Federal inspection record · CMS data as of October 1, 2026
Clearstream Rehabilitation and Nursing Center
240 E North St, Hastings, MI · (269) 945-9564
- Cited for abuse (CMS abuse icon)
- Certified beds
- 98
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Avon Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 5, 1976
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Michigan homes
Clearstream Rehabilitation and Nursing Center carries 131.75 inspection points. That is fewer than 17% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
47 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation9D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care9E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning7E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary5F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2E
- D
Provide or arrange emergency care by a doctor 24 hours a day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-05-05
11 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-02
16 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-03-26
20 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 35 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 69% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$35,416 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-18 | Fine | $19,532 |
| 2024-06-25 | Fine | $15,884 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.1 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 96.5% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.5 pts worse | 86.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 1.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts worse | 9.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts better | 17.7% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication18.1 pts worse | 32.8% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts better | 6.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 8.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.5% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse | 24.9% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 2.5% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts worse | 81.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts worse | 18.4% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.7 pts worse | 80.8% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts better | 12.6% | 23.9% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gottlieb, Moshe | 5% Or Greater Indirect Ownership Interest · Individual | 45% | 15 facilities |
| Freund, Eliyahu | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Freund, Eliyahu | Corporate Officer · Individual | 0% | 10 facilities |
| Freund, Eliyahu | Adp Of The SNF · Individual | 0% | 10 facilities |
| Gottlieb, Moshe | Limited Partnership Interest · Individual | 0% | 15 facilities |
| Koenig, Joshua | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Koenig, Joshua | Adp Of The SNF · Individual | 0% | 4 facilities |
| Melder, Patrick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Melder, Patrick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Renewal Healthcare LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Renewal Mi Managment | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Renewal Mi Managment | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wingler, Carter | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wingler, Carter | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
Egress3E
- E
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.
- E
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.
- E
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Thornapple Manor
Hastings, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 39 min
- Fines
- $0
-
The Laurels of Sandy Creek
Wayland, MI · Ciena Healthcare/Laurel Health Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
- $9,113
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The Laurels of Kent
Lowell, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $62,010