Nursing home · Top rated by CMS
Mackinac Straits Long Term Care Unit
1140 North State Street, St. Ignace, MI 49781 · Map
Non profit - Other · 48 certified beds
Mackinac Straits Long Term Care Unit is a Medicare-certified nursing home in St. Ignace, Michigan. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.20 hours per resident per day, above the Michigan average of 4.03. Its most recent inspection on May 29, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Mackinac Straits Long Term Care Unit compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.20 | 4.03 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.00 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.79 | 2.38 | 2.34 | above avg |
| Nursing staff turnover | 17.4% | 44.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 9.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 15, 2025 inspection was corrected by November 10, 2025
What inspectors found at Mackinac Straits Long Term Care Unit
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 15, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 29, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jun 26, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 26, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 26, 2024 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Jul 21, 2023 - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Jul 21, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1140 North State Street
St. Ignace, MI 49781 - CMS certification #
- 235041
- Ownership
- Non profit - Other
- Certified beds
- 48
- Avg residents/day
- 46.8
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mackinac Straits Long Term Care Unit using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2025, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 14, 2025: programmed (planned) inspection, complete (health). Case closed Apr 28, 2025. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Mackinac Straits Health System INC DBA Evergreen Living Center.
Details
- Other than serious: Cited rule 325.47201(3). Penalty $0 proposed, $0 now. To be fixed by Apr 8, 2025.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mackinac Straits Hospital And Health Center, Saint Ignace. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Medilodge of Cheboygan, Cheboygan. 21.4 miles away, straight line.
- Nearest home health agency office
- Mclaren Home Health, Cheboygan. 21.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bay Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 49781 as small town (small town core).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 49781.
- Nearest geriatric medicine practice
- Great Lakes Therapy Housecalls PC, Traverse City. 87.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, coastal flooding relatively low, wildfire very low, tornado relatively low, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Mackinac Straits Long Term Care Unit a good nursing home?
CMS gives Mackinac Straits Long Term Care Unit an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mackinac Straits Long Term Care Unit staffed?
Mackinac Straits Long Term Care Unit reports 4.20 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has Mackinac Straits Long Term Care Unit had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Mackinac Straits Long Term Care Unit have?
Mackinac Straits Long Term Care Unit is certified for 48 beds.