Boulder Park Terrace

Nursing Home · Charlevoix, MI

CMS overall rating 1/5 Abuse citation Non profit - Corporation

CMS certification number235526
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

14676 West Upright
Charlevoix, MI 49720
Charlevoix County
Phone
(231) 547-1005
ZIP code
49720 – all care providers

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Facility details

Certified beds
72
Residents per day
48.7 (68% occupied)
Ownership
Non profit - Corporation
Legal name
Charlevoix Nursing Home Corporation
Medicare certified since
August 14, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.9
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
—
Registered nurses (RN)
—
Licensed practical nurses
—
Nurse aides
—
Weekend total
—
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
June 5, 2025
Health deficiencies (last cycle)
31.0 (state 10.1 · U.S. 9.3)
From complaints
26
Citations on record (3 years)
58 health · 22 fire safety · includes actual harm
DateCitationSeverityStatus
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.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
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.
F0838 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-03-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-03-25 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-02-06
2025-11-21 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-02-06
2025-11-21 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-12-19
2025-11-21 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-12-19
2025-11-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-12
2025-07-17 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-06-05 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0628 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-03
2025-06-05 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0756 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-07
2025-06-05 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-13 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-13 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
C
No actual harm, potential for minimal harm
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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-07-09
2024-05-15 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11
2024-05-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years.

DateTypeAmount
2025-11-21Payment Denial44 days payment denial
2025-06-05Payment Denial7 days payment denial

Ownership & management

NameRoleSince
McLaren Northern Michigan (organization)5%+ Direct Ownership Interest · 75%
Munson Healthcare Charlevoix Hospital (organization)5%+ Direct Ownership Interest · 25%
Atchison, Garfield (individual)Administrator · NOT APPLICABLE
McClellan, Elizabeth (individual)Administrator · NOT APPLICABLE
McLaren Health Care Corporation (organization)Administrator · NOT APPLICABLE
Prusaitis, Michael (individual)Administrator · NOT APPLICABLE
Wonski, Cathy (individual)Administrator · NOT APPLICABLE
McClellan, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Wonski, Cathy (individual)Corporate Director · NOT APPLICABLE
Atchison, Garfield (individual)Corporate Officer · NOT APPLICABLE
Incarnati, Philip (individual)Corporate Officer · NOT APPLICABLE
Prusaitis, Michael (individual)Corporate Officer · NOT APPLICABLE
Schroeder, Joanne (individual)Corporate Officer · NOT APPLICABLE
McLaren Health Care Corporation (organization)Indirect Ownership Interest · NOT APPLICABLE
Atchison, Garfield (individual)Operational/managerial Control · NOT APPLICABLE
McClellan, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE
Prusaitis, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Wonski, Cathy (individual)Operational/managerial Control · NOT APPLICABLE
Atchison, Garfield (individual)Trustee Of The Snf · NOT APPLICABLE
Incarnati, Philip (individual)Trustee Of The Snf · NOT APPLICABLE
McClellan, Elizabeth (individual)Trustee Of The Snf · NOT APPLICABLE
Prusaitis, Michael (individual)Trustee Of The Snf · NOT APPLICABLE
Schroeder, Joanne (individual)Trustee Of The Snf · NOT APPLICABLE
Wonski, Cathy (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Boulder Park Terrace?

Boulder Park Terrace has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Michigan.

How many beds does Boulder Park Terrace have?

It has 72 certified beds and cares for about 49 residents per day.

Has Boulder Park Terrace been fined?

Yes. CMS lists 2 penalties in the last three years.

What is the phone number of Boulder Park Terrace?

(231) 547-1005. The facility is located at 14676 West Upright, Charlevoix, MI 49720.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.