Gratiot County, Michigan · Nursing home
Schnepp Senior Care and Rehabilitation Center
5 of 5 overall from CMS
427 East Washington, St. Louis, MI 48880
At a glance
- Overall rating 5 of 5 Above the state average of 3.1
- Nurse time per resident, per day 3.79 hours Below the state average of 3.99
- Nursing staff who left in a year 34.2% Below the state average of 44.1%
- Health citations, last 3 inspection cycles 21 3 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 95.4% of 97 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Schnepp Senior Care and Rehabilitation Center is a 97-bed nursing home in St. Louis, Michigan (Gratiot County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.79 nurse staffing hours per resident per day, below the Michigan average of 3.99. CMS lists no fines in the past three years.
- Certified beds
- 97
- Residents per day (average)
- 92.5
- Certified since
- 1978 (48 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Nexcare Health Systems (20 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Schnepp Senior Care and Rehabilitation Center
Chosen from this home's public data.
- About 95.4% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Michigan average 3.1
- Health inspections 3 of 5 Michigan average 2.8
- Staffing 5 of 5 Michigan average 3.6
- Quality measures 5 of 5 Michigan average 3.9
The vertical line marks the Michigan average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.79 h Michigan average 3.99
- Nurse aides 2.54 h Michigan average 2.33
- Licensed practical nurses 0.43 h Michigan average 0.88
- Registered nurses 0.82 h Michigan average 0.78
- All staff, weekends 3.50 h Michigan average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Michigan average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover34.2%
- Michigan average44.1%
- Registered nurse turnover15.8%
- Michigan average39.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Michigan and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 10.7% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.8% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.3% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% | 95.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.4% | 12.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% | 19.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.3% | 5.1% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.0% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.2% | 14.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.89 | 1.84 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.58 | 1.64 | 1.78 |
Short-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.7% | 83.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.1% | 79.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% | 24.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.6% | 11.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 21 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 10 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 8, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 8, 2026 | 4 | 4 |
| Jun 5, 2025 | 9 | 4 |
| Jun 26, 2024 | 8 | 3 |
Michigan homes averaged 9.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (21)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 28, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 28, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 22, 2025)
Show 16 more
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 22, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jun 16, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 16, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 16, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 16, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 16, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jul 16, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jul 16, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 16, 2024)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 20, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 20, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 20, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Michigan homes averaged 0.7 fines and $29,376 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Michigan
- Size231 of 422 by certified beds
- Michigan average residents per day85.9
- ChainNexcare Health Systems
- Chain average overall rating3.9 of 5
- Resident or family councilResident
- Homes in Gratiot County5
Common questions
What is the CMS star rating for Schnepp Senior Care and Rehabilitation Center?
Schnepp Senior Care and Rehabilitation Center has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 5.
How many beds does Schnepp Senior Care and Rehabilitation Center have?
Schnepp Senior Care and Rehabilitation Center has 97 certified beds. It averages 92.5 residents per day, about 95.4% of its certified beds.
How much nursing care do residents get at Schnepp Senior Care and Rehabilitation Center?
The home reports 3.79 hours of nurse staffing per resident per day, including 0.82 hours from registered nurses. The Michigan average is 3.99 hours and 0.78 hours from registered nurses.
Has Schnepp Senior Care and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
Does Schnepp Senior Care and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Riverside Healthcare Center 39beds 93.6%in use 2.97nurse hours a day
- 5 of 5 Michigan Masonic Home 204beds 45.8%in use 5.19nurse hours a day
- 5 of 5 The Laurels of Mt. Pleasant 100beds 86.9%in use 3.70nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Gratiot County
Who to call in Michigan
These offices serve residents of every nursing home in Michigan.
- Long-term care ombudsman Michigan Long Term Care Ombudsman Program (MLTCOP) 1-866-485-9393 (Toll-free line to reach a local ombudsman. Program office: 517-827-8040; email MLTCOP@meji.org.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 800-882-6006 (Toll-free Complaint Hotline. Complaints can also be filed with the online form (https://apps.lara.state.mi.us/BscComplaintIntakeForm) or by mail: LARA, Bureau of Survey and Certification-Complaint Intake Section, PO Box 30838, Lansing, MI 48909.) The state agency that inspects nursing homes.
Michigan staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 235384. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.