PlainNursing
CMS Nursing Home Compare · August 2026

Roubal Care and Rehabilitation Center

N 306 Maple Street, Stephenson, MI 49887

Roubal Care and Rehabilitation Center, a 39-bed for profit - individual nursing facility in Stephenson, MI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #129 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9067534981

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4 / 5
Above average · CMS overall · nat'l 3.0
#129 of 420
In-state rank among rated MI homes
3.47
Below average · nurse hrs/day · nat'l 3.86
26
Inspection findings · 1 serious

The verdict

Roubal Care and Rehabilitation Center, a 39-bed for profit - individual nursing facility in Stephenson, MI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #129 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#129 of 420
In-state rank among rated MI homes
3.47
Nurse hrs/resident-day · national 3.86
26
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
235591
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
39
Residents
37
In Hospital
No
County
Menominee
Last Inspection
Jun 26, 2025

Staffing Data

How the 3.47 total nursing hours per resident-day are staffed:

RN Hours
0.60 (nat'l avg: 0.69)
LPN Hours
0.73
CNA Hours
2.14
Total Nursing Hours
3.47 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
31.6%
RN Turnover
37.5%

What the CMS Record Reveals About Roubal Care and Rehabilitation Center

According to CMS Nursing Home Compare, Roubal Care and Rehabilitation Center ranks #129 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Roubal Care and Rehabilitation Center operates 39 certified beds in Stephenson, MI with approximately 37 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 4★ · quality 5★).

The inspection file contains 26 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.47 total nursing hours (national average 3.86) and 0.60 RN hours.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Roubal Care and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 31.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

C - Widespread - No harm Jun 26, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 24, 2025

C - Widespread - No harm Jun 26, 2025 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Jul 24, 2025

F - Widespread - Minimal harm Jun 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 24, 2025

F - Widespread - Minimal harm Jun 26, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 24, 2025

G - Isolated - Actual harm Jun 26, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D - Isolated - Minimal harm May 15, 2024 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 21, 2024

E - Pattern - Minimal harm May 15, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Jun 21, 2024

F - Widespread - Minimal harm May 15, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Jun 21, 2024

F - Widespread - Minimal harm May 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 21, 2024

F - Widespread - Minimal harm May 15, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm Jun 16, 2023 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 14, 2023

D - Isolated - Minimal harm Jun 16, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 14, 2023

E - Pattern - Minimal harm Jun 16, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 14, 2023

E - Pattern - Minimal harm Jun 16, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 14, 2023

F - Widespread - Minimal harm Jun 16, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 14, 2023

F - Widespread - Minimal harm Jun 16, 2023 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 14, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 81.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 70.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

Date Type Amount
Jun 26, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Roubal Care and Rehabilitation Center, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Roubal Care and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 39 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Roubal Care and Rehabilitation Center?
Roubal Care and Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (5★).
Where does Roubal Care and Rehabilitation Center rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Roubal Care and Rehabilitation Center ranks 129th among 420 rated nursing homes in MI (#129 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Roubal Care and Rehabilitation Center?
Roubal Care and Rehabilitation Center reports 3.47 total nursing hours per resident day (national average: 3.86). RN hours are 0.60 per resident day (national average: 0.69). Nursing staff turnover is 31.6%.
How many beds does Roubal Care and Rehabilitation Center have?
Roubal Care and Rehabilitation Center has 39 certified beds with approximately 37 residents. The facility is located at N 306 Maple Street, Stephenson, MI 49887.
Does Roubal Care and Rehabilitation Center have any deficiencies on record?
Yes, Roubal Care and Rehabilitation Center has 26 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Roubal Care and Rehabilitation Center received any fines or penalties?
No, Roubal Care and Rehabilitation Center has no fines or penalties on record.
Who owns Roubal Care and Rehabilitation Center?
Roubal Care and Rehabilitation Center is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Roubal Care and Rehabilitation Center last inspected?
The most recent health inspection for Roubal Care and Rehabilitation Center was on Jun 26, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Roubal Care and Rehabilitation Center?
Roubal Care and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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