| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D36 | E4 | F5 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 16, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 10, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 10, 2025 | Health | Health Complaint, Health Standard | 8 | Immediate jeopardy | — | Open → |
| Sep 24, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Aug 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Oct 10, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Oct 4, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 4, 2023 | Health | Health Complaint, Health Standard | 12 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 10, 2025 | Denial of payment for new admissions | — | Jan 3, 2026 · 12 days | 235377|Payment Denial|2026-01-03 |
| Sep 24, 2025 | Civil money penalty (fine) | $9,113 | — | 235377|Fine|139157 |
| Mar 7, 2024 | Civil money penalty (fine) | $16,088 | — | 235377|Fine|58947 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D36 | E4 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 16, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Jun 22, 2026 | Complaint |
| Jul 16, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 30, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
20 facilities in 1 states. CMS chain ID 369.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Robin Eisenberg 2014 Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| James Branscum | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| Frank Wronski | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Robin Eisenberg 2014 Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| James Branscum | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| Frank Wronski | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Apr 11, 2019 |
| Nexcare Health Systems, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 10, 2019 |
| Michael Perry |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Valley View Care Center 729 Browning Road, Delano, CA 93215 CCN 5550532 state class AA/A | 53 | Aug 25, 2026 | 1121 harm | — |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Evergreen Manor Senior Care Center 111 Evergreen, Battle Creek, MI 49015 CCN 235054 | 91 | Apr 2, 2026 | 32 | — | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 128 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St Ann's Home 2161 Leonard NW, Grand Rapids, MI 49504 CCN 235643 | 2.6 km | 55 | Jan 23, 2026 | 32 | — | |
| Edison Christian Health Center 1000 Edison Ave NW, Grand Rapids, MI 49504 CCN 235339 | 3.2 km | 136 | Sep 17, 2025 | 23 | — | |
| Covenant Village of the Great Lakes 2520 Lake Michigan Drive NW, Grand Rapids, MI 49504 CCN 235614 | 3.5 km | 37 | Mar 26, 2026 | 24 | — | |
| Michigan Veteran Homes at Grand Rapids 2950 Monroe NE, Grand Rapids, MI 49505 CCN 235729 | 6.7 km | 128 | Jun 11, 2026 | 15 | — | |
| Mary Free Bed Sub-Acute Rehabilitation 235 Wealthy Street SE, 5th Floor, Grand Rapids, MI 49503 CCN 235708 | 8 km | 48 | May 13, 2026 | 141 harm | — | |
| Corewell Health Grand Rapids Hospitals Rehabilitat 1226 Cedar Street NE, Grand Rapids, MI 49503 CCN 235075 | 8.8 km | 120 | Jan 15, 2026 | 28 | — | |
| Optalis Health & Rehabilitation at Leonard 1700 Leonard Street NE, Grand Rapids, MI 49505 CCN 235261 | 9.5 km | 69 | Apr 9, 2026 | 37 | — | |
| Medilodge of Grand Rapids 2000 Leonard NE, Grand Rapids, MI 49505 CCN 235038SFF Candidate | 10.2 km | 55 | Jun 23, 2026 | 933 IJ6 harm | $68k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235377 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235377 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 10, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 2, 2026 |
| Dec 10, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jan 2, 2026 |
| Dec 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2025 |
| Dec 10, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 15, 2025 |
| Dec 10, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2025 |
| Dec 10, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 10, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 10, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 | Complaint |
| Dec 10, 2025 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2026 | Complaint |
| Dec 10, 2025 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 2, 2026 |
| Dec 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Sep 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Sep 16, 2025 | Complaint |
| Aug 27, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 5, 2025 | Complaint |
| Mar 19, 2025 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 27, 2025 | Complaint |
| Mar 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2025 | Complaint |
| Mar 19, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 27, 2025 | Complaint |
| Mar 19, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 27, 2025 | Complaint |
| Mar 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 27, 2025 | Complaint |
| Oct 10, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 29, 2024 |
| Oct 10, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 10, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 10, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 29, 2024 | Complaint |
| Oct 10, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 29, 2024 |
| Oct 10, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Mar 7, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Mar 7, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Mar 7, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Mar 7, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Oct 4, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0585 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 | Complaint |
| Oct 4, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 |
| Oct 4, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.19 (case-mix index 1.22).
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Apr 11, 2019 |
| Todd Sangster | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 11, 2019 |
| Linda Williams | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2019 |
| Jul 9, 2026 |
493 harm |
| $31k |
| South Lyon Senior Care and Rehab Center 700 Reynolds Sweet Parkway, South Lyon, MI 48178 CCN 235065 | 74 | Jun 15, 2026 | 153 harm | — |
| Wexford Senior Care Center 460 Pearl Street, Cadillac, MI 49601 CCN 235094 | 131 | Jun 22, 2026 | 31 | — |
| Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113 | 71 | Dec 4, 2025 | 403 harm | $68k |
| Durand Senior Care and Rehab Center 8750 E Monroe Road, Durand, MI 48429 CCN 235123 | 141 | Jun 11, 2026 | 194 harm | $54k |
| Oakpointe Senior Care and Rehab Center 18901 Meyers Rd, Detroit, MI 48235 CCN 235207 | 106 | Aug 27, 2026 | 331 open | — |
| Dimondale Nursing Care Center 4000 N Michigan Road, Dimondale, MI 48821 CCN 235256 | 150 | Jul 8, 2025 | 444 harm | $35k |