01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-13 | 22 | 2025-06-13 | 6 |
| Cycle 2 | 2024-06-27 | 13 | 2024-06-27 | 0 |
| Cycle 3 | 2023-06-29 | 2 | 2023-06-29 | 0 |
CMS CCN 2353732026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Heartwood Lodge Trinity Health
18525 Woodland Ridge Drive · Spring Lake, MI 49456 · Ottawa County
Certified beds84CMS provider file
Recent citation rows43current CMS citation release
Penalty rows1current 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
43 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-26 · 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 · 2025-09-12 · complaint2025-06-13 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · 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 · 2025-07-102025-06-13 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0558Severity E · pattern; 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 · 2025-07-102025-06-13 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · 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 · 2025-07-102025-06-13 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-07-302025-06-13 · HEALTHF0636Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · 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 · 2025-07-102025-06-13 · 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 · 2025-07-102025-06-13 · 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 · 2025-07-102025-06-13 · HEALTHF0684Severity E · pattern; 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 · 2025-07-302025-06-13 · 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 · 2025-07-102025-06-13 · HEALTHF0690Severity E · pattern; 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 · 2025-07-102025-06-13 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · 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 · 2025-07-302025-06-13 · HEALTHF0865Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0868Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0880Severity F · widespread; 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 · 2025-07-102025-06-13 · HEALTHF0881Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-07-1003 / 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 |
|---|---|---|---|
| 2025-04-23 | Payment Denial | $0 | 19 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- TRINITY CONTINUING CARE SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2022
- KRAMER, TINAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/13/2021
- CARTER, BENJAMINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- HAMILTON-CRAWFORD, JANICEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- HANDY, JOANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- HENKEL, ARTHURIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- JONES, BEVERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- MINNIX, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- POOLE, LEJONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- TAG, ANNA MARIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- TAPIA, MARJORIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- VILLARRUEL, ANTONIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- WELLS, DEWAYNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- BOWENS, MARCUSIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- HAMILTON-CRAWFORD, JANICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- HARVEY, TAMMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2008
- HENKEL, ARTHURIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- HOOYENGA, JUDYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2008
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 hours3.97per resident day
RN hours0.40per resident day
Weekend nurse hours3.59per resident day
Staff turnover48.0%CMS reported field
06 / LOCAL RECORDS
Open the Michigan ledger →Other published facilities nearby
No second facility in the same city met the directory rule.