a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Skilled nursing facility · CMS certified · CCN 235006

Munson Healthcare Otsego Memorial Hospital Ltcu

825 North Center Street, Gaylord, MI 49735 · Otsego County · one of 422 skilled nursing facilities in Michigan
34
certified beds
4 / 5
overall CMS rating
Nonprofit
ownership type
80.0%
occupancy, Oct 2026: 27 residents a day · Michigan 83.3%
1.32
case mix, 0.93x the national average
5.14
nurse hours per resident day · Michigan 3.99
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

Try it on the example building ›
How Munson Healthcare Otsego Memorial Hospital Ltcu compares

Otsego County has 1 other certified building, too few to compare, so this is against Michigan. 422 buildings.

Better than most of Michigan on 5 of 8 lines.

Occupancy, Oct 202680.0%Behind mostHigher than 132 of the 420 other buildings in Michigan, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 86.7%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day5.14Better than mostHigher than 378 of the 416 other buildings in Michigan, level with 2

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.80. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating4 / 5Better than mostHigher than 232 of the 419 other buildings in Michigan, level with 77

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating3 / 5Mid-packHigher than 193 of the 419 other buildings in Michigan, level with 84

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 326 of the 418 other buildings in Michigan, level with 92

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 10 of the 418 other buildings in Michigan, level with 33

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.84Better than mostHigher than 410 of the 417 other buildings in Michigan, level with 1

Registered nurse hours for each resident, each day. The middle of the set: 0.71. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited13Better than mostFewer than 259 of the 421 other buildings in Michigan, the same as 15

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 17. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Michigan
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

What’s your building worth?

Contact 3G to maximize proceeds. A free valuation from Stan or Christian, built from this building’s record, in a confidential conversation with no obligation.

Get my free valuation
Street view of Munson Healthcare Otsego Memorial Hospital Ltcu
Google Street View · opens in Maps
Street View
825 North Center Street, Gaylord, MI
Map around Munson Healthcare Otsego Memorial Hospital Ltcu
Map · Otsego County
Otsego County, Michigan
2 skilled nursing facilities; average overall rating 3.0, Michigan 3.2.
See how Otsego County compares ›
Cost report, against Michigan
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Michigan. The rank counts from the top: 1st is the highest figure among Michigan's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Michigan that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
86.2%
396
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.9%
400
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
64.2%
401
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$388
401
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$406
400
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$4
401
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
1.2%
402
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating4 / 5 · state 3.2
Health inspection3 / 5 · state 2.8
Staffing5 / 5 · state 3.6
RN hours per resident per day1.84 · state 0.78
Overall rating, last 8 quarters
055Q3’245Q4’245Q1’255Q2’255Q3’255Q4’255Q1’263Q2’26latest
down 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMichigannationrecent quarters
Needed more help with daily activities30.5%worse than state10.7%13.5%too few quarters to chart
Catheter inserted and left in2.2%worse than state0.7%0.7%too few quarters to chart
Urinary tract infection2.5%worse than state1.5%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 5.0%2026Q2: 5.0%
0.0% → 5.0%
Q2’25 to Q2’26
Fall with major injury4.9%worse than state3.0%3.2%2025Q2: 9.5%2025Q3: 4.3%2025Q4: 4.8%2026Q2: 5.0%
9.5% → 5.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.0%better than state1.1%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Ability to walk independently worsenedtoo few residents to report11.1%12.7%too few quarters to chart
Pressure ulcers1.5%better than state5.0%4.5%2025Q2: 0.0%2025Q3: 2.7%2025Q4: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic14.8%worse than state14.7%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Apr 2026
last standard survey
13
deficiencies cited · Michigan avg 17.5
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Michigan
state rate files
$280
median daily rate across the Michigan buildings in our rate book, Feb 2026 file
Michigan rates and what changed ›
Otsego County
buildingbedsoverallMunson Healthcare Otsego Memorial Hospital Ltcu344 / 5Medilodge of Gaylord962 / 5
All Michigan buildings in Otsego County ›
Also in Gaylord, MI
1 other certified skilled nursing facility in Gaylord
buildingbedsoverallMedilodge of Gaylord962 / 5
Michigan at a glance
422
buildings
44,006
licensed beds
82%
occupancy
77%
for-profit
Michigan market intelligence report ›
What changed in Michigan
Skilled nursing Medicaid daily rates rise 1.2% to 4.2% across 4 payment tiers
Live legislation, Michigan ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyMedilodge of GaylordGaylord · 0.5 mi962 / 570-85%Grandvue Medical Care FacilityEast Jordan · 25.1 mi1133 / 570-85%Munson Healthcare Crawford Continuing Care CenterGrayling · 25.3 mi395 / 5under 70%Grayling Nursing & Rehabilitation CommunityGrayling · 26.4 mi723 / 570-85%Meadow Brook Medical Care FacilityBellaire · 26.4 mi1332 / 570-85%The Villa at the BayPetoskey · 26.9 mi1102 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Munson Healthcare Otsego Memorial Hospital Ltcu?
Munson Healthcare Otsego Memorial Hospital Ltcu in Gaylord, MI carries an overall CMS rating of 4 out of 5 stars in the Oct 2026 CMS file.
How many beds does Munson Healthcare Otsego Memorial Hospital Ltcu have?
Munson Healthcare Otsego Memorial Hospital Ltcu is certified for 34 beds in the Oct 2026 CMS file.
How full is Munson Healthcare Otsego Memorial Hospital Ltcu?
CMS's reported average residents put Munson Healthcare Otsego Memorial Hospital Ltcu's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
Own or operate this building?
See the full read and watch it, free.

What is it worth?See the example buildingBook a call
Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.