Holland Home - Raybrook Manor — nursing home in Grand Rapids, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 101 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 85.9 CMS, MDS-derived
CMS Certification Number: 235440
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 1, 1985
Ownership type: Non profit - Corporation
Operator (legal business name): Holland Home
CMS chain: Not part of a CMS-reported chain
Phone: (616) 235-5702
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jun 24, 2026

Citations

40

24 health · 16 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D16	E16	F5
Minimal	A·	B1	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

1

Latest

Feb 5, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235440
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 101
First approved: Sep 1, 1985
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Michigan.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 24, 2026	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Mar 12, 2026	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Mar 12, 2026	Health	Health Standard	1	Potential harm	—	Open →
Dec 23, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 5, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 5, 2025	Health	Health Standard	9	Actual harm	—	Open →
Jan 26, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jan 26, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Nov 29, 2023	Health	Health Complaint	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 5, 2025	Denial of payment for new admissions	—	Mar 1, 2025 · 10 days	235440\|Payment Denial\|2025-03-01

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D16	E16	F5
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 24, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jul 28, 2026	Complaint
Jun 24, 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 28, 2026	Complaint
Jun 24, 2026	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 Jul 28, 2026	Complaint
Mar 12, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2026
Mar 12, 2026	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 14, 2026
Dec 23, 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	D · Potential harm Isolated	Corrected Jan 27, 2026	Complaint
Dec 23, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 27, 2026	Complaint
Feb 5, 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	G · Actual harm Isolated	Corrected Mar 11, 2025
Feb 5, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 11, 2025
Feb 5, 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 Mar 11, 2025
Feb 5, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Mar 11, 2025
Feb 5, 2025	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 Mar 11, 2025
Feb 5, 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 Mar 11, 2025
Feb 5, 2025	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 Mar 11, 2025
Feb 5, 2025	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 11, 2025
Feb 5, 2025	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 Mar 11, 2025
Feb 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 11, 2025
Jan 26, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2024
Jan 26, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2024
Jan 26, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2024
Jan 26, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2024
Jan 26, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 27, 2024
Jan 26, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 27, 2024
Jan 26, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2024
Jan 26, 2024	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	D · Potential harm Isolated	Past non-compliance Jan 2, 2024	Complaint
Jan 26, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 27, 2024
Jan 26, 2024	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 Feb 27, 2024
Jan 26, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 27, 2024
Jan 26, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 27, 2024
Jan 26, 2024	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Feb 27, 2024
Nov 29, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 2, 2024	Complaint
Nov 29, 2023	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 18, 2024	Complaint
Nov 29, 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	E · Potential harm Pattern	Corrected Jan 2, 2024	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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing4.84

State avg 4.03US avg 3.90

Registered nurse (RN)0.85

State avg 0.78US avg 0.69

Licensed practical nurse0.88

State avg 0.89US avg 0.86

Nurse aide3.10

State avg 2.36US avg 2.35

Weekend total nurse4.31

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.10 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover29.9%

State avg 44.6%US avg 45.3%

Registered nurse turnover27.3%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 12, 2026
Cycle 1 health score: 99
Total weighted score: 99.25

Operating entity

Holland Home

CMS legal business name of the certified provider. Operates 3 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

43

Organizations

7

Individuals

36

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christian Living Services	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2009

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christian Living Services	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2009
Concept Rehab, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Brandyn Deckinga	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 8, 2019
Ronald Duemler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 26, 2000
Douglas Himmelein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2021
Adam Kinder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 4, 2021
Philip Matro	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 14, 2021
Timothy Myers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 30, 2016
Scott Schaab	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2006
Anne Tatreau	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 6, 2011
Troy Vugteveen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Scott Demaagd	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2025
Carlos Hidalgo	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
Mark Johnson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 21, 2021
David Knibbe	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2016
Gary Malburg	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2012
Jean Nagelkerk	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2015
Nelson Sanchez	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2017
Gilbert Segovia	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
David Smith	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
Nick Thole	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2016
Mary Ursul	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2012
Marie Vanderkooi	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2025
Susan Vogel-Vanderson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2011
Troy Vugteveen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Sam Watson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2017
Mark Johnson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2025
Adam Kinder	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 4, 2021
Gary Malburg	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2012
Nelson Sanchez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2025
Troy Vugteveen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2022
Authenticity Marketing Group	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2014
Huntington	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2009
Plante & Moran PLLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2003
Raymond James	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2011
Saint Mary's Health Services	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2000
Brandyn Deckinga	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 8, 2019
Ronald Duemler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 26, 2000
Douglas Himmelein	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2021
Philip Matro	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2021
Timothy Myers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 30, 2016
Scott Schaab	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2006
Anne Tatreau	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 6, 2011

Other facilities operated by Holland Home

All 2 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Holland Home Breton Rehabilitation & Living Centre 2589 44th Street SE, Grand Rapids, MI 49512 CCN 235540	58		Apr 30, 2026	15	—
Holland Home Raybrook Manor 2121 Raybrook Avenue, SE, Grand Rapids, MI 49546 Assisted living	236	No CMS rating	—	State-inspected · reports not yet indexed	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2121 Raybrook SE, Grand Rapids, MI 49546
ZIP: 49546
County: Kent County FIPS 26081
State: Michigan
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Optalis Health & Rehabilitation at Kent-Crossing 2320 E Beltline SE, Grand Rapids, MI 49546 CCN 235103Abuse icon	0.5 km	182	Aug 18, 2026	1012 harm	—
Valley Health Center 1015 E Paris Ave SE, Grand Rapids, MI 49546 CCN 235649	2.7 km	20	Jul 31, 2025	101 harm	—
Mission Point Nursing & Physical Rehabilitation Ce 1095 Medical Park Dr, Grand Rapids, MI 49506 CCN 235366	3.2 km	58	Jul 23, 2026	572 IJ2 harm	$49k
Optalis Health and Rehabilitation of Grand Rapids 1950 32nd Street SE, Grand Rapids, MI 49508 CCN 235458SFF CandidateAbuse icon	3.4 km	120	Aug 19, 2026	1445 IJ10 harm10 open	$192k
Porter Hills Health Center 3600 Fulton St E, Grand Rapids, MI 49546 CCN 235310	4.2 km	39	Jul 24, 2025	14	—
Clark Retirement Community 1551 Franklin Street SE, Grand Rapids, MI 49506 CCN 235401	4.3 km	39	Jul 30, 2025	372 harm	—
Holland Home Breton Rehabilitation & Living Centre 2589 44th Street SE, Grand Rapids, MI 49512 CCN 235540	4.7 km	58	Apr 30, 2026	15	—
Corewell Health Rehabilitation & Nursing Center - 4118 Kalamazoo Ave SE, Grand Rapids, MI 49508 CCN 235035	5.1 km	165	Sep 10, 2025	31	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235440	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235440	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

Record-level source links for CCN 235440

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction