Nursing Homes in Michigan: Staffing, Turnover, and Penalties
Michigan has 422 Medicare- or Medicaid-certified nursing homes in 218 cities. On CMS's August 2026 figures, nurse aides there log 2.33 hours per resident per day, about the same as the US average of 2.32, and 44.1% of nursing staff leave in a year (US 45.8%).
Michigan averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Detroit (23), Grand Rapids (19), Saginaw (8). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Adrian (4)
- Allegan (2)
- Allendale (1)
- Allen Park (1)
- Alma (1)
- Alpena (2)
- Ann Arbor (3)
- Armada (1)
- Ashley (1)
- Bad Axe (2)
- Baldwin (1)
- Battle Creek (6)
- Bay City (4)
- Belding (1)
- Bellaire (1)
- Belmont (1)
- Beverly Hills (1)
- Big Rapids (2)
- Bloomfield Hills (2)
- Bridgman (1)
- Brighton (1)
- Byron Center (1)
- Cadillac (1)
- Canton (2)
- Caro (1)
- Carson City (1)
- Cass City (1)
- Cassopolis (1)
- Cedar Springs (1)
- Center Line (1)
- Centreville (1)
- Charlevoix (1)
- Charlotte (1)
- Cheboygan (1)
- Chelsea (1)
- Chesaning (1)
- Chesterfield Township (2)
- Clare (1)
- Clarkston (2)
- Clawson (1)
- Clinton Township (3)
- Clio (1)
- Coldwater (2)
- Commerce (1)
- Crystal Falls (1)
- Dearborn (2)
- Dearborn Heights (2)
- Deckerville (1)
- Detroit (23)
- Dimondale (1)
- Douglas (1)
- Dowagiac (1)
- Durand (1)
- East China (1)
- East Jordan (1)
- East Lansing (4)
- Escanaba (3)
- Essexville (1)
- Fairview (1)
- Farmington (1)
- Farmington Hills (2)
- Farwell (1)
- Fenton (2)
- Ferndale (1)
- Flint (4)
- Flushing (1)
- Fort Gratiot (2)
- Frankenmuth (2)
- Frankfort (2)
- Fraser (1)
- Fremont (2)
- Galesburg (1)
- Gaylord (2)
- Gladwin (2)
- Grand Blanc (4)
- Grand Haven (2)
- Grand Rapids (19)
- Grandville (1)
- Grayling (2)
- Greenville (2)
- Grosse Pointe Woods (2)
- Hamtramck (1)
- Hancock (3)
- Harbor Beach (1)
- Harbor Springs (1)
- Harper Woods (1)
- Harrisville (1)
- Hart (1)
- Hastings (2)
- Highland Park (1)
- Hillman (1)
- Hillsdale (2)
- Holland (3)
- Holly (1)
- Holt (1)
- Houghton Lake (1)
- Howell (4)
- Hubbell (1)
- Hudsonville (2)
- Ionia (1)
- Iron River (1)
- Ironwood (1)
- Ishpeming (1)
- Jackson (6)
- Kalamazoo (6)
- Kalkaska (1)
- Kawkawlin (1)
- Kingsford (2)
- Lake Orion (1)
- Lamont (1)
- L' Anse (1)
- Lansing (4)
- Lapeer (4)
- Lincoln (1)
- Linden (2)
- Livonia (5)
- Lowell (1)
- Ludington (2)
- Manistee (1)
- Manistique (1)
- Maple Valley (1)
- Marlette (1)
- Marquette (2)
- Marshall (2)
- Mattawan (1)
- Mayville (1)
- McBain (1)
- Menominee (1)
- Midand (1)
- Midland (2)
- Milford (2)
- Monroe (6)
- Montrose (1)
- Mount Clemems (1)
- Mt. Pleasant (3)
- Munising (1)
- Muskegon (5)
- Negaunee (1)
- Newberry (1)
- Niles (3)
- North Muskegon (1)
- Northville (1)
- Novi (5)
- Okemos (3)
- Orchard Lake (1)
- Orion (1)
- Ovid (1)
- Owosso (2)
- Perrinton (1)
- Petoskey (1)
- Pinckney (1)
- Plainwell (2)
- Plymouth (2)
- Pontiac (1)
- Portage (1)
- Port Huron (1)
- Powers (1)
- Redford (1)
- Reed City (1)
- Richmond (1)
- Riverview (4)
- Rochester Hills (4)
- Rogers City (1)
- Romeo (2)
- Romulus (1)
- Roscommon (1)
- Rose City (1)
- Roseville (1)
- Royal Oak (1)
- Saginaw (8)
- Saint Johns (1)
- Saline (1)
- Sandusky (1)
- Sault Ste. Marie (2)
- Shelby Townhip (1)
- Shelby Township (2)
- Southfield (4)
- Southgate (1)
- South Haven (1)
- South Lyon (1)
- Spring Arbor (1)
- Spring Lake (1)
- Standish (1)
- St. Clair Shores (2)
- Stephenson (1)
- Sterling (1)
- Sterling Heights (5)
- Stevensville (1)
- St. Ignace (1)
- St Joseph (2)
- St. Louis (2)
- Sturgis (1)
- Suttons Bay (1)
- Tawas City (3)
- Taylor (3)
- Temperance (1)
- Three Rivers (2)
- Traverse City (5)
- Trenton (1)
- Troy (2)
- Utica (1)
- Wakefield (1)
- Warren (6)
- Waterford (3)
- Wayland (1)
- Wayne (3)
- West Bloomfield (4)
- West Branch (1)
- Westland (5)
- Whitehall (1)
- White Lake (1)
- Whitmore Lake (1)
- Woodhaven (1)
- Wyoming (3)
- Yale (1)
- Ypsilanti (2)
- Ypslianti (1)
- Zeeland (2)
Largest nursing home chains in Michigan
CMS links 275 of Michigan's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in MI | Homes nationwide |
|---|---|---|
| Medilodge | 53 | 53 |
| Ciena Healthcare/Laurel Health Care | 51 | 81 |
| Optalis Health & Rehabilitation | 27 | 36 |
| Nexcare Health Systems | 20 | 20 |
| Villa Healthcare | 17 | 18 |
| Atrium Centers | 16 | 26 |
| The Orchards Michigan | 15 | 15 |
| Mission Point Healthcare Services | 14 | 14 |
| Trilogy Health Services | 14 | 123 |
| The Peplinski Group | 10 | 10 |
| Avon Healthcare | 9 | 9 |
| Pioneer Healthcare Management | 9 | 9 |
| The Wellbridge Group | 8 | 8 |
| Corewell Health | 6 | 6 |
| Preferred Care | 6 | 13 |
Chain as recorded in the CMS Provider Information file, August 2026 release