72 hours per resident day, roughly half again the national mark, and only 18.2% of staff left last year against a national average near 46%, that kind of retention usually shows up as familiar faces who know the residents. Inspections are recent and clean where it counts: fifteen deficiencies on record, none causing harm or involving abuse, and the health inspection rating came back perfect. The one soft spot is weekends, when coverage drops about a fifth below the home's own weekday level. Nonprofit ownership, 30 beds, and a four out of five on quality measures round out a record that's hard to argue with.
The numbers at MyMichigan Skilled Nursing in Standish are mostly good news: 5.87 nurse hours per resident per day, roughly half again the national average, and staff turnover of 22.6% against a national 45.8%, both signs of a stable, well-covered floor. Weekend coverage dips about 18% below weekday levels, worth asking about if a family member needs more help on Saturdays and Sundays. The caution is in the inspection record: 18 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a single $32,175 fine. Quality and staffing each scored 5 out of 5 from CMS, and the most recent inspection was April 2026, so the picture is current.
Munson Healthcare Otsego Memorial's long-term care unit in Gaylord runs 34 certified beds under nonprofit corporate ownership, and its staffing is the clearest strength here: 5.14 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, and annual turnover of 36.1% sits below the national 45.8%, so the people providing that care tend to stay. The caution is the inspection record, 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated April 2026. Solid staffing and a thinner margin for error on compliance can both be true at once.
Corewell Health's rehab unit in Grand Rapids runs on 4.58 nurse hours per resident day, about 19% above the national average, and that staffing shows up in its ratings, with five stars each on health inspections and quality measures. Weekend coverage dips roughly 12% below weekday levels, which is typical but worth knowing if you're planning visits. The 45.8% turnover rate lands exactly at the national average, so stability here is neither a strength nor a weakness. Inspectors found 19 deficiencies on the current record, none causing harm and one tied to abuse, and the most recent inspection was in January 2026, recent enough to trust.
Nurse staffing here runs 4.64 hours per resident day, about 20 percent above the national average of 3.86, and weekend coverage dips only around 11 percent below its own weekday level, a gap that matters because that's when families tend to visit and care needs don't pause. Staff turnover sits at 29.3 percent against a national figure of 45.8 percent, which suggests people stay. On the inspection side, the record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey dated April 2025. Quality measures scored lower than staffing and inspections, so the picture isn't perfect, but the core numbers point to a stable, well-covered building.
Nurse staffing at this Reed City home runs about 21% above the national average, 4.68 hours per resident day against 3.86, and weekend coverage dips only modestly from weekday levels, so care doesn't thin out as much when families tend to visit. Staff turnover sits at 34.9%, meaningfully lower than the 45.8% national figure, which suggests a steadier workforce than many homes manage. The inspection record is clean where it matters most: five deficiencies total, none causing harm or jeopardy, none abuse-related, and the most recent survey was in December 2025. Nonprofit corporate ownership. The one soft spot is the quality measure rating at 3 out of 5, so ask what those specific measures cover.
Kalkaska Memorial runs on a hospital-district license, and its staffing is the clearest thing in its file: 4.98 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping about 12% below its own weekday level. Turnover sits at 17.4% against a 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The friction is inspections. Thirteen deficiencies on the current record, four of them serious enough to involve harm or jeopardy, plus one fine of $10,549, and the last survey was July 2025. Strong hands-on care, a thinner safety and compliance record.
Memorial Healthcare Center runs on unusually heavy nurse coverage for its size, 7.77 hours per resident day against a national average of 3.86, with weekends dipping about 12% from its own weekday pace. Staff turnover sits at 35.7%, roughly ten points better than the national figure, which matters in a 39-bed nonprofit building where you'd notice every departure. The inspection record is thin: one deficiency on file, none involving harm or abuse, and the most recent survey dates to January 2026. Quality measures score lower than the staffing and inspection marks, so the care process data isn't as strong as the hands-on hours suggest.
Hillsdale Hospital Mcguire & Macritchie Long Term runs 38 certified beds under nonprofit ownership, and the nurse staffing here sits well above what most homes provide, 5.70 hours per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and annual turnover of 51.5% edges past the national 45.8%, so continuity of caregivers is worth asking about directly.
The inspection record shows nine deficiencies, including one at the harm level and one abuse-related, which matters more than any star rating. The last inspection was recent, December 2025, so that picture is current rather than stale.
Marlette Community Hospital Ltcu runs on unusually thin turnover, 22.4% against a national average of 45.8%, which helps explain why nurse staffing sits at 4.86 hours per resident day, roughly a quarter above the national figure. Weekends dip about 17% below weekday coverage, so ask how that gap gets filled. The inspection record shows 22 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth a direct question about what happened and what changed. Quality measures score lower than staffing does.
Munson Healthcare Crawford Continuing Care Center runs on 4.57 nurse hours per resident day, about 18% above the national average, and its staff turnover of 20.7% is less than half the national rate of 45.8%. That kind of stability matters more than any single inspection score, because residents see the same faces instead of a rotating cast. Weekend staffing dips roughly 5% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The home carries 26 deficiencies on its current record, none at the harm level, though two are abuse-related, and it has paid one fine of $27,600. Its last inspection was in March 2026, so the picture is current.
Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.
Portagepointe runs on a lot of nurse hours, 5.45 per resident per day, roughly 41% above the national average of 3.86. That staffing level is the main reason the home lands where it does. Weekends dip about 9% below its own weekday coverage, so care gets a little thinner on Saturdays and Sundays. Its inspection record shows 10 deficiencies, none serious enough to cause harm or jeopardy and none tied to abuse, and the most recent visit was May 29, 2025. Quality measures score lower than staffing does. The tradeoff here is real: strong day-to-day coverage, weaker marks on clinical outcomes, and a corporate for-profit owner.
Lake Orion Nursing Center runs lean on staff. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 65.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often.
The inspection record is the harder read: 22 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $137,640 fine. A May 2025 inspection is recent, at least. Nonprofit ownership doesn't erase any of that. Ask about weekend coverage and turnover directly before deciding.
Frequently asked questions
How many hospital-based nursing homes are there in Michigan?
There are 15 hospital-based Medicare-certified nursing homes in Michigan, 4% of the 422 nursing homes there.
Are hospital-based nursing homes better staffed?
In Michigan they average 5.18 total nursing hours per resident per day, against 3.99 for all nursing homes in Michigan, a difference of +1.19 hours. Staff turnover averages 33.6% against 44.1%.
Which hospital-based nursing home grades best in Michigan?