CCN 235157 · Sanilac County, Michigan

Sanilac Medical Care Facility

137 North Elk Street, Sandusky, MI 48471

Sanilac Medical Care Facility is a 104-bed government-owned nursing home in Sandusky, Michigan, first certified for Medicare or Medicaid in 1968. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 75.9 residents a day, about 73% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
104
Average residents per day
75.9 (73.0% of beds)
Ownership type
Government - County
Certification
Medicare and Medicaid
Legal business name
Sanilac County
Certified since
Aug 15, 1968
Chain or affiliated group
None listed by CMS
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.

MeasureThis facilityMichigan medianUS median
Overall rating3 of 5State spread: 72 at 1, 84 at 2, 85 at 3, 75 at 4, 104 at 5
Health inspections3 of 5
Quality measures3 of 5
Staffing4 of 5
Total nurse hours per resident per day5.323.813.68
RN hours per resident per day0.540.710.58
Weekend nurse hours per resident per day4.62
Nursing staff turnover45.6%44.6%44.9%
Occupancy (residents / beds)73.0%86.7%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey9 (Aug 21, 2025)

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). Sanilac Medical Care Facility meets that part today: 3 stars overall, 3 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.

NameRoleShareSince
Sanilac CountyOrganizationDirect Ownership Interest100%08/01/1968
Buttar, NickIndividualOperational / Managerial Controln/a04/01/2024
Caringi, HeatherIndividualOperational / Managerial Controln/a04/29/2022
Dunsmore-Ganley, RachelIndividualOperational / Managerial Controln/a04/23/2024
Johnson, TammiIndividualOperational / Managerial Controln/a10/01/2023
Laba, TeriIndividualOperational / Managerial Controln/a10/26/1998
Miller, LindseyIndividualOperational / Managerial Controln/a05/31/2022
Miller, NicoleIndividualOperational / Managerial Controln/a07/15/2024
Powell, LisaIndividualOperational / Managerial Controln/aNO DATE PROVIDED
Sherman, CariIndividualOperational / Managerial Controln/a03/09/2025

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

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

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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.