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Nursing HomeMedicaid Investigative

The Laurels of Coldwater

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

90 N Michigan Avenue, Coldwater, MI 49036169 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 100 Google reviews

5
4
3
2
1
The Laurels of Coldwater Nursing Home in Coldwater, MI — Street View
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1/ 10
low Risk

Quality Concerns Identified

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

  • Above-median deficiencies (10 vs median 8.0)

Below average in MI · Below recommended RN staffing · Low staff turnover (stable workforce) · No penalties on record

Source: Medicare data

What this means for your family

The Laurels of Coldwater has a dedicated wound care and therapy team that many families highly value. However, you must be prepared for potential staffing shortages; we strongly recommend visiting unannounced and specifically asking how the facility manages call light response times during weekends and evening shifts.

Google Reviews

Google Reviews

100 reviews on Google
The Laurels of Coldwater receives highly polarized feedback, with many families praising the dedication of specific staff members like the wound care nurse and social workers, while others report severe neglect and systemic issues. Common criticisms center on chronic understaffing, long response times for call lights, poor communication, and concerns regarding facility cleanliness and food quality. Families should be aware that experiences appear to vary significantly depending on the specific wing and the individual staff members assigned to their loved one.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean4.0Activities7.0Meds3.0Memory5.0Comms3.0Value4.0

Strengths

  • Dedicated wound care nursing
  • Helpful and compassionate social work team
  • Effective physical therapy services
  • Friendly and caring individual staff members

Concerns

  • Chronic understaffing leading to long response times for call lights (mentioned by 12 reviewers)
  • Poor communication with families regarding patient care and discharge (mentioned by 6 reviewers)
  • Unsanitary conditions including odors and lack of cleanliness (mentioned by 6 reviewers)
  • Poor quality, cold, or inedible food (mentioned by 5 reviewers)
  • Small, outdated, and cramped double-occupancy rooms (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(7)'20(15)'22(4)'24(22)'26(4)

Distribution · 104 analyzed

5
63
4
6
3
6
2
2
1
27
11 reviews posted between Feb 13, 2020Feb 15, 2020 · 11 were 5-star

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the current staffing levels, what is your standard protocol for ensuring that call lights are answered promptly, especially during the overnight hours?
  • 3Could you walk me through your current cleaning schedule and how you maintain the environment to ensure it stays fresh and sanitary for residents?
  • 4I understand you have a dedicated wound care and physical therapy team; how do you ensure that information about a resident's progress is effectively communicated to family members?
  • 5Could you show me a sample menu and explain how you ensure that meals are served at an appropriate temperature and meet the nutritional preferences of the residents?
  • 6Given that many of your rooms are double-occupancy, what steps do you take to ensure residents have enough personal space and privacy?

Personalized based on this facility's data


Key Review Excerpts

Most of the people are nice . Got to do a better job with food could probably get better food in a prison

Family member · 2025★★★☆☆

The staff took such wonderful care of our Aunt. They went above and beyond the call of duty to make sure she was well taken care of. They were very attentive of her and made sure she was very comfortable.

Family member · 2025★★★★★

It would be 1 star, but the social worker and the PT lady were amazing and should be commended. Otherwise, they are very short staffed and unable to respond to the call button in a reasonable time frame.

Family member · 2025★★★☆☆
Source: 100 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
50%
Registered nurses for medical care
Total Nursing
3.09hrs
75%
All nurses + aides combined
Staff Turnover
23%
Lower is better (< 30% = good)
RN Turnover
33%
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

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
MI
4.2%

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

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.4%
Worse than Avg
Here
13.4%
US
5.3%
MI
5.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.0%
Worse than Avg
Here
23.0%
US
15.5%
MI
15.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
MI
13.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
93.4%
MI
95.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
14.4%
MI
11.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.4%
Better than Avg
Here
89.4%
US
81.8%
MI
83.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.1%
Better than Avg
Here
85.1%
US
79.8%
MI
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
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

14deficiencies
Above state avg (9.8)
16 complaint-triggered

The Laurels of Coldwater has concerning patterns with families filing 12 complaint reports, triggering investigations that found issues with abuse protection and care planning. Primary problem areas include fire safety systems, care planning, and medication management, with these issues recurring across multiple surveys over three years. While all deficiencies show correction dates, the repeated nature of problems in core care areas warrants careful consideration during your visit.

Apr 10, 2026Complaint
3
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Mar 13, 2026Complaint
1
0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Dec 17, 2025Complaint
2
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Aug 28, 2025Complaint
1
0604Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Jul 24, 2025Routine
10
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0761Potential for harm · IsolatedCorrected

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.

Jan 16, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Laurels of Coldwater

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 35 of 84

Ownership & Management

Key personnel

Qazi, MohammadOfficer / DirectorKhan, AnisOfficer / DirectorQazi, MohammadOfficer / DirectorStobb, DavidOfficer / DirectorCiena Healthcare Management INCManager
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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