Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Brittany Manor

Midland, MI · 138 certified beds · Last Life Safety survey March 27, 2025

CMS Certification Number 235245 · first certified May 1976

Ownership

Operated by CIENA HEALTHCARE/LAUREL HEALTH CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within MI

15 citations — more than 55% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to May 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 15 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility15MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0632024-0492025-03
Citations at each Life Safety survey
Survey dateCitations
June 8, 20233
April 4, 20243
March 27, 20259

Most-cited tags

Most-cited tags at this facility
K-03533K-03452K-09182K-07411K-07611E-00391K-03741K-01111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-03-27
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-03-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-03-27
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-04-04
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-03-27
E-0039Conduct testing and exercise requirements.12025-03-27
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-03-27
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12025-03-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Construction Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 27, 2025 — 9 citations

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 26, 2025)
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (April 26, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 26, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 26, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 26, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 26, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 26, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 26, 2025)

April 4, 2024 — 3 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 10, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 10, 2024)

June 8, 2023 — 3 citations

Citations issued on June 8, 2023
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (June 21, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 21, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 21, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.