Skilled nursing facility · CMS certification number 235041
Mackinac Straits Long Term Care Unit
St. Ignace, Michigan · Medicare and Medicaid
Certified beds, as filed in Care Compare: 48
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BUHR, LAUREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| CHEESEMAN, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/13/2017 |
| MACKINAC STRAITS HEALTH SYSTEM INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/05/2008 |
| MOFFAT, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| ANDERSON, JASON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/06/2008 |
| AUTORE, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/06/2008 |
| BROWN, PRENTISS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/12/2013 |
| BUHR, LAUREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| CHEESEMAN, KAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/13/2017 |
| DOUD, MARGARET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/06/2008 |
| ELMBLAD, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/14/2015 |
| MASSAWAY, KEITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/14/2015 |
| MCELROY, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/02/2013 |
| NORTH, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/12/2013 |
| SHANNON, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/06/2008 |
| SMITH, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/06/2008 |
| STRICH, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2018 |
| CHEESEMAN, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/13/2017 |
| MACKINAC STRAITS HEALTH SYSTEM INC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/1967 |
| MACKINAC STRAITS HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1967 |
| MOFFAT, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MACKINAC STRAITS HEALTH SYSTEM INC (enrollment ID O20080527000326).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MACKINAC STRAITS HEALTH SYSTEM INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN D MOFFAT | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN CHEESEMAN | Individual | ADP OF THE SNF | Not stated in the filing | 7/13/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAUREN K BUHR | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACKINAC STRAITS HEALTH SYSTEM INC | Organization | ADP OF THE SNF | Not stated in the filing | 7/5/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES NORTH | Individual | CORPORATE DIRECTOR | 0 | 2/12/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON C ANDERSON | Individual | CORPORATE DIRECTOR | 0 | 6/6/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN CHEESEMAN | Individual | CORPORATE DIRECTOR | 0 | 7/13/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEITH MASSAWAY | Individual | CORPORATE DIRECTOR | 0 | 5/14/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN MCELROY | Individual | CORPORATE DIRECTOR | 0 | 1/2/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAUREN K BUHR | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET DOUD | Individual | CORPORATE DIRECTOR | 0 | 6/6/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK ELMBLAD | Individual | CORPORATE DIRECTOR | 0 | 5/14/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK SHANNON | Individual | CORPORATE DIRECTOR | 0 | 6/6/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PRENTISS M BROWN | Individual | CORPORATE DIRECTOR | 0 | 2/12/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD SMITH | Individual | CORPORATE DIRECTOR | 0 | 6/6/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN AUTORE | Individual | CORPORATE DIRECTOR | 0 | 6/6/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN H STRICH | Individual | CORPORATE DIRECTOR | 0 | 6/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN CHEESEMAN | Individual | CORPORATE OFFICER | 0 | 7/13/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACKINAC STRAITS HEALTH SYSTEM INC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN D MOFFAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACKINAC STRAITS HEALTH SYSTEM INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2025: MARY KAYE RUEGG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LENE A HEINLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CARI HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LORETTA M LEJA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RYAN SPEAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JASON C ANDERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAUREN K BUHR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAUREN K BUHR (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN CHEESEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN D MOFFAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN D MOFFAT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- September 1, 2025: MARY KAYE RUEGG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LENE A HEINLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CARI HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LORETTA M LEJA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RYAN SPEAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JASON C ANDERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAUREN K BUHR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAUREN K BUHR (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN CHEESEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN D MOFFAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN D MOFFAT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MACKINAC STRAITS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 29, 2025 | May 29, 2025 | 7 | 4 |
| 2 | June 26, 2024 | June 26, 2024 | 3 | 2 |
| 3 | July 21, 2023 | July 21, 2023 | 3 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| October 15, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | November 10, 2025 |
| May 29, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| May 29, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| May 29, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| May 29, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| May 29, 2025 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| May 29, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 26, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 25, 2024 |
| June 26, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | July 25, 2024 |
| June 26, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | July 25, 2024 |
| July 21, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| July 21, 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| July 21, 2023 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | MACKINAC STRAITS HEALTH SYSTEM INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Mackinac |
| Telephone Number | 9066430462 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 48 |
| Average Number of Residents per Day | 47.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Mackinac Straits Long Term Care Unit: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2025: MARY KAYE RUEGG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Mackinac Straits Long Term Care Unit
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Michigan at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 235041.