Wyoming, MI

Harbor Post Acute Center

2-star overall rating with 2-star inspections with $176,408 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2060 Health Drive, Wyoming, MI

(616) 333-1200

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avon Healthcare

Operator or chain grouping

Approved since

2018-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

388

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

70.88

Composite VBP score used to determine payment impact.

Payment multiplier

1.0228

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.76

Baseline 15.27% · Performance 18.30% · Measure score 6.76 · Achievement 6.76 · Improvement 0

Healthcare-associated infections

8.72

Baseline 5.20% · Performance 5.23% · Measure score 8.72 · Achievement 8.72 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

5.78

Baseline 3.83 hours · Performance 4.72 hours · Measure score 5.78 · Achievement 5.78 · Improvement 4.09

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.14%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 235 · Observed rate 9.36% · Lower 95% interval 7.15%
Discharge to community	67.78%	50.57% 17.2 pts better	Better than the National Rate · Eligible stays 227 · Observed rate 65.64% · Lower 95% interval 60.97%
Medicare spending per beneficiary	0.69	1.02 0.3 pts better
Drug regimen review with follow-up	93.57%	95.27% 1.7 pts worse	Numerator 131 · Denominator 140
Falls with major injury	0.71%	0.77% 0.1 pts better	Numerator 1 · Denominator 140
Discharge self-care score	68.47%	53.69% 14.8 pts better	Numerator 76 · Denominator 111
Discharge mobility score	62.16%	50.94% 11.2 pts better	Numerator 69 · Denominator 111
Pressure ulcers or injuries, new or worsened	1.43%	2.29% 0.9 pts better	Numerator 2 · Denominator 140 · Adjusted rate 1.68%
Healthcare-associated infections requiring hospitalization	5.23%	7.12% 1.9 pts better	No Different than the National Rate · Eligible stays 132 · Observed rate 2.27% · Lower 95% interval 2.87%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	28.26%	42% 13.7 pts worse	Numerator 52 · Denominator 184
Discharge function score	64.86%	56.45% 8.4 pts better	Numerator 72 · Denominator 111
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 21 · Denominator 21
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 99 · Denominator 99
Resident COVID-19 vaccinations up to date	11.11%	25.2% 14.1 pts worse	Numerator 8 · Denominator 72

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	95.0% 1.6 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 100.0% · Q3 95.5% · Q4 100.0% · 4Q avg 96.6%
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	2.2%	3.1% 0.9 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	4.1% 0.4 pts worse	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q3 10.0% · Q4 5.0% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	6.0%	5.5% 0.5 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 0.0% · Q3 4.5% · Q4 0.0% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.3%	19.6% 9.3 pts better	19.6% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.5% · Q3 13.6% · Q4 4.8% · 4Q avg 10.3%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	16.5% 16.5 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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	11.7%	13.9% 2.2 pts better	16.3% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.0%	11.7% 1.7 pts better	14.9% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 20.0% · Q3 0.0% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.9% 0.1 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	18.2%	20.4% 2.2 pts better	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	18.7%	5.6% 13.1 pts worse	5.1% 13.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 23.6% · Q3 22.4% · Q4 7.7% · 4Q avg 18.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.2%	82.8% 7.4 pts better	81.7% 8.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 91.9% · Q3 90.1% · Q4 89.3% · 4Q avg 90.2%
Percentage of short-stay residents who had an outpatient emergency department visit	28.3%	11.5% 16.8 pts worse	12.0% 16.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 24.8% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.9% · Q3 0.4% · Q4 1.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.7%	79.5% 4.2 pts better	79.7% 4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.5%	24.2% 2.3 pts worse	23.9% 2.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 22.2% · Expected 20.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-10-08 · Fire 2024-10-08

19 health deficiencies

Top issue: Resident Rights (9 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-10-06 · Fire 2023-10-06

17 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-23

F · Potential for more than minimal harm 2025-12-04

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-12-23

F · Potential for more than minimal harm 2025-12-04

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-12-23

F · Potential for more than minimal harm 2025-12-04

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-12-23

F · Potential for more than minimal harm 2025-12-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-23

F · Potential for more than minimal harm 2024-10-08

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-08

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 2024-11-15

E · Potential for more than minimal harm 2024-10-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-15

F · Potential for more than minimal harm 2023-10-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-10

F · Potential for more than minimal harm 2023-10-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-10

F · Potential for more than minimal harm 2023-10-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-10-06

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 2023-11-10

E · Potential for more than minimal harm 2023-10-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-11-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-14

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 2026-01-06

E · Potential for more than minimal harm 2025-12-04

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 2025-12-24

D · Potential for more than minimal harm 2025-12-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-12-04

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-12-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-12-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-24

G · Actual harm 2024-10-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-10-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-10-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-08

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 2025-02-10

E · Potential for more than minimal harm 2024-10-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-08

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-10

D · Potential for more than minimal harm 2024-10-08

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-15

F · Potential for more than minimal harm 2024-05-21

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2024-06-30

F · Potential for more than minimal harm 2024-05-21

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2024-06-30

F · Potential for more than minimal harm 2024-05-21

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-06-30

F · Potential for more than minimal harm 2024-05-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-30

F · Potential for more than minimal harm 2024-05-21

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-21

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-21

F579 · Resident Rights Deficiencies

Health

Provide information about how to apply for and use Medicare and Medicaid benefits.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-21

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-01-17

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 2024-02-16

F · Potential for more than minimal harm 2023-10-06

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-10

F · Potential for more than minimal harm 2023-10-06

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-10-06