10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Belding, MI
2-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
414 E State Street, Belding, MI
(616) 794-0460
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
128
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mission Point Healthcare Services
Operator or chain grouping
Approved since
1978-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 2 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
RN hours / resident day
0.83
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.93
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
3.86
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
6,462
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9873
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
3.43
Baseline 6.00% · Performance 6.81% · Measure score 3.43 · Achievement 3.43 · Improvement 0
Total nurse turnover
5.43
Baseline 38.30% · Performance 41.49% · Measure score 5.43 · Achievement 5.43 · Improvement 0
Adjusted total nurse staffing
0.97
Baseline 3.85 hours · Performance 3.35 hours · Measure score 0.97 · Achievement 0.97 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 5.08% · Lower 95% interval 6.53% |
| Discharge to community | 52.12% |
50.57%
1.5 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 47.83% · Lower 95% interval 42.4% |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.81% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 127 |
| Staff flu vaccination coverage | 8.61% |
42%
33.4 pts worse
|
Numerator 13 · Denominator 151 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
95.0%
4.5 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
95.0%
2.1 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.1%
0.4 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 2.2% · Q4 4.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.5% |
4.1%
1.4 pts worse
|
11.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.1% · Q3 7.0% · Q4 3.4% · 4Q avg 5.5% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.5%
2.1 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.8% · Q3 2.8% · Q4 4.1% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.2% |
19.6%
11.6 pts worse
|
19.6%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 29.7% · Q3 29.2% · Q4 31.5% · 4Q avg 31.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.0% |
16.5%
1.5 pts worse
|
16.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 15.4% · Q3 15.7% · Q4 17.5% · 4Q avg 18.0% · 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 | 9.9% |
13.9%
4 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 16.9% · Q3 7.8% · Q4 11.6% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
11.7%
4.5 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.2% · Q3 7.1% · Q4 10.0% · 4Q avg 7.2% · 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 | 1.6% |
1.7%
0.1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.3% · Q3 0.0% · Q4 1.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.3% |
20.4%
7.9 pts worse
|
19.8%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 31.2% · Q3 28.3% · Q4 28.4% · 4Q avg 28.3% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.6%
4.1 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.1% · Q3 0.0% · Q4 2.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
82.8%
8.2 pts better
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 90.4% · Q3 90.6% · Q4 92.4% · 4Q avg 91.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
11.5%
2.1 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 10.0% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.3%
1.3 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 9.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.9% |
79.5%
11.4 pts better
|
79.7%
11.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
24.2%
2.3 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 20.0% · Expected 21.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-09
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 2024-05-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-10
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 2023-03-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-10
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-20
Health
Provide activities to meet all resident's needs.
Corrected 2025-10-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-02
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-05-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-12
Health
Provide activities to meet all resident's needs.
Corrected 2024-05-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-09
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-12
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2024-05-09
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-09
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-09
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-05-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-09
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 2024-06-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-09
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-05-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-09
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-05-09
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-06-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-09
Health
Post nurse staffing information every day.
Corrected 2024-05-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-21
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-11-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-29
Health
Provide activities to meet all resident's needs.
Corrected 2023-03-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-10
Penalties and ownership
Payment Denial · denial start 2024-05-10 · 33 days
33 day denial
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
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