Quick answers
- Where is Courtney Manor?
- 1167 E Hopson Street, Bad Axe, MI 48413, in Huron County, Michigan.
- What is the phone number of Courtney Manor?
- (989) 269-9983, as listed by Medicare (CMS).
- What is the Medicare star rating of Courtney Manor?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Courtney Manor been fined?
- Medicare lists no fines for Courtney Manor.
- What did inspectors find at Courtney Manor?
- In its last three inspection cycles (October 6, 2023 to August 27, 2026), Medicare lists 37 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 6, 2023 to August 27, 2026), Courtney Manor had 37 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.13 hours per resident per day; the Michigan average is 4.03 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 7, 2026 — 11 health citations
Inspections in this cycle: January 7, 2026 (standard health inspection); March 11, 2026 (complaint investigation); August 27, 2026 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 10 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0732 Level E
“Post nurse staffing information every day.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0585 Level D
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
Previous cycle: October 29, 2024 — 16 health citations
Inspections in this cycle: October 29, 2024 (standard health inspection).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 15 less serious citations (levels A to F)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0578 Level D
“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.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0809 Level D
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
Earlier cycle: October 6, 2023 — 10 health citations
Inspections in this cycle: October 6, 2023 (complaint investigation); October 6, 2023 (standard health inspection).
Show 10 citations (levels A to F, no actual harm)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (5)
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Michigan | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.44 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.77 | 0.89 | 0.86 |
| Nurse aide hours per resident per day | 1.92 | 2.36 | 2.35 |
| Total nurse staff hours per resident per day | 3.13 | 4.03 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.61 | 3.50 | 3.43 |
| RN hours per resident per day on the weekend | 0.23 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 58.9% | 44.6% | 45.3% |
| RN turnover (per year) | 54.5% | 39.2% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 80 nursing homes: Ciena Healthcare/Laurel Health Care.
Legal business name: Four Seasons Nursing Center LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Ciena Healthcare Management Inc | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 1999 |
| Mohammad a Qazi Living Trust Dated 09/26/97 | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 1999 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 125 |
| Average residents per day | 82.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – individual |
| Group or chain (affiliated entity) | Ciena Healthcare/Laurel Health Care |
| Legal business name | Four Seasons Nursing Center LLC |
| First approved by Medicare/Medicaid | 1986-07-18 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1167 E Hopson Street, Bad Axe, MI 48413 |
| County | Huron County |
| State | Michigan |
| Phone | (989) 269‑9983 |
| CMS Certification Number | 235456 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Huron County Medical Care Facility2.6 mi · Bad Axe, MI · 5 of 5 stars
- Lakeview Extended Care and Rehabilitation17 mi · Harbor Beach, MI · 5 of 5 stars
- Medilodge of Cass City17 mi · Cass City, MI · 5 of 5 stars
- Autumnwood of Deckerville23 mi · Deckerville, MI · 4 of 5 stars
- Sanilac Medical Care Facility27 mi · Sandusky, MI · 3 of 5 stars
Nearest hospital emergency rooms
- McLaren Thumb Region2.5 mi · Bad Axe, MI · Critical Access Hospital
- Scheurer Hospital15 mi · Pigeon, MI · Critical Access Hospital
- Harbor Beach Community Hospital17 mi · Harbor Beach, MI · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13