Holland Home Breton Rehabilitation & Living Centre

Location & what’s nearby

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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

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.

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.

46.5% 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 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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.

Staffing

How full it usually is: this home is certified for 58 beds and averages 43.2 residents a day — about 74% occupied, or roughly 15 beds typically open. It usually has some room. 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 5.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.91 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.24 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 4.81 hrs/resident/day on weekends vs 5.27 on weekdays — 9% thinner on weekends. RN hours go from 1.09 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below 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 more than at the previous inspection — worsening. 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.

• Potential for harm · E2026-04-30 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor 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 consistently use dignified terms for residents and ensure consistent dignified dining experiences for 10 (Residents #3, 19, 15, 42, 44, 6, 29, 38, 25, & 28) of 45 residents reviewed for dignity resulting in the potential for feelings of shame, embarrassment, and/or decreased meal enjoyment.Findings includeResident #3:Review of Resident #3's admission record, dated 4/30/26, indicated she was an [AGE] year old female with a pertinent diagnosis of dementia (decline in cognitive function).Review of Resident #3's brief interview for mental status, dated 2/26/26, was scored zero which reflected severe cognitive impairment. Review of Resident #3's activity of daily living care plan included an intervention, revised 9/2/25, which stated, EATING: The resident needs total feeding assistance (a level of care where a resident requires complete help with the entire eating/drinking process due to physical, cognitive, or medical impairments).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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 the comprehensive care plan was revised to reflect an increased need for assistance for transfers in 1 resident (Resident #6) of 12 residents reviewed for care plans, resulting in the potential for injury and falls.Findings include:Resident #6Review of an admission Record revealed Resident #6 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: dementia, repeated falls, unsteadiness on feet, weakness, and difficulty walking. Review of a Significant Change in Status Minimum Data Set (MDS) assessment for Resident #6, with a reference date of 3/7/26 revealed the Functional Abilities revealed that Resident #6 required substantial/maximal (staff does more than half of the effort) assistance to stand and for all transfers.Review of Resident #6's Care Plan revealed, I have a self-care deficit related to deconditioning, debility, and dementia as evidenced by needs assistance with daily cares and…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 Based on observation, interview, and record review, the facility failed to ensure safe transfers were performed and the comprehensive care plan was updated with therapy recommendations in 1 resident (Resident #6) of 3 residents reviewed for accidents/falls, resulting in the potential for injury and falls due to unsafe transfers.Findings include:Resident #6Review of an admission Record revealed Resident #6 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: dementia, stage 4 pressure ulcer of sacral region (coccyx, tailbone area), repeated falls, unsteadiness on feet, weakness, and difficulty walking. Review of a Significant Change in Status Minimum Data Set (MDS) assessment for Resident #6, with a reference date of 3/7/26 revealed the Functional Abilities revealed that Resident #6 required substantial/maximal (staff does more than half of the effort) assistance to stand and for all transfers.Review of Resident #6's Fall Risk Evaluation dated 4/15/26 revealed, .If the score…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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 observation, interview, and record review, the facility failed to effectively implement Enhanced Barrier Precautions (EBP) per facility policy and Centers for Disease Control and Prevention (CDC) guidance, in 1 resident (Resident #6) of 12 residents reviewed for infection control, resulting in the potential for cross-contamination and the development and spread of infection to a vulnerable population.Findings include:Resident #6Review of an admission Record revealed Resident #6 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: dementia, stage 4 pressure ulcer of sacral region (coccyx, tailbone area).Review of Resident #6's current Care Plan revealed, .I have an Indwelling Catheter: due to urinary retention and stage 4 pressure ulcer.Review of Resident #6's current Physician Orders revealed, Indwelling urinary catheter.d/t (due to) wound contamination. During an observation on 04/28/2026 at 10:11 AM in Resident #6's room. Certified Nursing Assistant (CNA) D…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 ensure urinary catheter equipment was consistently maintained in a secured and sanitary manner for 1 (Resident #36) of 2 residents reviewed for urinary catheter care, resulting in discomfort and pain at the urinary catheter insertion site and the potential for further catheter-associated urinary tract infections. Findings include: Review of Resident #36's most recent brief interview for mental status score, dated 2/6/25, was scored a 15 out of 15 suggesting Resident #36 was cognitively intact. Review of Resident #36's urology (branch of medicine focusing on the urinary system) consult note, dated 3/25/24, noted that Resident #36's primary diagnosis was Urinary retention and noted Resident #36 had an Atonic bladder (bladder (organ that holds urine) muscles don't fully contract) and an indwelling urethral catheter (tube inserted in the bladder through the penis to allow urine to flow). During observations and interview on 03/24/25 at 09:42 AM, upon entering Resident #36's (R36) room there was a sign on the door…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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 develop a person-centered comprehensive care plan for 2 (Resident #31 and Resident #38) of 12 residents reviewed for comprehensive care plans, resulting in the potential for unmet care needs. Findings include: Resident # 31 Review of an admission Record revealed Resident #31 had pertinent diagnoses which included: Dementia, depression, and chronic obstructive pulmonary disease (COPD, a disease of the lungs that causes breathlessness and coughing). During an observation on 3/12/24 at 9:53 AM., Resident #31 was sitting in the recliner chair in her room sleeping wearing the oxygen nasal cannula (tubing connected to an oxygen machine and applied to the face with oxygen delivery into the nose) correctly with the oxygen concentrator running at 2 liters of oxygen per minute. During an observation on 3/12/24 at 12:19 PM., Resident #31 was sitting in her wheelchair in the dining room with an oxygen tank on the back of her wheelchair, nasal cannula tubing present in the bag on the back of the wheelchair. Resident #31…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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, interviews, and record review, the facility failed to ensure that professional standards of nursing practice were followed during medication administration for 1 (Resident #249) of 16 sampled residents reviewed for professional standards of nursing care resulting in the potential for worsening of health conditions. Findings include: Resident #249 Review of an admission Record revealed Resident #249, was originally admitted to the facility on [DATE] with pertinent diagnoses which included unsteadiness on feet. During an observation and interview on 3/13/24 at 8:26 AM, Licensed Practical Nurse (LPN) U entered Resident #249's room to assess his vital signs. LPN U then exited Resident #249's room and walked over to her medication cart, opened the cart, and grabbed a cup of medications from a drawer. LPN U reported that she had prepared Resident #249's medications earlier in the morning, but when she went to his room to administer the medications, Resident #249 had other staff assisting him so…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure a positioning device was consistently used and applied accurately for 1 (Resident #22) of 2 residents reviewed for positioning, resulting in the potential for decreased range of motion and related complications, skin breakdown, contractures (hardening of the muscles, tendons, and other tissues) and pain. Findings include: Resident #22 Review of a Face Sheet revealed Resident #22 was a female, with pertinent diagnoses which included: hemiplegia following cerebral infarction (muscle weakness or partial paralysis following a stroke) affecting right dominant side. Review of Resident #22's current Care Plan revealed a focus of (Resident #22) has a self care deficit related to right sided weakness, secondary to Acute CVA (stroke). She requires assistance with all ADL's (activities of daily living) . with care planned interventions which included Arm rest (brand name omitted) cushion on armrest of wheelchair for right upper extremity (arm) when in the wheelchair with a start date of 11/11/22. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 44 rows in the source record cover these 30 parties — each is shown once here with every role it holds. Nothing is omitted.

7 organizational owners 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.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI