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Nursing HomeMedicaid Investigative

Autumnwood of Mcbain

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

220 South Hughston Street, Mcbain, MI 4965795 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 55 Google reviews

5
4
3
2
1
Autumnwood of Mcbain Nursing Home in Mcbain, MI — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (22 vs median 8.0)

Bottom 25% in MI · Below recommended RN staffing · Worst in CIENA HEALTHCARE/LAUREL HEALTH CARE chain · $39,000 in fines

Source: Medicare data

What this means for your family

While the facility is frequently praised for its effective physical therapy and kind staff, the recent increase in reports regarding severe understaffing and neglect is concerning. We strongly recommend visiting during off-hours to observe response times and asking management specifically how they plan to address the reported staffing shortages before admitting your loved one.

Google Reviews

Google Reviews

55 reviews on Google
Autumnwood of McBain receives polarized feedback, with many families praising the dedicated therapy team and compassionate nursing staff for successful rehabilitation stays. However, significant concerns exist regarding chronic understaffing, which leads to long wait times for basic care, inconsistent attention to hygiene, and occasional lapses in patient safety and dignity.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean6.0Activities7.0MedsN/AMemory5.0Comms6.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Compassionate and dedicated nursing staff
  • Strong support for post-surgery rehabilitation
  • Clean and well-maintained facility environment

Concerns

  • Chronic understaffing leading to long wait times (mentioned by 6 reviewers)
  • Poor hygiene and cleanliness in patient rooms (mentioned by 3 reviewers)
  • Inconsistent or neglectful patient care (mentioned by 5 reviewers)
  • Poor food quality and limited meal options (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(1)'22(2)'24(6)'26(6)

Distribution · 53 analyzed

5
38
4
6
3
0
2
1
1
8

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your facility has a strong reputation for physical and occupational therapy; how do you integrate those rehabilitation services into a resident's daily routine?
  • 2Given that some families have expressed concerns about response times, what specific systems or protocols do you have in place to ensure residents receive timely assistance when they call for help?
  • 3I see that your team is active in responding to feedback online; how do you use that family input to make tangible improvements to the quality of care or dining options?
  • 4Regarding the recent health inspection reports, what steps is the leadership team currently taking to address those specific areas of concern and improve the overall care standards?
  • 5How do you ensure that the cleanliness and hygiene of individual resident rooms are consistently maintained to a high standard throughout the week?
  • 6What does the daily activity calendar look like, and how do you encourage residents to participate in social engagement outside of their scheduled therapy sessions?

Personalized based on this facility's data


Key Review Excerpts

The staff will work with you to prepare and ensure that you are strong and safe to return home to complete your recovery process.

Rehab patient · 2024★★★★★

CENAS genuinely care and are very short staffed. They could use more CENAS! The wait times to be put into bed from being sitting in a wheelchair all day is horrendous

Long-term resident's family · 2025★★★★

The staff is wonderful. They are also helpful and kind. I do feel that they need more employees but the ones they have work so hard to care for everyone.

Rehab patient · 2022★★★★★
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
95%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
14.4%
MI
11.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.9%
Worse than Avg
Here
30.9%
US
19.4%
MI
20.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
MI
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Worse than Avg
Here
19.2%
US
15.3%
MI
13.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.8%
Better than Avg
Here
16.8%
US
19.5%
MI
19.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
MI
83.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.9%
Better than Avg
Here
92.9%
US
79.8%
MI
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Worse than Avg
Here
1.5%
US
1.6%
MI
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
1penalties
Well above state avg (9.8)
9 complaint-triggered
$39,000 in fines

Families filed complaints leading to 9 deficiencies, raising concerns about nursing staffing adequacy and medication errors. The facility shows recurring problems with nursing staff competencies, medication management, and food service across multiple surveys, though all issues have correction dates. While most deficiencies are low-severity, the pattern of complaint-triggered problems suggests families should carefully evaluate current care quality.

May 27, 2025Complaint
3
0711Actual harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Mar 26, 2025Routine
15
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0923Potential for harm · WidespreadCorrected

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0675Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0948Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that paid feeding assistants have the training they need.

Mar 26, 2025Complaint
6
0725Actual harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Apr 17, 2024Routine
6
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

May 26, 2023Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0803Potential for harm · PatternCorrected

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Federal Penalties

Fine

Mar 26, 2025

$39,000

Ownership & Operations

Who Operates This Facility

Owner / Operator

Autumnwood of Mcbain

Organization Type

for profit

Chain Affiliation

Chain Name

Ciena Healthcare/laurel Health Care

Chain Size

83 facilities nationwide

Chain avg rating: 2.9/5 · Rank 83 of 84 (Worst)

Ownership & Management

Key personnel

Khan, AnisManaging Control - Governing BodyQazi, MohammadManaging Control - Governing BodyCiena Healthcare Management INCManagerFrederick, PatrickManagerGedeon, BrianManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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