Cycle 1
Health 2025-04-17 · Fire 2025-04-17
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Greenville, MI
Corewell Health Greenville Hospital Rehabilitation
5-star overall rating with 5-star inspections with 2 recent health deficiencies
615 South Bower Street, Greenville, MI
(616) 225-6590
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
39
Certified beds
Average residents
35
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Corewell Health
Operator or chain grouping
Approved since
1967-09-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 5 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.17
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
4.68
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.13
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.29
CMS adjusted RN staffing hours
Adjusted total hours
5.12
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
711
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.03
Composite VBP score used to determine payment impact.
Payment multiplier
1.0194
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.62
Baseline 18.73% · Performance 17.90% · Measure score 7.62 · Achievement 7.62 · Improvement 4.37
Healthcare-associated infections
3.40
Baseline 5.25% · Performance 6.82% · Measure score 3.40 · Achievement 3.40 · Improvement 0
Total nurse turnover
8.01
Baseline 27.50% · Performance 30.95% · Measure score 8.01 · Achievement 8.01 · Improvement 0
Adjusted total nurse staffing
6.99
Baseline 5.16 hours · Performance 5.07 hours · Measure score 6.99 · Achievement 6.99 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.82% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 17.5% · Lower 95% interval 8.99% |
| Discharge to community | 64.86% |
50.57%
14.3 pts better
|
Better than the National Rate · Eligible stays 71 · Observed rate 64.79% · Lower 95% interval 53.14% |
| Medicare spending per beneficiary | 0.63 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 96.49% |
95.27%
1.2 pts better
|
Numerator 55 · Denominator 57 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 57 |
| Discharge self-care score | 42% |
53.69%
11.7 pts worse
|
Numerator 21 · Denominator 50 |
| Discharge mobility score | 58% |
50.94%
7.1 pts better
|
Numerator 29 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 57 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.82% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 0.51% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 197 |
| Staff flu vaccination coverage | 94.12% |
42%
52.1 pts better
|
Numerator 48 · Denominator 51 |
| Discharge function score | 56% |
56.45%
0.5 pts worse
|
Numerator 28 · Denominator 50 |
| Transfer of health information to provider | 97.67% |
95.95%
1.7 pts better
|
Numerator 42 · Denominator 43 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 31.43% |
25.2%
6.2 pts better
|
Numerator 11 · Denominator 35 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
95.0%
4.1 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.2% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.1%
1.6 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 7.7% · Q4 7.1% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
4.1%
About the same
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.0% · Q4 7.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
5.5%
4.4 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
19.6%
0.8 pts worse
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 23.8% · Q3 26.1% · Q4 17.4% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.0% |
16.5%
8.5 pts worse
|
16.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 19.0% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.1% |
13.9%
3.8 pts better
|
16.3%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
11.7%
1.5 pts worse
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 20.0% · Q3 8.7% · Q4 17.4% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.7% |
1.7%
5 pts worse
|
1.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.0% · Q3 7.7% · Q4 10.7% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
20.4%
4 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 23.0% · Q3 12.8% · Q4 43.1% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
5.6%
4.7 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.5% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
82.8%
16.6 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.8% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.7% |
11.5%
8.2 pts worse
|
12.0%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 18.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
79.5%
18.2 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
24.2%
3.4 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 18.0% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-06 · Fire 2024-03-06
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-04-07 · Fire 2023-04-07
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-18
E · Potential for more than minimal harm
2024-03-06
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-18
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-17
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-16
E · Potential for more than minimal harm
2025-04-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-16
F · Potential for more than minimal harm
2023-04-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
E · Potential for more than minimal harm
2023-04-07
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-05-26
Penalties and ownership
What sits behind the stars
Ownership
Corewell Health
5% Or Greater Direct Ownership Interest · Organization
Beg, Simin
Corporate Director · Individual
Boettcher, Iris
Operational/Managerial Control · Individual
Bragg, Talawnda
Corporate Director · Individual
Buckley, John
Corporate Director · Individual
Cox, Matthew
Corporate Officer · Individual
Doornbos, Mary
Corporate Director · Individual
Ferrell-Robinson, Lynnette
Corporate Director · Individual
Freese Decker, Christina
Corporate Officer · Individual
Hofman, Ronald
Corporate Director · Individual
Marlow, Tamila
Operational/Managerial Control · Individual
Pakkala, Karen
Corporate Officer · Individual
Parker, Shelly
Operational/Managerial Control · Individual
Pink, Bill
Corporate Director · Individual
Port, Christopher
Corporate Director · Individual
Torres, Johannie
Corporate Director · Individual
Waalkes, Annica
Corporate Director · Individual
Watson, Sam
Corporate Director · Individual
Wilson, Mark
Corporate Director · Individual
Nearby options
Other facilities in reach
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#2
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#3
Mission Point Nursing & Physical Rehabilitation Ce
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3-star overall rating with 2-star inspections with abuse icon flag with $45,438 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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