01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-15 | 1 | 2026-01-15 | 9 |
| Cycle 2 | 2024-11-21 | 3 | 2024-11-21 | 1 |
| Cycle 3 | 2023-11-16 | 15 | 2023-11-16 | 0 |
CMS CCN 2350752026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Corewell Health Grand Rapids Hospitals Rehabilitat
1226 Cedar Street Ne · Grand Rapids, MI 49503 · Kent County
Certified beds120CMS provider file
Recent citation rows29current 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
29 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-15 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · 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 · 2026-02-172026-01-15 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0346Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2026-02-172026-01-15 · 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 · 2026-02-172024-11-21 · 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 · 2024-12-202024-11-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-11-21 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-11-21 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-06-28 · 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 · 2024-07-31 · complaint2024-06-28 · HEALTHF0689Severity D · isolated; potential for more than minimal 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 · 2024-07-31 · complaint2024-02-02 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-02-20 · complaint2024-02-02 · 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 · 2024-02-20 · complaint2024-02-02 · HEALTHF0689Severity D · isolated; potential for more than minimal 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 · 2024-02-20 · complaint2024-02-02 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-02-20 · complaint2023-11-16 · HEALTHF0550Severity E · pattern; 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 · 2023-12-212023-11-16 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2023-12-2103 / 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
- BEG, SIMINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- BRAGG, TALAWNDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/26/2021
- BUCKLEY, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- DOORNBOS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- FERRELL-ROBINSON, LYNNETTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- HOFMAN, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- PINK, BILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- PORT, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- THADANI, PRAVEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- TORRES, JOHANNIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- WAALKES, ANNICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- WATSON, SAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2020
- WILSON, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/11/2024
- COX, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- FREESE DECKER, CHRISTINAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2022
- PAKKALA, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/08/2023
- BOETTCHER, IRISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- MARLOW, TAMILAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2020
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 hours4.58per resident day
RN hours0.89per resident day
Weekend nurse hours4.03per resident day
Staff turnover45.8%CMS reported field
06 / LOCAL RECORDS
Open the Grand Rapids ledger →Other published facilities nearby
Clark Retirement Community39 beds · CMS overall 2/537 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