01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-30 | 8 | 2025-07-30 | 5 |
| Cycle 2 | 2024-08-22 | 15 | 2024-08-22 | 4 |
| Cycle 3 | 2023-11-01 | 5 | 2023-11-01 | 0 |
CMS CCN 2354012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Clark Retirement Community
1551 Franklin Street Se · Grand Rapids, MI 49506 · Kent County
Certified beds39CMS provider file
Recent citation rows37current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-30 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-30 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · FIREK0232Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-30 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-02-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-25 · complaint2025-02-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-03-25 · complaint2024-08-22 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-262024-08-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-2603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BHI RETIREMENT COMMUNITIES INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 02/01/2022
- BLOOMSTROM, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CALDWELL, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- DALTON, DOUGLASSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ELLIS, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- HOPPE, GEORGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/15/2020
- JONES, L. DEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KELLY, BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KOSELKE, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- KYLLONEN, KELLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- MAURER, MCKENSEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- MEREDITH, WENDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- MILLER, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- MILLER, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- MURPHY, KARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ORBAN, GLENNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- RICHARDSON, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ROBBINS, FREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.55per resident day
RN hours0.48per resident day
Weekend nurse hours3.30per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS
Open the Grand Rapids ledger →Other published facilities nearby
Corewell Health Grand Rapids Hospitals Rehabilitat120 beds · CMS overall 5/529 citation rowsCorewell Health Rehabilitation & Nursing Center -165 beds · CMS overall 5/531 citation rowsCorewell Health Rehabilitation & Nursing Center -80 beds · CMS overall 5/54 citation rowsCovenant Village Of The Great Lakes37 beds · CMS overall 4/524 citation rowsEdison Christian Health Center136 beds · CMS overall 5/523 citation rowsHolland Home - Raybrook Manor101 beds · CMS overall 5/540 citation rowsHolland Home Breton Rehabilitation & Living Centre58 beds · CMS overall 5/515 citation rowsMary Free Bed Sub-Acute Rehabilitation48 beds · CMS overall 4/514 citation rows