Federal inspection record · CMS data as of October 1, 2026
Mary Free Bed Sub-Acute Rehabilitation
235 Wealthy Street SE, 5th Floor, Grand Rapids, MI · (616) 840-8931
- Certified beds
- 48
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- Trinity Health
- Medicare / Medicaid
- Medicare
- Certified since
- September 30, 2015
1
How this home got 4 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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Mary Free Bed Sub-Acute Rehabilitation carries 42 inspection points. That is fewer than 69% 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
11 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 (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Rights1C
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Administration1C
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2026-05-13
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2025-04-16
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-16
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 34 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.
This home
5 h 34 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 40% 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 short-stay residents assessed and appropriately given the pneumococcal vaccine11.1 pts better | 94.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 12.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.9 pts better | 91.4% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 24.8% | 23.9% | 23.4% |
·
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 |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 1 facilities |
| Trinity Continuing Care Services | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 12 facilities |
| Bowens, Marcus | Corporate Director · Individual | 0% | 8 facilities |
| Brasser, Bruce | Corporate Director · Individual | 0% | 1 facilities |
| Cheslek, Ingrid | Corporate Director · Individual | 0% | 1 facilities |
| Cudney, Kiersten | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Guzman, Nathaniel | Corporate Director · Individual | 0% | 1 facilities |
| Johnson, Stacey | Corporate Director · Individual | 0% | 1 facilities |
| Johnson, Stacey | Corporate Officer · Individual | 0% | 1 facilities |
| Latovick, Pamela | Corporate Director · Individual | 0% | 9 facilities |
| Pennington, Leeann | Corporate Director · Individual | 0% | 2 facilities |
| Treat, Meg | Corporate Director · Individual | 0% | 1 facilities |
| Wang, Ralph | Corporate Director · Individual | 0% | 1 facilities |
| Wang, Ralph | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke1E
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Corewell Health Grand Rapids Hospitals Rehabilitat
Grand Rapids, MI · Corewell Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Clark Retirement Community
Grand Rapids, MI · Bhi Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Optalis Health & Rehabilitation at Leonard
Grand Rapids, MI · Optalis Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0