About Boulder Park Terrace
Boulder Park Terrace, located in Charlevoix, MI, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose Boulder Park Terrace
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.62 hrs
- Safety Record Issues
Chain Affiliations & Network
According to CMS records, this facility is independently owned and operated.
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Boulder Park Terrace provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
1.80
hrs/day
State: 0.76
US: 0.68
Case Mix Adj:
0.60
Quality Adj:
2.02
Licensed Practical Nurses
2.27
hrs/day
State: 1.65
US: 1.54
Case Mix Adj:
0.76
Quality Adj:
0.53
Certified Assistants
1.35
hrs/day
State: 2.33
US: 2.33
Case Mix Adj:
2.06
Quality Adj:
1.51
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 372 | Jun 05, 2025 |
| Weighted Average | 327 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 28.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 24.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.8% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 18.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 4.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 93.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.2% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 27.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 34.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 95.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 21.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 16.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 6 complaints
- 2024: 11 complaints
- 2025: 22 complaints
- 2026: 6 complaints
- Total: 45 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 01, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 01, 2026 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| May 01, 2026 | 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. |
| May 01, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Feb 06, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. |
| Feb 06, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 19, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Dec 19, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
| Dec 19, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 12, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Sep 12, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| Sep 12, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 09, 2025 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. |
| Sep 03, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 03, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jul 07, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Jul 07, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| Jul 07, 2025 | 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. |
| Jul 07, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| Jul 07, 2025 | Respond appropriately to all alleged violations. |
| Jul 07, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| Jul 07, 2025 | Assure that each resident?s assessment is updated at least once every 3 months. |
| Jul 07, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jul 07, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Jul 07, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| Jul 07, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| Jul 07, 2025 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Mar 29, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Dec 13, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Dec 13, 2024 | 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. |
| Dec 13, 2024 | Respond appropriately to all alleged violations. |
| Dec 13, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 13, 2024 | Post nurse staffing information every day. |
| Jul 09, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 11, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jun 11, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jun 11, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Feb 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 22, 2024 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. |
| Jun 15, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 15, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Jun 15, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 15, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 15, 2023 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. |
| Jun 15, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.
Nearby Hospitals
MCLAREN NORTHERN MICHIGAN
PETOSKEY, MI
3
Owner & Operator Information
Business Entity
CHARLEVOIX NURSING HOME CORPORATION
Ownership Structure
- MCLAREN NORTHERN MICHIGAN Direct: 75%
- MUNSON HEALTHCARE CHARLEVOIX HOSPITAL Direct: 25%
Management & Direction
- TODD BURCH CORPORATE DIRECTOR
- ANDREA NAYLOR CORPORATE OFFICER
- DOUGLAS PETERS CORPORATE OFFICER
- DEBORAH SAUR-MACKENZIE W-2 MANAGING EMPLOYEE
- DEBORAH SAUR-MACKENZIE CORPORATE OFFICER
- JOANNE SCHROEDER CORPORATE OFFICER
Associated Doctors
No associated doctor information available.
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Bay Bluffs-Emmet County Medical Care Facility | N/A | 5 |
| Grandvue Medical Care Facility | N/A | 3 |
| Medilodge of Leelanau | N/A | 3 |
| The Villa at The Bay | N/A | 1 |
| Boulder Park Terrace | N/A | 1 |
Related Analysis
Best Nursing Homes in Charlevoix, MI
Compare Boulder Park Terrace to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
Boulder Park Terrace has a 1-star CMS overall rating out of 5, which indicates
care quality that may need improvement.
The nursing staff spends 3.62 hours per resident daily, compared to the national average of 3.87 hours.
Boulder Park Terrace is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
Boulder Park Terrace accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Boulder Park Terrace directly at 2315471005. Their admissions team can help determine coverage and out-of-pocket expenses.
When visiting Boulder Park Terrace, pay attention to these important factors:
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.