Zeeland, MI

Heritage Nursing and Rehabilitation Community

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

320 East Central Avenue, Zeeland, MI

(616) 772-9191

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

36

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Atrium Centers

Operator or chain grouping

Approved since

1992-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

26 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

Staffing

Hours and turnover

RN hours / resident day

0.54

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.71

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

1.85

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.10

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.44

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.28

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,733

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

Performance score

10.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.02

Performance 20.96% · Measure score 1.02 · Achievement 1.02 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0

Baseline 6.29% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.60

Baseline 58.97% · Performance 57.14% · Measure score 1.60 · Achievement 1.60 · Improvement 0.04

Adjusted total nurse staffing

1.70

Baseline 3.65 hours · Performance 3.56 hours · Measure score 1.70 · Achievement 1.70 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.12%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 6.33%
Discharge to community	72.49%	50.57% 21.9 pts better	Better than the National Rate · Eligible stays 54 · Observed rate 70.37% · Lower 95% interval 59.58%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 35 · Denominator 35
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 35
Discharge self-care score	38.1%	53.69% 15.6 pts worse	Numerator 8 · Denominator 21
Discharge mobility score	19.05%	50.94% 31.9 pts worse	Numerator 4 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 35 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.06%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 4.33%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 52
Staff flu vaccination coverage	25%	42% 17 pts worse	Numerator 13 · Denominator 52
Discharge function score	52.38%	56.45% 4.1 pts worse	Numerator 11 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	9.52%	25.2% 15.7 pts worse	Numerator 2 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.0% 5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	5.5%	3.1% 2.4 pts worse	3.3% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.7% · Q3 7.7% · Q4 3.6% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	4.1% 3.1 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	7.1%	5.5% 1.6 pts worse	5.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.3% · Q3 0.0% · Q4 11.5% · 4Q avg 7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.3%	19.6% 6.7 pts worse	19.6% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 25.0% · Q3 29.2% · Q4 30.8% · 4Q avg 26.3%
Percentage of long-stay residents who received an antipsychotic medication	44.0%	16.5% 27.5 pts worse	16.7% 27.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.5% · Q2 42.9% · Q3 50.0% · Q4 40.0% · 4Q avg 44.0% · 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	12.2%	13.9% 1.7 pts better	16.3% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.4%	11.7% 4.3 pts better	14.9% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 4.3% · Q3 8.7% · Q4 4.0% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	0.9% 0.1 pts worse	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · 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	12.9%	20.4% 7.5 pts better	19.8% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.9% · Q3 23.0% · Q4 10.7% · 4Q avg 12.9%
Percentage of long-stay residents with pressure ulcers	1.9%	5.6% 3.7 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.1% · Q4 3.7% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	82.8% 16 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 97.3% · Q4 98.7% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	12.6%	11.5% 1.1 pts worse	12.0% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.2% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.3% 0.4 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.3% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.8%	79.5% 18.3 pts better	79.7% 18.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	38.6%	24.2% 14.4 pts worse	23.9% 14.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 38.6% · Observed 34.1% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-21 · Fire 2025-02-21

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-05-04 · Fire 2023-05-04

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-26

F · Potential for more than minimal harm 2025-02-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-21

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 2025-04-17

E · Potential for more than minimal harm 2025-02-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-26

F · Potential for more than minimal harm 2024-04-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-10

E · Potential for more than minimal harm 2023-05-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-24

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-21

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 2025-03-26