CCN 235123 · Shiawassee County, Michigan
Durand Senior Care and Rehab Center
8750 E Monroe Road, Durand, MI 48429
Durand Senior Care and Rehab Center is a 141-bed for-profit nursing home in Durand, Michigan, first certified for Medicare or Medicaid in 1967. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 117.4 residents a day, about 83% of its certified beds. It has an active FHA-insured Section 232 loan: $6.4 million originally, at 3.45%, with $5.5 million outstanding as of September 30, 2026 and maturity in August 2049.
Facility facts
- Certified beds
- 141
- Average residents per day
- 117.4 (83.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Durand Senior Care and Rehab Center, LLC
- Certified since
- Apr 18, 1967
- Chain or affiliated group
- Nexcare Health Systems (20 facilities, chain average 3.9 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Michigan median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 72 at 1, 84 at 2, 85 at 3, 75 at 4, 104 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.68 | 3.81 | 3.68 |
| RN hours per resident per day | 0.68 | 0.71 | 0.58 |
| Weekend nurse hours per resident per day | 3.38 | ||
| Nursing staff turnover | 40.0% | 44.6% | 44.9% |
| Occupancy (residents / beds) | 83.3% | 86.7% | 85.7% |
| Fines reported by CMS | 2 totaling $53,398 | ||
| Health deficiencies, latest standard survey | 2 (Jun 11, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Durand Senior Care and Rehab Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Nexcare Holdings, LLCOrganization | Direct Ownership Interest | 100% | 11/01/2013 |
| Nexcare Health Systems, LLCOrganization | Operational / Managerial Control | n/a | 01/01/2005 |
| Perry, MichaelIndividual | Operational / Managerial Control | n/a | 08/01/2015 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 24, 2019 | 223(f) refinance or purchaseHUD project name: Nexcare - Durand Senior Care & Rehab Center, 141 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $6,440,000 | Active: 3.45%, $5,457,158 balanceMatures Aug 1, 2049. Servicer: Lument Real Estate Capital | 04822045 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.