Corewell Health Grand Rapids Hospitals Rehabilitat
1226 Cedar Street NE, Grand Rapids, MI 49503 · Non profit - Corporation · 120 certified beds · (616) 486-3001 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.9% | 10.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.3% | 5.4% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.5% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 2.0% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.6% | 3.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 10.3% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 20.3% | 19.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 99.2% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.5% | 5.1% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 20.8% | 20.0% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 7.7% | 14.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.2% | 79.5% | 79.4% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.69 | 1.84 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.50 | 1.64 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
41.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 41.6%CMS range 25.5–55.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.0%CMS range 7.8–20.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.72 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 114.7 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.03 hrs/resident/day on weekends vs 4.81 on weekdays — 16% thinner on weekends. RN hours go from 1.04 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · D2026-01-15 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to implement a resident comprehensive care plan (placement of pillow behind the neck to reduce/prevent contractures) for 1 of 23 residents (Resident #7) reviewed for care plan implementation, resulting in the potential for breathing complications and increased contractures.Findings include:Resident #7: Review of an admission Record revealed Resident #7 was a male with pertinent diagnoses which included chronic respiratory failure with hypoxia (a condition were the lungs fail to oxygenate the blood for tissues) intracranial hemorrhage (serious type of stroke, bleeding in the skull), and contracture (muscles, tendons, joints and other tissue tighten or shorten causing a deformity) of muscle of both hands and neck. Review of current Care Plan for Resident #7, revised on 9/17/21, revealed the focus, .(Resident #7) has a tracheostomy tube (a hollow tube inserted into a surgically created opening in the neck and windpipe to keep the airway open) and is at risk for occlusion of patent airway (blockage of a clear…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to promote dignity during meals and ensure residents are treated with respect in 3 of 5 residents (Resident #13, #56, & #21) reviewed for dignity/respect, resulting in the potential for feelings of embarrassment, frustration, and impaired self-worth. Findings include: Time management, therapeutic communication, patient education, and compassionate implementation of bedside skills are just a few of the essential skills you need. It is important for your patients to leave the health care setting with a positive image of nursing and a feeling that they received quality care. Your patients should never feel rushed. They need to feel that they are important and are involved in decisions and that their needs are met. [NAME], [NAME] A.; [NAME], [NAME] Griffin; Stockert, [NAME]; Hall, [NAME]. Fundamentals of Nursing - E-Book (Kindle Locations 1589-1592). Elsevier Health Sciences. Kindle Edition. In an interview on 11/19/24 at 11:04 AM, Confidential…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide assistance with fingernail grooming/hygiene for 2 of 5 residents (Resident #21 and #19) reviewed for activities of daily living (ADL's), resulting in the potential for diminished dignity, alteration in skin integrity, nail infection. Findings include: Resident #21 Review of an admission Record revealed Resident #21 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: stroke (damage to brain causing paralysis of left side of body). Review of a Minimum Data Set (MDS) assessment for Resident #21, with a reference date of 9/27/24 revealed a Brief Interview for Mental Status (BIMS) score of 12, out of a total possible score of 15, which indicated Resident #21 had moderate cognitive impairment. Reveiw of Resident #21's Care Plan with a 9/16/21 start date revealed, .requires assistance with ADLs related to chronic disease progression r/t (related to) comorbidities, fatigue, weakness . In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that thorough documentation of a death in the facility was completed and fingernail issues were recorded for 1 of 23 residents (Resident #113 ) reviewed for accurate and complete medical records, resulting in insufficient details related to death in the facility for Resident #113. Findings include: Resident #113 Review of Resident #113's Flow Sheets dated [DATE] at 5:11 AM indicated, date of death [DATE] at 4:25 AM. Review of Resident #113's discharged as deceased Summary dated [DATE] at 12:13 PM revealed, .history of stroke, .multiple hospitalizations for sepsis and infections and progressive decline in the nine months preceding his passing. He passed away on [DATE] . Review of Resident #113's Nurse's Note dated [DATE] at 5:36 AM revealed, Contacted resident's daughter via phone. Explained to her what happened. She became very upset and hang (sic) up. Will try to call her back to get information. In an interview on [DATE] at 01:08…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-28 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #MI00142952. Based on interview and record review, the facility failed to report an allegation of neglect facility staff did not follow a resident care plan to prevent falls to the State Agency for 1 of 3 residents (Resident #103) reviewed for falls, resulting in the potential for continued violations involving neglect and/or abuse going undetected, unreported, or without thorough investigation. Findings include: Review of Resident #103's Care Plan revealed, Problem: .at risk for falls: Start Date: 10/24/23 .INTERVENTIONS: .See Resident Care Summary (RCS) .PROBLEM: .requires assistance with mobility. Start Date: 10/24/23 .INTERVENTIONS: .See RCS. Review of Resident #103's RCS revealed, .Transfer: Dependent: Lift - Sit to Stand. Review of Resident #103's Fall Report dated 10/29/24 at 3:15 PM revealed, .IDT (interdisciplinary team) met and reviewed a witnessed/assisted fall where the POC (plan of care) was not followed. CNA (Certified Nursing Assistant) was transferring resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #MI00142952 Based on interview, and record review, the facility failed to implement care plan interventions, and perform safe transfers in 1 of 3 residents (Resident #103) reviewed for falls, resulting in a fall and the potential for harm. Findings include: Review of a Face Sheet revealed Resident #103 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: weakness, chronic pain of both lower extremities, and left foot fracture. Review of Resident #103's Fall Risk Assessment dated 10/24/23 indicated a moderate risk for falls. In an interview on 6/28/24 at 8:43 AM, Family Member F reported that Resident #103 admitted to the facility on [DATE] for rehabilitation following a fall at home where he had fractured his foot. Review of Resident #103's Care Plan revealed, Problem: .at risk for falls: Start Date: 10/24/23 .INTERVENTIONS: .See Resident Care Summary (RCS) .PROBLEM: .requires assistance with mobility. Start Date: 10/24/23 .INTERVENTIONS:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-02 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain professional standards of care and provide timely incontinence care in 2 of 4 residents (Resident #106 and #108) reviewed for bowel and bladder incontinence, resulting in an increased risk for UTI (urinary tract infection) and the potential for skin breakdown. Findings include: Resident #106 Review of a Face Sheet revealed Resident #106 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: cerebrovascular accident (stroke). Review of Resident #106's Resident Care Summary revealed, 11/28/23: .Skin Care Precautions: Cream - Barrier .Toileting: bladder incontinent, bowel incontinent .Dependent (resident unable to help) . During an observation on 1/31/24 at 11:34 AM Resident #106 was in his room, sitting in a geri chair (used for those with mobility issues, that have difficulty sitting upright in a conventional wheelchair) next to his bed. There was a mechanical hoyer lift sling underneath…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-02 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement interventions to prevent skin breakdown for residents at risk for pressure ulcers, for 2 of 2 residents (Resident #106 and #108) reviewed for pressure ulcer prevention, resulting in the potential for the development of an avoidable pressure ulcer, infection, and overall deterioration in health status. Findings include: Resident #106 Review of a Face Sheet revealed Resident #106 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: cerebrovascular accident (stroke). Review of Resident #106's Resident Care Summary revealed, 11/28/23: .Bed Mobility: Dependent assist x 2 .Toileting: bladder incontinent, bowel incontinent .Dependent .Skin Care and Precautions: 11/28/23 Cream - barrier, specialty mattress . There were no other interventions related to pressure ulcer prevention. Review of Resident #106's Braden Score (for predicting pressure ulcer risk) dated 1/10/24 indicated 11, high risk. During…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #MI00142371 and #MI00142124. Based on observation, interview, and record review, the facility failed to ensure residents were free from accident hazards for 3 of 4 residents (Resident #101, #108 and #109) reviewed for falls, resulting in the potential for serious injury from a fall when care plan interventions were not implemented for bed mobility. Findings include: Resident #101 Review of a Face Sheet revealed Resident #101 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: cerebrovascular accident (stroke). Review of Resident #101's Resident Care Summary (care guide for direct care givers) revealed, High Fall Risk .1/10/24 Safety: Bed low, Orientation: Unable to makes needs known .Bed Mobility (moving from one bed position to another): Dependent (resident unable to help at all) assist x 2 (requires 2 people to safely perform task) .Toileting: .Dependent assist x 2 . Review of Resident #101's Fall Risk Assessment dated 1/9/24 indicated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-02 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to maintain safe infection control practices in regard to hand hygiene (glove use), and consistently implement enhanced barrier precautions in 3 of 4 residents (Resident #106, #108 & #109) reviewed for infection control, resulting in the potential for cross-contamination and the development and spread of multi-drug resistant bacteria. Findings include: The following residents (Resident #106, #108, and #109) were all in the same room. During repeated observations from 1/31/24-2/1/24 at 3:10 PM, the door signage indicated, enhanced barrier precautions in place and N95 mask use was required during nebulizer (breathing) treatments. Review of Resident #106's Resident Care Summary indicated no precautions in place. Review of Resident #108's Resident Care Summary indicated no precautions in place. Review of Resident #109's Resident Care Summary revealed, 10/2/22, Initiate Enhanced Barrier Precautions. Continuous. During an observation on 1/31/24 at 1:23 PM in Resident #108's room, CNA (Certified Nursing Assistant) S…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · Ecited before2023-11-16 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were treated with dignity and respect in 5 (Residents #30, #477, #480, #25, and #54) of 7 residents reviewed for dignity, resulting in staff not respecting privacy for Resident #30, long call light wait time following incontinence episode for Resident #477, staff speaking disrespectfully about Resident #480 in his presence during incontinence care as well as long call light wait time following incontinence episode, and staff not promoting dignity and self-determination for Resident #25 and Resident #54. Findings include: Resident #30 Review of an admission Record revealed Resident #30 was a male, with pertinent diagnoses which included: moderate episode of recurrent major depressive disorder, and moderate vascular dementia with agitation. Review of a Minimum Data Set (MDS) assessment for Resident #30, with a reference date of 8/25/23 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-11-16 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to obtain and/or honor meal preferences for 4 (Residents #4, #106, #123, and #73) of 29 sampled residents reviewed for meal services, resulting in resident dissatisfaction with their meal experience, feelings of frustration related to meals, and the potential for inadequate food/fluid intake and weight loss. Findings include: Resident #4 Review of an admission Record revealed Resident #4 was a male, with pertinent diagnoses which included: type 2 diabetes mellitus (a condition where the body is not able to properly use sugar from the blood) with hyperglycemia, with long-term current use of insulin; hypertension (high blood pressure) associated with diabetes; and weight loss. Review of a Minimum Data Set (MDS) assessment for Resident #4, with a reference date of 9/1/23 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #4 was cognitively intact. During an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-16 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure an annual PASARR II (PASARR Level II is a comprehensive evaluation by the appropriate state-designated authority and determines whether the individual has mental disability, intellectual disability, or a related condition, determines the appropriate setting for the individual and recommends what, if any, specialized services and/or rehabilitative services the individual needs) assessment was completed timely for 1 resident (R21) of 2 residents reviewed for PASARR, resulting in the potential for the resident to not maintain or achieve their highest practicable psychosocial well-being. Findings include: According to the Minimum Data Set (MDS) dated [DATE], R21 scored 9/15 (moderately cognitively impaired) on his BIMS (Brief Interview Mental Status), with diagnoses that included schizoaffective disorder (a combination of symptoms of schizophrenia (a disorder that affects a person's ability to think, feel, and behave clearly and mood disorder, such…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure maintenance, cleaning, and sanitary storage of CPAP (continuous positive airway pressure) and BIPAP (bilevel (alternating) positive airway pressure) respiratory equipment in accordance with physician orders and professional standards 4 of 6 residents (Resident #1, #54, #3, #7) reviewed for respiratory care, resulting in an increased potential for respiratory infection and respiratory distress. Findings include: Resident #1 Review of an admission Record revealed Resident #1 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: chronic respiratory failure with hypoxia (deprived of oxygen) and hypercapnia (elevated carbon dioxide levels), COPD (chronic obstructive pulmonary disease) and asthma. Review of a Minimum Data Set (MDS) assessment for Resident #1, with a reference date of 9/29/23 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-16 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to perform a thorough assessment for past trauma, identify post-traumatic stress disorder (PTSD) triggers and develop individualized care plan interventions to mitigate triggers for 2 (Resident #5 and Resident #7) of 3 residents reviewed for trauma informed care, resulting in the potential of re-traumatization due to staff not being informed and knowledgeable of the resident's past trauma and Resident #7 did not receive direct care that could trigger PTSD. Findings include: Review of an admission Record revealed Resident #54 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: PTSD, depression and anxiety. Review of Resident #5's Care Plan revealed, .actual or potential for mood/behavior impairment: Start: 9/21/21. Dx (diagnosis): major depressive disorder, recurrent episode, moderate, generalized anxiety disorder, PTSD and other insomnia. Rx (prescription): psychotropic medications. Resident at times…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-16 · tag F0745 — failed to provide medically-related social services — isolatedProvide medically-related social services to help each resident achieve the highest possible quality of life.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to assist a resident with legal matters and follow up regarding acquisition of guardianship and/or potential discharge to a lower level of care1 of 29 residents (Resident #79), resulting in Resident #79 feeling frustrated and helpless related to his placement. Findings include: Resident #79 Review of a Face Sheet for Resident #79 dated 4/20/21 revealed the resident was admitted to the facility with the following pertinent diagnoses: end-stage renal disease (condition in which the kidneys lose the ability to remove waste and balance fluids), current moderate episode of major depressive disorder without prior episode, and moderate vascular dementia. Review of a Minimum Data Set (MDS) assessment for Resident #79 dated 10/13/23 revealed a Brief Inventory for Mental Status (BIMS) score of 12/15 which suggested a moderate cognitive impairment. Section GG of the MDS revealed Resident #79 was independent with eating, oral hygiene, toileting, showering, dressing, personal hygiene, bed mobility, and transferring self to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-16 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to discontinue psychotropic as needed (PRN) medications after 14 days and/or document clinical rationale and indicate a timeframe for extended prn psychotropic medication use in 1 of 5 residents (Resident #18) reviewed for unnecessary medications, resulting in the potential for unnecessary medication use and inability to monitor the effectiveness of the prescribed treatment due to lack of documented supporting evidence. Findings include: Resident #18 Review of an admission Record revealed Resident #18 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: generalized anxiety disorder. Review of a Minimum Data Set (MDS) assessment for Resident #18, with a reference date of [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #18 was cognitively intact. In an interview on [DATE] at 11:50 AM, Resident #18 reported that he was very drowsy that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-16 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure proper infection control measures were implemented for cleaning and disinfecting resident shared equipment, resulting in the increased potential for the development and transmission of communicable diseases and infection in a vulnerable population. Findings include: During an observation on 11/13/23 at 2:06 PM, Licensed Practical Nurse (LPN) W administered pain medications to a resident in room [ROOM NUMBER]. Certified Nursing Assistants (CNAs) NN and T transferred a resident from wheelchair to bed with a mechanical lift in the same room. LPN W removed the mechanical lift from the room and took it to another hall. The mechanical lift was not cleaned before leaving the resident's room. During an interview on 11/14/2023 at 9:09 AM, CNA NN stated, Mechanical lifts should be cleaned before and after resident use because you do not know if it was cleaned after the last resident use. Observed on 11/14/23 at 9:32 AM, outside of room [ROOM NUMBER], 1-…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-02 · tag F0585 — failed to handle grievances — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to resolve written resident concerns in a timely manner for 1 resident (Resident #100) of 12 sampled residents reviewed for resolution of grievances, resulting in the potential for care concerns to go unreported and not investigated. Findings include: Review of an admission Record revealed Resident #100 admitted to the facility on [DATE] with pertinent diagnoses which included morbid obesity, depression, and vascular dementia. Review of a Minimum Data Set (MDS) assessment for Resident #100, with a reference date of 6/6/2023 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #100 was cognitively intact. Review of email response to requested medical records received from Nursing Home Administrator NHA A on 7/31/2023 at 4:28 PM revealed there were no grievances for R100 during the requested time frame of 12/20/2022 to 7/31/2023. In an interview on 8/1/2023 at 12:20 PM, NHA A reported…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to COREWELL HEALTH — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.7 | +0.3 vs chain |
| Health inspection | 5 of 5 | 4.3 | +0.7 vs chain |
| Staffing | 4 of 5 | 4.8 | -0.8 vs chain |
| Quality measures | 5 of 5 | 4.0 | +1.0 vs chain |
The other 5 homes this chain runs (chain average 4.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BEG, SIMIN | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| BRAGG, TALAWNDA | Individual | CORPORATE DIRECTOR | since 09/26/2021 |
| BUCKLEY, JOHN | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| DOORNBOS, MARY | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| FERRELL-ROBINSON, LYNNETTE | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| HOFMAN, RONALD | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| PINK, BILL | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| PORT, CHRISTOPHER | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| THADANI, PRAVEEN | Individual | CORPORATE DIRECTOR | since 01/01/2021 |
| TORRES, JOHANNIE | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| WAALKES, ANNICA | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| WATSON, SAM | Individual | CORPORATE DIRECTOR | since 03/12/2020 |
| WILSON, MARK | Individual | CORPORATE DIRECTOR | since 12/11/2024 |
| COX, MATTHEW | Individual | CORPORATE OFFICER | since 01/01/2022 |
| FREESE DECKER, CHRISTINA | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 02/01/2022 |
| PAKKALA, KAREN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/08/2023 |
| BOETTCHER, IRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| MARLOW, TAMILA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/01/2020 |
| SELLS, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/01/2017 |
| COREWELL HEALTH | Organization | ADP OF THE SNF | since 04/14/2025 |
CMS files one row per role, so the 26 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
What families pay in MI
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235075. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-15, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.