Houghton County, Michigan · Nursing home
Greentree of Hubbell Rehabilitation and Health
1 of 5 overall from CMS
52225 B Avenue, Hubbell, MI 49934
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.38 hours Below the state average of 3.99
- Nursing staff who left in a year 43.8% Below the state average of 44.1%
- Health citations, last 3 inspection cycles 66 3 at the harm level or above
- Fines in 3 years $38,961 1 fine
- Certified beds in use 86.5% of 55 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.
Greentree of Hubbell Rehabilitation and Health is a 55-bed nursing home in Hubbell, Michigan (Houghton County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.38 nurse staffing hours per resident per day, below the Michigan average of 3.99. CMS lists 1 fine totaling $38,961 in the past three years.
- Certified beds
- 55
- Residents per day (average)
- 47.6
- Certified since
- 1994 (32 yrs)
For profit - Individual Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Greentree of Hubbell Rehabilitation and Health
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $38,961 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 28 health deficiencies in the latest inspection cycle (the standard inspection on Mar 3, 2026 plus complaint and infection-control inspections); the Michigan average is 9.9. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Michigan average 3.1
- Health inspections 1 of 5 Michigan average 2.8
- Staffing 3 of 5 Michigan average 3.6
- Quality measures 4 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 3.38 h Michigan average 3.99
- Nurse aides 2.24 h Michigan average 2.33
- Licensed practical nurses 0.37 h Michigan average 0.88
- Registered nurses 0.78 h Michigan average 0.78
- All staff, weekends 2.85 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 turnover43.8%
- Michigan average44.1%
- Registered nurse turnover54.5%
- Michigan average39.2%
- Administrators who left1
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 | 10.9% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.3% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.9% | 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 | 1.7% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.6% | 95.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.9% | 12.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.9% | 19.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.1% | 5.1% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 33.9% | 14.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.16 | 1.84 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.72 | 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 | 72.9% | 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 | 66.7% | 79.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% | 24.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% | 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 66 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 3, 2026: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 3, 2026 | 28 | 14 |
| Dec 12, 2024 | 19 | 1 |
| Dec 19, 2023 | 19 | 9 |
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 (66)
-
GActual harm, isolated
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 24, 2026)
Show 25 more
-
FPotential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Mar 31, 2026)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 1, 2026)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Mar 31, 2026)
-
EPotential for more than minimal harm, pattern
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Mar 31, 2026)
-
DPotential for more than minimal 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 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 23, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 9, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 9, 2025)
-
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 (Oct 9, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 16, 2025)
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Jan 16, 2025)
Showing the 30 most recent of 66.
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
| Date | Type | Amount |
|---|---|---|
| Feb 2, 2026 | Payment Denial | 30 days |
| Sep 16, 2025 | Fine | $38,961 |
| Nov 2, 2023 | Payment Denial | 17 days |
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
- Size358 of 422 by certified beds
- Michigan average residents per day85.9
- ChainNone listed
- Resident or family councilResident
- Homes in Houghton County4
Common questions
What is the CMS star rating for Greentree of Hubbell Rehabilitation and Health?
Greentree of Hubbell Rehabilitation and Health has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 4.
How many beds does Greentree of Hubbell Rehabilitation and Health have?
Greentree of Hubbell Rehabilitation and Health has 55 certified beds. It averages 47.6 residents per day, about 86.5% of its certified beds.
How much nursing care do residents get at Greentree of Hubbell Rehabilitation and Health?
The home reports 3.38 hours of nurse staffing per resident per day, including 0.78 hours from registered nurses. The Michigan average is 3.99 hours and 0.78 hours from registered nurses.
Has Greentree of Hubbell Rehabilitation and Health been fined?
Yes. CMS lists 1 fine totaling $38,961 in the past three years. It also lists 2 payment denials.
Does Greentree of Hubbell Rehabilitation and Health 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 PortagePointe 60beds 96.7%in use 5.45nurse hours a day
- 1 of 5 Mission Point Nursing & Physical Rehabilitation Ce 39beds 92.6%in use 3.99nurse hours a day
- 4 of 5 Canal View - Houghton County 197beds 66.9%in use 4.90nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Houghton 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 235551. 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.