Holland, MI

Medilodge of Holland

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1221 East 16th, Holland, MI

(616) 396-7095

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

77

Certified beds

Average residents

73

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Medilodge

Operator or chain grouping

Approved since

2008-03-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

2.40

Nurse aide staffing

Weekend hours

3.26

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
95.0%
3.5 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2
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
Percentage of long-stay residents who have depressive symptoms 6.7%
4.1%
2.6 pts worse
11.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.3%
5.5%
0.2 pts better
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.9%
19.6%
1.3 pts worse
19.6%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.4%
16.5%
1.9 pts worse
16.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.4%
0.1%
0.3 pts worse
0.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 8.0%
13.9%
5.9 pts better
16.3%
8.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 4.6%
11.7%
7.1 pts better
14.9%
10.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.9%
1.7%
0.8 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.2%
20.4%
2.8 pts worse
19.8%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.1%
5.6%
1.5 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.1%
82.8%
6.3 pts better
81.7%
7.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.5%
11.5%
5 pts worse
12.0%
4.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.3%
0.7 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74.2%
79.5%
5.3 pts worse
79.7%
5.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 37.3%
24.2%
13.1 pts worse
23.9%
13.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-05 · Fire 2024-06-05

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-12 · Fire 2023-05-12

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-08

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-28

F · Potential for more than minimal harm 2023-05-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-05-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-12

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-14

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-21

E · Potential for more than minimal harm 2025-12-30

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 2026-01-21

E · Potential for more than minimal harm 2025-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-30

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 2026-01-21

F · Potential for more than minimal harm 2025-05-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-08

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 2025-05-28

C · Minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-14

F · Potential for more than minimal harm 2023-05-12

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 2023-06-14

D · Potential for more than minimal harm 2023-05-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-12

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-06-14

Penalties and ownership

What sits behind the stars

Ownership

Ark Opco Group, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 31 facilities 2015-07-01
B&Y Healthcare S Corp

5% Or Greater Indirect Ownership Interest · Organization

0% 71 facilities 2015-07-01
B&Y Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 75 facilities 2015-07-01
Cody Healthcare S Corp

5% Or Greater Indirect Ownership Interest · Organization

0% 72 facilities 2015-07-01
Craig Flashner 2007 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 75 facilities 2015-07-01
Flashner, Craig

Operational/Managerial Control · Individual

0% 75 facilities 2015-07-02
Flashner, Craig

Corporate Director · Individual

0% 75 facilities 2015-07-02
Kirk, Kristine

W-2 Managing Employee · Individual

0% 74 facilities 2016-09-02
Noble Healthcare Management, LLC

Operational/Managerial Control · Organization

0% 30 facilities 2015-07-01
Norcross, Robert

Contracted Managing Employee · Individual

0% 74 facilities 2015-07-01
Perlstein, Yitzchok

Operational/Managerial Control · Individual

0% 75 facilities 2015-07-02
Perlstein, Yitzchok

Corporate Director · Individual

0% 75 facilities 2015-07-02
Prestige Administrative Services, LLC

Operational/Managerial Control · Organization

0% 72 facilities 2016-01-01
Rogers, Stacey

Contracted Managing Employee · Individual

0% 74 facilities 2015-07-01

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The Inn at Freedom Village

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5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Staffing
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#2

Heritage Nursing and Rehabilitation Community

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

Overall
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Health
4 / 5
Staffing
2 / 5
Fines
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#3

Medilodge of Zeeland

Zeeland, MI

2-star overall rating with 2-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$0

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