01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-10 | 2 | 2025-09-10 | 5 |
| Cycle 2 | 2024-08-15 | 9 | 2024-08-15 | 3 |
| Cycle 3 | 2023-07-12 | 10 | 2023-07-12 | 2 |
CMS CCN 2350352026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Corewell Health Rehabilitation & Nursing Center -
4118 Kalamazoo Ave Se · Grand Rapids, MI 49508 · Kent County
Certified beds165CMS provider file
Recent citation rows31current 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
31 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-10 · 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 · 2025-10-10 · complaint2025-09-10 · HEALTHF0880Severity E · pattern; 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 · 2025-10-102025-09-10 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-11-212025-09-10 · 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 · 2025-11-212025-09-10 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-11-212025-09-10 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-11-212025-09-10 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-11-212025-04-29 · 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 · 2025-05-30 · complaint2025-04-29 · 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 · 2025-05-30 · complaint2025-03-12 · 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 · 2025-04-11 · complaint2024-12-05 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-01-03 · complaint2024-12-05 · 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 · 2025-01-03 · complaint2024-08-15 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-09-192024-08-15 · 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 · 2024-09-192024-08-15 · 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 · 2024-09-192024-08-15 · 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 · 2024-09-192024-08-15 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-192024-08-15 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-09-192024-08-15 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-09-192024-03-12 · 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 · 2024-04-02 · complaint2023-11-07 · 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 · 2023-11-30 · complaint2023-07-12 · 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 · 2023-08-072023-07-12 · 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 · 2023-08-072023-07-12 · HEALTHF0585Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-0703 / 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 08/18/2020
- BRAGG, TALAWNDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- BUCKLEY, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- DOORNBOS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- FERRELL-ROBINSON, LYNNETTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- HOFMAN, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- PINK, BILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- PORT, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- TORRES, JOHANNIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- WAALKES, ANNICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- WATSON, SAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- WILSON, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2020
- COX, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2022
- FREESE DECKER, CHRISTINAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/21/2018
- PAKKALA, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2013
- COREWELL HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/1982
- BOETTCHER, IRISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- BOSS, MICHELLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/19/2020
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 hours5.15per resident day
RN hours1.32per resident day
Weekend nurse hours4.36per resident day
Staff turnover41.1%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 Grand Rapids Hospitals Rehabilitat120 beds · CMS overall 5/529 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