01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-01 | 9 | 2025-05-01 | 4 |
| Cycle 2 | 2024-05-20 | 20 | 2024-05-20 | 5 |
| Cycle 3 | 2023-04-27 | 14 | 2023-04-27 | 2 |
CMS CCN 2351162026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lake Woods Nursing & Rehabilitation Center
1684 Vulcan Street · Muskegon, MI 49442 · Muskegon County
Certified beds90CMS provider file
Recent citation rows54current CMS citation release
Penalty rows4current 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
54 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-15 · 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 · 2026-05-22 · complaint2026-02-10 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-06 · complaint2025-05-01 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-05-26 · complaint2025-05-01 · 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 · 2025-05-262025-05-01 · HEALTHF0686Severity G · isolated actual 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 · 2025-06-042025-05-01 · 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 · 2025-05-262025-05-01 · 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 · 2025-06-042025-05-01 · 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 · 2025-05-262025-05-01 · HEALTHF0921Severity D · isolated; 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 · 2025-05-262025-05-01 · 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 · 2025-05-262025-05-01 · 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 · 2025-05-262025-05-01 · 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 · 2025-05-262025-05-01 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-05-262024-10-23 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-11-26 · complaint2024-10-23 · HEALTHF0626Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction field: Deficient, Provider has date of correction · 2024-11-26 · complaint2024-10-23 · HEALTHF0761Severity D · isolated; 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 · 2024-11-26 · complaint2024-10-23 · 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 · 2024-11-26 · complaint2024-08-19 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-09-20 · complaint2024-08-19 · 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 · 2024-09-20 · complaint2024-06-12 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-07-04 · complaint2024-05-20 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-06-182024-05-20 · 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 · 2024-06-18 · complaint2024-05-20 · 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 · 2024-06-182024-05-20 · 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 · 2024-06-18 · complaint03 / 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 |
|---|---|---|---|
| 2025-05-01 | Fine | $51,948 | 0 |
| 2025-05-01 | Payment Denial | $0 | 8 |
| 2024-05-20 | Payment Denial | $0 | 35 |
| 2023-09-12 | Fine | $15,593 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VANDAMME, KARENIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 04/01/2010
- ACKERMAN, RICKYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2010
- PEPLINSKI, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2010
- SCHADE, JEFFERYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2010
- THOMPSON, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2010
- VANDAMME, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2010
- ACKERMAN, RICKYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2010
- PEPLINSKI, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2010
- SCHADE, JEFFERYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2010
- THOMPSON, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2010
- VANDAMME, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2010
- SOLAREWICZ, KRYSTYNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/13/2025
- WILDEY, ALICIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/12/2022
- WINKELS, KATHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/05/2016
- THE PEPLINSKI GROUP INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2024
- ACKERMAN, RICKYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/27/2024
- PEPLINSKI, TODDIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/24/2024
- SCHADE, JEFFERYIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/16/2024
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 hours3.87per resident day
RN hours0.70per resident day
Weekend nurse hours3.50per resident day
Staff turnover57.7%CMS reported field
06 / LOCAL RECORDS
Open the Muskegon ledger →Other published facilities nearby
Christian Care Nursing Center49 beds · CMS overall 2/553 citation rowsHarbor Terrace Senior Living58 beds · CMS overall 5/516 citation rowsOptalis Health & Rehabilitation Of Muskegon107 beds · CMS overall 2/572 citation rowsRoosevelt Park Nursing And Rehabilitation Communit39 beds · CMS overall 2/586 citation rows