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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D15 | E17 | F12 |
| 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 | |
|---|---|---|---|---|---|---|
| Sep 11, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 11, 2025 | Health | Health Complaint, Health Standard | 12 | Actual harm | — | Open → |
| Jul 9, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 17, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Aug 7, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint, Health Standard | 8 | Actual harm | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 11, 2025 | Civil money penalty (fine) | $46,157 | — | 235485|Fine|138551 |
| Jan 17, 2025 | Denial of payment for new admissions | — | Feb 13, 2025 · 12 days | 235485|Payment Denial|2025-02-13 |
| Jan 17, 2025 | Civil money penalty (fine) | $17,345 | — | 235485|Fine|59085 |
| Aug 7, 2024 | Denial of payment for new admissions | — | Sep 12, 2024 · 8 days | 235485|Payment Denial|2024-09-12 |
| Aug 7, 2024 | Civil money penalty (fine) | $55,853 | — | 235485|Fine|59084 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D15 | E17 | F12 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 11, 2025 | 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 6, 2025 | |
| Sep 11, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 6, 2025 | |
| Sep 11, 2025 | K-0321 |
“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 this facility only.
10 facilities in 1 states. CMS chain ID 515.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ricky Ackerman | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Michael Baumgarten | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Todd Peplinski | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Jeffery Schade | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Brian Thompson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ricky Ackerman | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Michael Baumgarten | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Todd Peplinski | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Jeffery Schade | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2016 |
| Brian Thompson | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Lake Woods Nursing & Rehabilitation Center 1684 Vulcan Street, Muskegon, MI 49442 CCN 235116 | 90 | Jun 24, 2026 | 513 harm | $52k | |
| West Hickory Haven 3310 W Commerce Rd, Milford, MI 48380 CCN 235262 | 101 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Gladwin Nursing and Rehabilitation Community 3270 Pratt Lake Road, Gladwin, MI 48624 CCN 235335 | 3.5 km | 60 | May 27, 2026 | 381 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235485 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235485 | 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
| 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 |
| F · Potential harm Widespread |
| Corrected Oct 6, 2025 |
| Sep 11, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2025 |
| Sep 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2025 |
| Sep 11, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2025 |
| Sep 11, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 6, 2025 |
| Sep 11, 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 Oct 6, 2025 | Complaint |
| Sep 11, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 6, 2025 |
| Sep 11, 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 Oct 6, 2025 |
| Sep 11, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2025 |
| Sep 11, 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 Oct 6, 2025 |
| Sep 11, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 6, 2025 |
| Sep 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 6, 2025 |
| Sep 11, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 6, 2025 |
| Sep 11, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2025 |
| Jul 9, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 11, 2025 | Complaint |
| Jul 9, 2025 | 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 Aug 11, 2025 | Complaint |
| Jan 17, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Feb 25, 2025 | Complaint |
| Jan 17, 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 Feb 25, 2025 | Complaint |
| Jan 17, 2025 | 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 Feb 25, 2025 | Complaint |
| Aug 7, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Aug 7, 2024 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 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 Sep 11, 2024 |
| Aug 7, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 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 Sep 11, 2024 |
| Aug 7, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 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 Sep 20, 2024 | Complaint |
| Aug 7, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 20, 2024 | Complaint |
| Aug 7, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Aug 7, 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 | E · Potential harm Pattern | Corrected Sep 20, 2024 | Complaint |
| Aug 7, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Aug 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Aug 7, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Jun 15, 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 | G · Actual harm Isolated | Corrected Aug 15, 2023 |
| Jun 15, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 15, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2023 |
| Jun 15, 2023 | 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 Jul 12, 2023 |
| Jun 15, 2023 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 15, 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 Jul 12, 2023 |
| Jun 15, 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 Aug 15, 2023 |
| Jun 15, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 15, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.55).
| Direct owner |
| DIRECT OWNERSHIP INTEREST |
| not provided |
| May 1, 2016 |
| Plante & Moran PLLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Ricky Ackerman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Christine Pepera | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 12, 2021 |
| Amarish Potnis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Jeffery Schade | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Brian Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Kathy Winkels | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 5, 2016 |
| Gladwin Pines Property Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 15, 2025 |
| The Peplinski Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Ricky Ackerman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Michael Baumgarten | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Christine Pepera | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 12, 2021 |
| Todd Peplinski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Amarish Potnis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Jeffery Schade | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Brian Thompson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Kathy Winkels | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 5, 2016 |
| Jun 3, 2026 |
505 harm |
| $136k |
| North Woods Nursing Center 2532 Cadillac Drive, Farwell, MI 48622 CCN 235464 | 71 | Apr 8, 2026 | 26 | — |
| Grand Oaks Nursing Center 600 Denmark Street, Baldwin, MI 49304 CCN 235499 | 79 | May 6, 2026 | 35 | — |
| Maple Woods Manor 13137 North Clio Road, Clio, MI 48420 CCN 235518Abuse icon | 151 | Aug 5, 2026 | 554 harm | $59k |
| Huron Woods Nursing Center 1395 South Huron Road, Kawkawlin, MI 48631 CCN 235592 | 60 | Jul 28, 2026 | 433 harm | — |
| West Woods of Niles 1211 State Line Rd, Niles, MI 49120 CCN 235594 | 121 | Jul 16, 2026 | 461 IJ4 harm2 open | $17k |
| Stratford Pines Nursing and Rehabilitation Center 2121 Rockwell Drive, Midland, MI 48642 CCN 235608 | 100 | Apr 1, 2026 | 502 harm | $17k |