Holland Home Breton Rehabilitation & Living Centre ratings, inspections, staffing, and fines

1

How this home got 5 stars

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
Staffing

no change (already 5)

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change (already 5)

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Holland Home Breton Rehabilitation & Living Centre carries 16 inspection points. That is fewer than 91% 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

8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts

E 1 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning3D

D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
April 30, 2026 · Standard · F657 · Corrected June 2, 2026
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
March 14, 2024 · Standard · F656 · Corrected April 19, 2024
D
Ensure services provided by the nursing facility meet professional standards of quality.
March 14, 2024 · Standard · F658 · Corrected April 19, 2024

Quality of Life and Care3D

D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 30, 2026 · Standard · F689 · Corrected June 2, 2026
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 26, 2025 · Standard · F690 · Corrected April 23, 2025
D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
March 14, 2024 · Standard · F688 · Corrected April 19, 2024

Resident Rights1E

E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
April 30, 2026 · Standard · F550 · Corrected June 2, 2026

Infection Control1D

D
Provide and implement an infection prevention and control program.
April 30, 2026 · Standard · F880 · Corrected June 2, 2026

Inspection history

2026-04-30
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-03-26
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-03-14
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 6 min of nursing staff time a day, 52 min of it from a registered nurse.

This home

5 h 6 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 15% of nursing staff and 11% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better	100.0%	95.4%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better	100.0%	95.5%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts worse	5.7%	3.0%	3.2%
Percentage of long-stay residents who have depressive symptoms4.5 pts better	0.0%	4.5%	13.5%
Percentage of long-stay residents who lose too much weight1 pts better	4.5%	5.5%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better	18.7%	19.4%	19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts better	11.2%	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 worsened0.1 pts worse	11.2%	11.1%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse	11.8%	10.7%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse	1.5%	0.7%	0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better	0.7%	1.5%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse	25.9%	19.4%	18.3%
Percentage of long-stay residents with pressure ulcers0.8 pts worse	5.8%	5.0%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better	94.2%	83.4%	82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better	0.6%	1.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.2 pts worse	62.3%	81.5%	80.1%

·

Who owns and runs it

44 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
Christian Living Services	5% Or Greater Direct Ownership Interest · Organization	100%	3 facilities
Authenticity Marketing Group	Adp Of The SNF · Organization	0%	2 facilities
Deckinga, Brandyn	Operational/Managerial Control · Individual	0%	2 facilities
Deckinga, Brandyn	Adp Of The SNF · Individual	0%	2 facilities
Demaagd, Scott	Corporate Director · Individual	0%	2 facilities
Duemler, Ronald	Operational/Managerial Control · Individual	0%	3 facilities
Duemler, Ronald	Adp Of The SNF · Individual	0%	3 facilities
Heethuis, Sara	Corporate Director · Individual	0%	1 facilities
Heethuis, Sara	Operational/Managerial Control · Individual	0%	1 facilities
Heethuis, Sara	Adp Of The SNF · Individual	0%	1 facilities
Hidalgo, Carlos	Corporate Director · Individual	0%	2 facilities
Himmelein, Douglas	Operational/Managerial Control · Individual	0%	2 facilities
Himmelein, Douglas	Adp Of The SNF · Individual	0%	2 facilities
Huntington	Adp Of The SNF · Organization	0%	13 facilities
Johnson, Mark	Corporate Director · Individual	0%	6 facilities
Johnson, Mark	Corporate Officer · Individual	0%	6 facilities
Kinder, Adam	Corporate Officer · Individual	0%	2 facilities
Kinder, Adam	Operational/Managerial Control · Individual	0%	2 facilities
Knibbe, David	Corporate Director · Individual	0%	2 facilities
Malburg, Gary	Corporate Director · Individual	0%	2 facilities
Malburg, Gary	Corporate Officer · Individual	0%	2 facilities
Matro, Philip	Operational/Managerial Control · Individual	0%	2 facilities
Matro, Philip	Adp Of The SNF · Individual	0%	2 facilities
Nagelkerk, Jean	Corporate Director · Individual	0%	2 facilities
Plante & Moran Pllc	Adp Of The SNF · Organization	0%	65 facilities
Raymond James	Adp Of The SNF · Organization	0%	2 facilities
Saint Mary's Health Services	Adp Of The SNF · Organization	0%	2 facilities
Sanchez, Nelson	Corporate Director · Individual	0%	2 facilities
Sanchez, Nelson	Corporate Officer · Individual	0%	2 facilities
Schaab, Scott	Operational/Managerial Control · Individual	0%	2 facilities
Schaab, Scott	Adp Of The SNF · Individual	0%	2 facilities
Segovia, Gilbert	Corporate Director · Individual	0%	2 facilities
Select Rehabilitation, LLC	Adp Of The SNF · Organization	0%	59 facilities
Smith, David	Corporate Director · Individual	0%	11 facilities
Tatreau, Anne	Operational/Managerial Control · Individual	0%	2 facilities
Tatreau, Anne	Adp Of The SNF · Individual	0%	2 facilities
Thole, Nick	Corporate Director · Individual	0%	2 facilities
Ursul, Mary	Corporate Director · Individual	0%	2 facilities
Vanderkooi, Marie	Corporate Director · Individual	0%	2 facilities
Vogel-Vanderson, Susan	Corporate Director · Individual	0%	2 facilities
Vugteveen, Troy	Corporate Director · Individual	0%	2 facilities
Vugteveen, Troy	Corporate Officer · Individual	0%	2 facilities
Vugteveen, Troy	Operational/Managerial Control · Individual	0%	2 facilities
Watson, Sam	Corporate Director · Individual	0%	7 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F

F
Inspect, test, and maintain automatic sprinkler systems.
April 30, 2026 · K353 · Corrected June 2, 2026
E
Install corridor and hallway doors that block smoke.
April 30, 2026 · K363 · Corrected June 2, 2026
E
Provide properly protected cooking facilities.
March 26, 2025 · K324 · Corrected April 23, 2025
E
Install corridor and hallway doors that block smoke.
March 26, 2025 · K363 · Corrected April 23, 2025
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
March 14, 2024 · K321 · Corrected April 19, 2024

Gas, Vacuum, and Electrical Systems1E

E
Ensure proper usage of power strips and extension cords.
April 30, 2026 · K920 · Corrected June 2, 2026

Egress1E

E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
March 14, 2024 · K232 · Corrected April 19, 2024

·

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