01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-23 | 3 | 2026-01-23 | 3 |
| Cycle 2 | 2024-11-22 | 3 | 2024-11-22 | 3 |
| Cycle 3 | 2024-01-11 | 8 | 2024-01-11 | 12 |
CMS CCN 2356432026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Ann'S Home
2161 Leonard Nw · Grand Rapids, MI 49504 · Kent County
Certified beds55CMS provider file
Recent citation rows32current 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
32 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.
2026-01-23 · 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 · 2026-02-252026-01-23 · 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 · 2026-02-252026-01-23 · 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 · 2026-02-252026-01-23 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-23 · 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 · 2026-02-102026-01-23 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-02-102024-11-22 · 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 · 2024-12-312024-11-22 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2024-12-312024-11-22 · 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 · 2024-12-312024-11-22 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-01-082024-11-22 · 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 · 2025-01-082024-11-22 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-01-082024-01-11 · 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 · 2024-02-212024-01-11 · 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 · 2024-02-212024-01-11 · 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 · 2024-02-212024-01-11 · 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 · 2024-02-212024-01-11 · HEALTHF0744Severity 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 dementia.
Correction field: Deficient, Provider has date of correction · 2024-02-212024-01-11 · 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 · 2024-02-212024-01-11 · 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 · 2024-02-212024-01-11 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-02-212024-01-11 · FIREK0132Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Correction field: Waiver has been granted · 2024-06-302024-01-11 · 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 · 2024-03-082024-01-11 · 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: Waiver has been granted · 2024-06-302024-01-11 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-03-0803 / 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
- CARMELITE SISTERS OF THE DIVINE HEART OF JESUSOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/16/1966
- CHEIKH, ANNEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/16/2025
- HILKE, DOROTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/01/1980
- FRYLING, KIMBERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/18/2024
- PRINCE, DANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/20/2017
- FREIMARK, SHELLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2025
- HALL, JENNIFERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/20/2023
- PRINCE, DANAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/20/2021
- AUGER, ANNIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 03/16/2025
- CHARLES SCHWAB & CO INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/10/2019
- CLIFTONLARSONALLEN LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/16/2025
- CLM ENTERPRISES INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- MACATAWA BANK CORPORATIONOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- AUGER, ANNIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/16/2025
- CHEIKH, ANNEIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/16/2025
- FREIMARK, SHELLEYIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2025
- HALL, JENNIFERIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/20/2023
- HILKE, DOROTHYIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/01/1980
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 hours4.82per resident day
RN hours0.74per resident day
Weekend nurse hours4.17per resident day
Staff turnover49.2%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 -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 rows