2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Grand Rapids, MI
2-star overall rating with 2-star inspections with $55,219 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1095 Medical Park Dr, Grand Rapids, MI
(616) 949-7220
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mission Point Healthcare Services
Operator or chain grouping
Approved since
1978-09-01
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
0.54
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
4.27
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
13,050
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
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
2.05
Performance 7.22% · Measure score 2.05 · Achievement 2.05 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 66.67% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.58
Baseline 3.86 hours · Performance 3.24 hours · Measure score 0.58 · Achievement 0.58 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.67% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 5.3% |
| Discharge to community | 45.8% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 35.71% · Lower 95% interval 29.24% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 28 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 28 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.22% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 7.69% · Lower 95% interval 3.6% |
| Staff COVID-19 vaccination coverage | 2.13% |
8.2%
6.1 pts worse
|
Numerator 2 · Denominator 94 |
| Staff flu vaccination coverage | 11.45% |
42%
30.6 pts worse
|
Numerator 15 · Denominator 131 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 97.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.1%
0.8 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 3.7% · Q4 7.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
4.1%
0.8 pts worse
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.0% · Q3 8.5% · Q4 0.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
5.5%
3.6 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 2.5% · Q4 2.5% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
19.6%
4.7 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 13.5% · Q3 15.0% · Q4 15.0% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
16.5%
2 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 14.8% · Q3 17.9% · Q4 13.8% · 4Q avg 14.5% · 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 | 11.3% |
13.9%
2.6 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.5% |
11.7%
2.2 pts better
|
14.9%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 13.9% · Q3 13.2% · Q4 0.0% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 1.5% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.4% |
20.4%
5 pts better
|
19.8%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 18.8% · Q3 17.6% · Q4 10.0% · 4Q avg 15.4% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.6%
0.7 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 1.6% · Q3 5.5% · Q4 6.9% · 4Q avg 4.9% · Used in QM five-star |
| 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 · Q1 87.7% · Q2 89.5% · Q3 92.6% · Q4 84.6% · 4Q avg 89.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
11.5%
6.3 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.3%
1 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
79.5%
11.5 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
24.2%
1.9 pts better
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 20.0% · Expected 21.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-21
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 2025-07-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-21
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 2024-08-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-14
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-14
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 2023-07-14
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 2023-07-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-14
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-21
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-11-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2024-08-09
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-09
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-08-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-09
Health
Provide activities to meet all resident's needs.
Corrected 2024-08-09
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-08-09
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-08-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-09
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-09
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 2024-08-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-09
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-09
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-09
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-08-09
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-08-09
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-09
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 2024-08-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-17
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-08-09
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-09
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-19
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-03-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-09
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-09
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-09
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-07-09
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-07-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-09
Penalties and ownership
Fine · fine $48,868
Fine
Payment Denial · denial start 2024-08-10 · 38 days
38 day denial
Fine · fine $6,351
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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