Nursing homes › Michigan › Boulder Park Terrace
14676 West Upright, Charlevoix, MI 49720 · 2315471005 · 72 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 3.70 (Michigan median: 3.80). RN hours: 1.90. Weekend total: 3.42.
All-time on record: 58 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2026-05-01 |
| 2026-03-25 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | complaint | corrected 2026-05-01 |
| 2026-03-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-05-01 |
| 2026-03-25 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | complaint | corrected 2026-05-01 |
| 2025-11-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-02-06 |
| 2025-11-21 | Protect each resident from the wrongful use of the resident's belongings or money. | G | complaint | corrected 2026-02-06 |
| 2025-11-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-12-19 |
| 2025-11-21 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2025-12-19 |
| 2025-11-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-19 |
| 2025-08-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-09-12 |
| 2025-08-14 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-09-12 |
| 2025-08-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-09-12 |
| 2025-07-17 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | complaint | corrected 2025-09-09 |
| 2025-06-05 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-07-07 |
| 2025-06-05 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | complaint | corrected 2025-07-07 |
| 2025-06-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | complaint | corrected 2025-07-07 |
| 2025-06-05 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-07-07 |
| 2025-06-05 | 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. | E | Health | corrected 2025-07-07 |
| 2025-06-05 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | 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. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-09-03 |
| 2025-06-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-09-03 |
| 2025-06-05 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Assure that each resident’s assessment is updated at least once every 3 months. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-07-07 |
| 2025-06-05 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-07-07 |
| 2025-06-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-07-07 |
| 2025-06-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2025-07-07 |
| 2025-06-05 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2025-07-07 |
| 2025-03-13 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2025-03-29 |
| 2024-11-13 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2024-12-13 |
| 2024-11-13 | 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. | D | complaint | corrected 2024-12-13 |
| 2024-11-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-12-13 |
| 2024-11-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-12-13 |
| 2024-11-13 | Post nurse staffing information every day. | C | complaint | corrected 2024-12-13 |
| 2024-06-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-09 |
| 2024-05-15 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2024-06-11 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-21 | Payment Denial | 44 days payment denial |
| 2025-06-05 | Payment Denial | 7 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MCLAREN NORTHERN MICHIGAN | 5% Or Greater Direct Ownership Interest | Organization | 75% | since 01/01/2013 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL | 5% Or Greater Direct Ownership Interest | Organization | 25% | since 06/10/1992 |
| MCLAREN HEALTH CARE CORPORATION | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/01/2013 |
| MCCLELLAN, ELIZABETH | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2025 |
| WONSKI, CATHY | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2025 |
| ATCHISON, GARFIELD | Corporate Officer | Individual | NOT APPLICABLE | since 11/27/2023 |
| INCARNATI, PHILIP | Corporate Officer | Individual | NOT APPLICABLE | since 09/16/2025 |
| PRUSAITIS, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 03/29/2021 |
| SCHROEDER, JOANNE | Corporate Officer | Individual | NOT APPLICABLE | since 06/19/2017 |
| ATCHISON, GARFIELD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/27/2023 |
| MCCLELLAN, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| PRUSAITIS, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/29/2021 |
| WONSKI, CATHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235526. Corrections: data@carerecords.org.