Federal inspection record · CMS data as of October 1, 2026
The Timbers of Cass County
55432 Colby St, Dowagiac, MI · (269) 782-7828
- Certified beds
- 108
- Residents per day
- 98
- Ownership
- For-Profit
- Chain
- Atrium Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 15, 2010
1
How this home got 2 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.
-
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.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
The Timbers of Cass County carries 86 inspection points. That is fewer than 37% 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
42 health citations on record since 2023. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate foot care.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide activities to meet all resident's needs.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
Infection Control7F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights5E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
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.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Nutrition and Dietary5F
- 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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service4E
- D
Ensure that residents are free from significant medication errors.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
- E
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-01-08
12 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-10-31
18 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-10-11
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 32 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.6 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 99.4% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 99.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts worse | 6.0% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.6% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 16.6% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 16.2% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts better | 6.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 8.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 3.1% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.7 pts better | 3.7% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 6.2% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 90.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts worse | 15.9% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.8 pts better | 93.3% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts better | 16.7% | 23.9% | 23.4% |
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Who owns and runs it
41 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 |
|---|---|---|---|
| Orion Operating Services LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| Albright Ross, Susan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Amicus Capital Holdings Inc | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Amicus Capital Holdings Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
| Amicus Properties LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Amsbury, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Amsbury, Julie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Anderson, Curt | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Anderson, Curt | Adp Of The SNF · Individual | 0% | 12 facilities |
| Atrium Centers Management LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Atrium Centers Management LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Atrium Centers, LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Broad River Rehabilitation | Adp Of The SNF · Organization | 0% | 20 facilities |
| Cherry, Jill | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Cherry, Jill | Adp Of The SNF · Individual | 0% | 12 facilities |
| Clarke, Deann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clarke, Deann | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dorsey, Jasmine | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dorsey, Jasmine | Adp Of The SNF · Individual | 0% | 2 facilities |
| Evergreen Two LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Geniac, Samuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Geniac, Samuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heller, David | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Heller, David | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Heller, David | Adp Of The SNF · Individual | 0% | 6 facilities |
| Johnson, Cindy | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Johnson, Cindy | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Johnson, Cindy | Adp Of The SNF · Individual | 0% | 11 facilities |
| Leaderstat Ltd | Adp Of The SNF · Organization | 0% | 13 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 44 facilities |
| Ocs Real Estate Holdings LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Orion Operating Services LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Orion Properties Ten LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Paredes, Miguel | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Paredes, Miguel | Adp Of The SNF · Individual | 0% | 12 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
| Schmidt, Robert | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Cass County Medical Care Facility
Cassopolis, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 54 min
- Fines
- $15,593
-
The Orchards at Niles
Niles, MI · The Orchards Michigan
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0
-
Niles Care Center, LLC
Niles, MI · Avon Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $118,821