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

Roubal Care and Rehabilitation Center

Stephenson, MI · 39 certified beds · Last Life Safety survey June 26, 2025

CMS Certification Number 235591 · first certified August 1999

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

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

31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within MI

31 citations — more than 92% 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

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

The latest survey found 8 citations; the earlier surveys in the window averaged 11.5. 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 (June 2026 to August 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was June 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

4 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

8 of the 31 citations on file are 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)

6 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 31 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility31MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
92023-06142024-0582025-06
Citations at each Life Safety survey
Survey dateCitations
June 16, 20239
May 15, 202414
June 26, 20258

Most-cited tags

Most-cited tags at this facility
K-03453K-03242E-00392K-03212K-03532K-02912E-00151E-00181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32025-06-26
K-0324Provide properly protected cooking facilities.22025-06-26
E-0039Conduct testing and exercise requirements.22024-05-15
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-05-15
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-06-26
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-06-26
E-0015Address subsistence needs for staff and patients.12025-06-26
E-0018Establish procedures for tracking staff and patients during an emergency.12024-05-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Emergency Preparedness Deficiencies 8
  • Egress Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Emergency Preparedness Deficiencies8
Egress Deficiencies5
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1

Every citation on file

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

June 26, 2025 — 8 citations

Citations issued on June 26, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 8, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 24, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 24, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 8, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 6, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 8, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 8, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 8, 2025)

May 15, 2024 — 14 citations

Citations issued on May 15, 2024
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (June 21, 2024)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 21, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 21, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 21, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 21, 2024)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (June 21, 2024)
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 (June 21, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 21, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 21, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 21, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 21, 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 (June 21, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 21, 2024)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (June 21, 2024)

June 16, 2023 — 9 citations

Citations issued on June 16, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 14, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 14, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 14, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 14, 2023)
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 (July 14, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 14, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 14, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 14, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 14, 2023)

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