01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 8 | 2025-05-22 | 0 |
| Cycle 2 | 2024-07-17 | 9 | 2024-07-17 | 0 |
| Cycle 3 | 2023-05-05 | 49 | 2023-05-05 | 0 |
CMS CCN 2350392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mission Point Nursing & Physical Rehabilitation Ce
3400 Wilson Avenue · Grandville, MI 49418 · Kent County
Certified beds114CMS provider file
Recent citation rows66current CMS citation release
Penalty rows2current 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
66 rows in the current release
6 rows carry G–L scope/severity codes; 2 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-22 · 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 · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · HEALTHF0658Severity E · pattern; 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 · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · 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 · 2025-06-132025-05-22 · 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 · 2025-06-132024-10-29 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Past Non-Compliance · 2024-10-15 · complaint2024-07-17 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-08-132024-07-17 · 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 · 2024-08-13 · complaint2024-07-17 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-08-132024-07-17 · HEALTHF0689Severity E · pattern; 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 · 2024-08-132024-07-17 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2024-08-13 · complaint2024-07-17 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2024-08-132024-07-17 · 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 · 2024-08-132024-07-17 · 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 · 2024-08-132024-05-28 · 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 · 2024-06-11 · complaint2024-02-05 · 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 · 2024-04-30 · complaint2024-02-05 · HEALTHF0585Severity D · isolated; potential for more than 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 · 2024-04-30 · complaint2024-02-05 · HEALTHF0600Severity J · isolated immediate jeopardy
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 · 2024-03-04 · complaint2024-02-05 · HEALTHF0658Severity E · pattern; 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 · 2024-03-04 · complaint2024-02-05 · HEALTHF0684Severity G · isolated actual 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 · 2024-04-30 · complaint2024-02-05 · HEALTHF0686Severity E · pattern; 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 · 2024-04-30 · 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 |
|---|---|---|---|
| 2023-11-30 | Fine | $198,188 | 0 |
| 2023-11-30 | Payment Denial | $0 | 124 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MPHS OPERATING HOLDING LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/14/2023
- MITCHELL FAMILY III IRREVOCABLE GST TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST21% · since 04/14/2023
- ORCHARD HOLDINGS II LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST21% · since 04/14/2023
- ORCHARD HOLDINGS III LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST21% · since 04/14/2023
- ORCHARD HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST21% · since 04/14/2023
- MALI, HARIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/14/2023
- MITCHELL, MARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/14/2023
- FOSTER, EMILYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/31/2021
- VANDERWALL, CONNIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/31/2021
- MISSION POINT MANAGEMENT SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2021
- MALI, HARIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/14/2023
- MITCHELL, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/14/2023
- MITCHELL FAMILY III IRREVOCABLE GST TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
- ORCHARD HOLDINGS II LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
- ORCHARD HOLDINGS III LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
- ORCHARD HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
- MALI, HARIIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
- MITCHELL, MARKIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/14/2023
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 hours3.53per resident day
RN hours0.78per resident day
Weekend nurse hours2.91per resident day
Staff turnover46.7%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.