Grand Rapids, MI

Michigan Veteran Homes at Grand Rapids

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

2950 Monroe NE, Grand Rapids, MI

(616) 345-6107

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

122

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2021-11-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

1.02

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.39

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

4.86

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

7.27

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.40

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

6.36

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.26

CMS adjusted RN staffing hours

Adjusted total hours

9.00

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

241

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

Performance score

76.30

Composite VBP score used to determine payment impact.

Payment multiplier

1.0249

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

5.26

Performance 42.18% · Measure score 5.26 · Achievement 5.26 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

10

Performance 9.23 hours · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	12.92%	8.2% 4.7 pts better	Numerator 27 · Denominator 209
Staff flu vaccination coverage	14.6%	42% 27.4 pts worse	Numerator 40 · Denominator 274
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.7 0.6 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	95.0% 4.8 pts better	93.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	95.0% 4.2 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.1% 0.1 pts worse	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.6% · Q3 2.6% · Q4 3.4% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.1%	4.1% 4 pts worse	11.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.1% · Q3 7.9% · Q4 9.7% · 4Q avg 8.1%
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 · Q1 4.6% · Q2 8.4% · Q3 4.7% · Q4 3.7% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.5%	19.6% 6.9 pts worse	19.6% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 27.1% · Q3 25.9% · Q4 24.3% · 4Q avg 26.5%
Percentage of long-stay residents who received an antipsychotic medication	23.3%	16.5% 6.8 pts worse	16.7% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 26.9% · Q3 23.9% · Q4 23.2% · 4Q avg 23.3% · 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	9.7%	13.9% 4.2 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 15.2% · Q3 5.4% · Q4 9.8% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.4%	11.7% 0.7 pts worse	14.9% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 16.3% · Q3 13.7% · Q4 11.4% · 4Q avg 12.4% · Used in QM five-star
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 · 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 a urinary tract infection	2.6%	1.7% 0.9 pts worse	1.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.7% · Q3 2.6% · Q4 3.4% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.0%	20.4% 0.6 pts worse	19.8% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 21.2% · Q3 15.2% · Q4 21.7% · 4Q avg 21.0%
Percentage of long-stay residents with pressure ulcers	7.6%	5.6% 2 pts worse	5.1% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.5% · Q3 6.3% · Q4 8.8% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	82.8% 13.8 pts better	81.7% 14.9 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 96.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-30 · Fire 2025-04-30

2 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

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

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-08 · Fire 2023-02-08

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

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

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-17

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-03-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-03-17

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-03

E · Potential for more than minimal harm 2025-03-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-27

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

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-05-07

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-07

F · Potential for more than minimal harm 2023-02-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-16

E · Potential for more than minimal harm 2023-02-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-04-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-05

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

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 2023-11-02

D · Potential for more than minimal harm 2023-10-19

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 2023-09-22

F · Potential for more than minimal harm 2023-02-08

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 2023-03-16

Penalties and ownership

What sits behind the stars

Ownership

Age Management Of West Michigan Pc

Operational/Managerial Control · Organization

0% 1 facilities 2017-08-01

Bhatnagar, Piyush