The federal government slapped the Mission Point facility with a fine of more than $461,000. Of the nearly 34,000 fines levied against nursing homes over the past three years, only 14 were higher.

The federal government requires nursing homes that participate in Medicare and Medicaid to report payments to related parties. It doesn’t require related parties to report how they spend that money.

The owner and operator of three nursing homes in Michigan had to pay back nearly $70,000 to nursing home managers who were not paid overtime, as the result of a federal investigation. The U.S ...