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Nursing homes in Michigan

Michigan has 422 Medicare- or Medicaid-certified nursing homes in 81 counties, with 44,006 certified beds in total. The state average CMS overall rating is 3.1 of 5 against a national average of 3.0, and homes report 3.99 nurse staffing hours per resident per day against 3.86 nationally.

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Michigan against the national average

MeasureMichiganUnited States
Overall rating (1 to 5)3.13.0
Health inspection rating2.82.8
Staffing rating3.62.9
Nurse staffing hours per resident per day3.993.86
Registered nurse hours per resident per day0.780.69
Nursing staff turnover44.1%45.8%
Health deficiencies in the latest inspection9.99.2
Fines per home, past three years0.70.9

Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.

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Cities with at least 3 homes, by the city in each home's CMS address. Every home is also listed by county below.

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Nursing home rules and contacts in Michigan

Federal rules on residents' rights, discharge notices and Medicare coverage are the same in every state. These are the offices to call in Michigan, and the rules the state sets for itself.

Minimum staffing
Michigan requires a licensed nursing home to have a registered nurse as director of nursing and at least 1 licensed nurse on duty at all times. Homes must provide at least 2.25 hours of nursing care per patient per day, with no more than 8 patients per nursing care staff member on the morning shift, 12 on the afternoon shift and 15 at night. In homes with 30 or more beds, the director of nursing does not count toward the ratios. The state considers natural disasters or other emergencies in applying the rule. Source: Public Health Code, MCL 333.21720a
Personal needs allowance (Medicaid)
Michigan Medicaid's patient allowance (personal needs allowance) for a resident who is in, or expected to be in, a nursing home and/or hospital for the entire month is $60 per month. For a veteran, or a veteran's surviving spouse or other family member, whose VA Improved Pension is limited to $90 by the VA, the allowance is $90 per month. Source: MDHHS Bridges Eligibility Manual (BEM) 546, Post-Eligibility Patient-Pay Amounts (BPB 2026-026, 10-1-2026)
Holding a bed during a hospital stay or leave
Michigan Medicaid pays a nursing home to hold a bed for up to 10 days when a resident on Medicaid is admitted to the hospital for emergency treatment, only if the home's occupancy is 98% or more on the day the resident leaves, the attending physician expects the resident to return within 10 days, and the resident does return within 10 days. If the hospital stay is longer than 10 days, Medicaid pays for none of the leave days. It also pays for up to 18 days of physician-approved therapeutic leave in a 365-day period if the home reserves the bed, the resident's written plan of care provides for visits outside the home, and the resident returns. After a longer absence, state law gives the resident the option to return to the next available bed. Source: Public Health Code, MCL 333.21777; Michigan Medicaid Provider Manual, Nursing Facility Coverages, Section 11.2 (October 1, 2026)
Visiting
Michigan law requires each nursing home to set reasonable, regular visiting hours of not less than 8 hours per day. A patient considered terminally ill by the responsible physician, a physician's assistant or an advanced practice registered nurse has the right to have a spouse, next of kin or representative (or parents, for a minor) stay at the facility 24 hours a day. Since June 1, 2023, a state or local epidemic emergency order may limit visits for no more than 30 days; after that it may not bar a family member or other patient representative from visiting a patient with a cognitive impairment, though screening, time limits and scheduling are allowed. Source: Public Health Code, MCL 333.20201(3)(b), (3)(j); MCL 333.2253(4)-(5) and 333.2453(3)-(4) (2022 PA 274)
Discharge notice
Michigan allows involuntary transfer or discharge only for medical reasons, the patient's welfare, the welfare of other patients or staff, or nonpayment (except where federal Medicaid law prohibits it), with 30 days' written notice except in limited cases. Copies go to the state, the patient, next of kin or representative, and whoever arranged the placement; LARA's form also goes to the State Long Term Care Ombudsman. The patient may request a hearing with LARA; the law allows 10 days after receiving the notice, and LARA's notice form says the request must be received by LARA within 10 days of the date of the notice. A hearing request stops the move pending a decision, and Medicaid funding continues during the appeal for Medicaid residents. If the reason is nonpayment, the patient may pay up to the discharge date and stay. Source: Public Health Code, MCL 333.21773, 333.21774, 333.21775; LARA form BCHS-ITD-100 (01/07/2020)
When private funds run out
Michigan law bars a nursing home from requiring, as a condition of admission or continued stay, that a resident remain private-pay for a set period before applying for Medicaid, or that someone pay the private rate for a set period first. A home may not require an applicant to promise not to apply for Medicaid. A new contract must be signed when the payment source changes. If a home leaves Medicaid but keeps operating, it may not involuntarily discharge residents who lived there the day before it withdrew, except for the reasons the law allows. Source: Public Health Code, MCL 333.21765a; MCL 333.21766(1)(c); MCL 333.21773(10)-(11)

Checked against Michigan state sources on Oct 11, 2026. Rules and phone numbers change, so confirm with the office listed. For the rules that apply in every state, see residents' rights, how to file a complaint and how Medicaid pays for a nursing home.

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026.