The Rivers Health & Rehabilitation Center of Gross

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.

67.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 325 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.6% 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 142 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 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 86 beds and averages 79.7 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. 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 4.08 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below 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 3.44 hrs/resident/day on weekends vs 4.34 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.39 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% 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 unchanged from the previous inspection. 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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · Dcited before2025-11-24 · 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 This citation pertains to Intake 2674204. Based on observation, interview, and record review the facility failed to provide adequate supervision to prevent elopement of one cognitively impaired resident (R901) of three residents reviewed for elopement risk. Findings include: A Facility Reported Incident documented, On 11/12/2025, (R901) had exited the building at 10:14 PM and was returned to their room at 10:26 PM. This data was from camera review. R901 had been located by a laundry associate at 10:20 PM who had just punched out for the end of their shift. R901 stated (R901) was going to visit (their) friend but was agreeable to return to the building. A review of the facility Safety Event-Elopement report dated 11/13/25 documented nursing discovered the resident was off the unit at 10:07 PM.On 11/24/25 at 7:40 AM and 8:01 AM, Security Desk Staff A reported someone was to be seated at the desk 24 hours a day and if a break is needed a substitute staff person needs to be in place. Staff A was asked about cameras…

  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 · D2025-08-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 assess and treat a wound for one resident (R68) of one reviewed for wound care and failed to ensure appropriate positioning while in bed for one resident (R11) of one reviewed for positioning. Findings include: R68 On 8/18/25 at 10:55 AM, R68 was observed to have a pink foam dressing between the elbow and wrist that had leaked dried blood on the upper border of the dressing. The dressing was not dated. R68 was dressed in a short-sleeve shirt. A review of the medical record revealed R68 was admitted on [DATE] with the following relevant diagnoses: Non-ST elevation myocardial infarction (heart attack), atrial fibrillation (rapid heart rate), and diabetes, type 2. Their [NAME] Data Set assessment revealed an intact cognition. On 8/19/25 at 9:00 AM and 12:27 PM, the pink foam dressing remained in the same condition as the previous observation. R68 was wearing a short-sleeved shirt. On 8/19/25 at 3:31 PM, R68 was interviewed regarding the…

  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 · Dcited before2025-08-20 · 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 This citation pertains to Intake:1359931Based on observation, interview, and record review, the facility failed to prevent a fall for one resident (R14) of three residents reviewed for falls. Findings include:A review of information submitted to the State Agency (SA) revealed R14 sustained a fall due to their assigned Certified Nursing Assistant (CNA) providing care alone resulting in a transfer to the hospital for an evaluation.On 8/18/25 at 9:25 AM, R14 was observed lying in bed with two fall mats observed on both sides of their bed. Attempts to interview the resident were to no avail due to their cognition.A review of R14's medical record revealed they were admitted into the facility on [DATE] with diagnoses that included Dementia, Chronic Obstructive Pulmonary Disease, Heart Failure, and Diabetes. Further review revealed the resident was cognitively impaired and required extensive assistance of two staff for bed mobility.Further review of the medical record revealed the following care plan: Problem Start…

  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 · D2025-08-20 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 staff with education regarding (R68's) Wearable Cardioverter Defibrillator (WCD- a device that continuously monitors the heart and can automatically deliver a shock to restore normal rhythm if it detects life-threatening arrhythmias) for 3 of 3 direct care nursing staff. Findings include:On 8/18/25 at 9:34 AM R68 was sitting in their wheelchair. Upon inquiry R68 revealed they had a WCD vest due to recently having a heart attack. They further revealed that it had not been activated (no shock given) since they first began to wear it. R68 revealed there are two batteries one is always charging the other is on the device and the vest is only removed for showers.A review of the Electronic Medical Record (EMR) revealed R68 was admitted on [DATE] with the following relevant diagnoses: Non-ST elevation myocardial infarction (heart attack), atrial fibrillation (rapid heart rate), and diabetes, type 2. R68's Minimum Data Set assessment…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 a medication error rate of less than five percent for one (R2) of three residents reviewed during medication pass. Findings include:A review of the electronic medical record (EMR) revealed R2 was admitted on [DATE] with the following relevant diagnoses: Traumatic Subdural Hemorrhage (stroke), Diabetes, Convulsions (Seizures), Atrial Fibrillation, and Schizoaffective Disorder. The Minimum Data Set assessment revealed severe cognitive impairment. R2 also requires maximum to substantial assistance for all activities of daily living and mobility. On 8/19/25 at 9:19 AM, during a medication observation for R2, it was noted the resident was on two extended-release medication, Depakote and Keppra which should not be crushed. An inquiry as to how those medications would be delivered, Licensed Practical Nurse (LPN) F revealed if a capsule, they would crush the other tablets, then empty capsule contents into the medicine cup and then mix with…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-20 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 properly label medication in one of two medication carts. Findings include:On [DATE] at 10:00 AM, Licensed Practical Nurse (LPN) L was observed administering medication from the second floor medication cart and the following medications were observed to be without an open date; Lispro Insulin Pen, Tobramycin Eye Drops, and a bottle of Enulose liquid. Also observed was vial of Novolog without a resident label or an open date and a bottle of Latanoprost Eye Drops with an expired date of 5/31. Under the dated label was a sticker indicating it should be discarded 42 days after opening. On [DATE] at 10:13 AM, an interview with LPN L revealed all multi-use prescription medications should have a resident identifier as well as an open date.On [DATE] at 10:15 AM, an interview with Unit Manager (UM) B revealed that the medication carts are reviewed each week for unlabeled, undated medication and those that are found are discarded in the sharps…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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 call lights were in reach for one dependent resident (R11) of five reviewed for call light accessibility. Findings include: On 8/18/25 at 12:25 PM, R11 was observed lying in their bed with no call light anywhere in sight. R11 was interviewed regarding the location of their call light and was unaware of its location. On 8/19/25 at 11:42 AM, 12:11 PM, 1:15 PM, and 2:16 PM, R11's call light was observed to be on the floor by the side of the bed farthest from the door. R11 indicated that they were unaware of the location of their call light. On 8/20/25 at 10:45 AM, Unit Nurse Manager (UNM)/LPN (Licensed Practical Nurse) B was interviewed regarding their expectations for call light placement when residents were in their rooms in bed. UNM B indicated that the call light should be accessible to the resident and clipped to the resident when in bed. On 8/20/25 at 11:50 AM, the Director of Nursing (DON) was interviewed regarding their…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-04 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect 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 This citation relates to Intake # MI00148495. Based on interview and record review, the facility failed to notify the responsible party and physician of x-ray findings timely for one Resident (R901) of three residents reviewed for change of condition. Findings include: On 12/04/24 at 11:08 a.m, R901's Family Member, FM B, reported they were concerned R901 received a diagnosis of a new left knee fracture which occurred during their stay at the facility, from 11/04/24 to 11/22/24. FM B stated they learned about the new knee fracture when they accompanied R901 to their orthopedic surgical follow-up visit on 11/22/24, which was for a left hip fracture that occurred on 10/30/24 from a fall FM B reported the orthopedic surgeon found the new left knee fracture during the visit, showed them the x-ray with the new fracture, and asked if R901 had fallen, or how the second fracture had occurred. FM B reported R901 was emergently transferred to an acute care hospital directly from the orthopedic surgeon's office on…

  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 · F2024-08-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 the dish machine to ensure dishware was sanitized. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 8/20/24 at 8:55 AM, dietary staff was observed cleaning soiled dishware in the facility's dish machine. At that time, a plate simulating dishwasher tester was sent through the dish machine to check the sanitizing properties of the facility's high temperature dish machine. The maximum temperature recorded on the plate simulator was noted to be 124 degrees Fahrenheit. The plate simulating dishwasher tester was sent through the dish machine a second time, and the maximum temperature was noted to be 125 degrees Fahrenheit. Dietary Staff continued to use the dish machine. On 8/20/24 at 9:10 AM, Dietary Manager (DM) O was queried about the dish machine, and stated that he was aware of the issue and had put in a work order for maintenance last week. No explanation was given as to why staff continued to use the dish machine, when it was…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-22 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect 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 This citation pertains to Intake MI00146468. Based on interview and record review, the facility failed to notify the responsible party and obtain x-ray results timely for one resident (R123) of one resident reviewed for a change in condition, resulting in the responsible uninformed about a fall until hours later and a delay in treatment. Findings include: A review of the record for R123 revealed a progress note dated 06/10/24 at 10:30 AM by Unit Manager D which documented, Writer was reported to by oncoming staff that resident was lowered to the floor by CENA (Certified Nursing Assistant, CNA) on midnight shift while doing peri care, resident was reaching and grabbing onto CENA and CENA had to lower resident to floor for safety. Resident has abrasion on left shoulder and left side of torso, x-ray ordered to rule out any injury, (Director of Nursing) DON notified, spouse notified. investigation process and complete. Patient is resting well, no s/s of distress or discomfort. family at bedside. The previous…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

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.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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