Alamo Cove Rehab and Nursing CenterCMS ratings, inspections and fines
- Address
- 8290 W C Ave, Kalamazoo, MI 49009
- CCN
- 235311
- Ownership type
- For-profit, individual
- Certified beds
- 100
- Chain
- Avon Healthcare
- Residents per day
- 92
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Alamo Cove Rehab and Nursing Center an overall rating of 1 of 5 stars. The last standard survey was on 30 Apr 2026. The latest survey cycle has 28 health citations. The median for nursing homes in Michigan is 8. CMS lists 1 fine of $18,274 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Kalamazoo County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Apr 2026 | 28 | 8 |
| Cycle 2 | 26 Feb 2025 | 31 | 9 |
| Cycle 3 | No date | 21 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0585 | 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. | E | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 17 Jun 2026 |
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 18 May 2026 |
| 24 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 10 Mar 2026 |
| 24 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Mar 2026 |
| 24 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Jun 2026 |
| 24 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 17 Jun 2026 |
| 24 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 10 Apr 2026 |
| 24 Feb 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 10 Mar 2026 |
| 24 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 10 Mar 2026 |
| 24 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Jun 2026 |
| 22 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Nov 2025 |
| 22 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 7 Oct 2025 |
| 22 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Nov 2025 |
Survey cycle 2: 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Mar 2025 |
| 26 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Mar 2025 |
| 26 Feb 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0758 | 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. | D | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0761 | 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. | D | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 15 May 2025 |
| 26 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Mar 2025 |
| 26 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 15 May 2025 |
| 8 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jan 2025 |
| 8 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Jan 2025 |
| 8 Jan 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 29 Jan 2025 |
| 8 Jan 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 29 Jan 2025 |
| 8 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Jan 2025 |
| 28 Aug 2024 | F0585 | 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. | D | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 19 Sep 2024 |
Survey cycle 3: 21 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 May 2024 |
| 2 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 27 May 2024 |
| 2 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 May 2024 |
| 2 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 May 2024 |
| 2 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 May 2024 |
| 2 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 27 May 2024 |
| 2 May 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 27 May 2024 |
| 2 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 May 2024 |
| 2 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 May 2024 |
| 2 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 27 May 2024 |
| 2 May 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 27 May 2024 |
| 2 May 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard survey | 27 May 2024 |
| 2 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 27 May 2024 |
| 19 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 16 Jan 2024 |
| 19 Dec 2023 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 16 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 22 Sep 2025 | Payment denial | 34 | |
| 28 Aug 2024 | Fine | $18,274 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.44 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.58 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.79 | 0.88 | |
| Nurse aides | 2.07 | 2.33 | |
| All nurse staff, weekends | 3.00 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 57.4%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 41.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.1% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.2% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Avon Healthcare (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alamo Cove Op Holdco | 5% or greater direct ownership interest | 100% | 21 Dec 2023 |
| Avon Alamo Management | Operational/managerial control | 21 Dec 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kalamazoo County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Medilodge of Westwood | Kalamazoo | 1 of 5 | 21 | $65,535 | 4 Jun 2025 | |
| Friendship Village | Kalamazoo | 5 of 5 | 2 | $0 | 2 Apr 2026 | |
| Plainwell Pines Nursing and Rehabilitation Communi | Plainwell | 2 of 5 | 21 | $194,994 | 29 May 2026 | |
| Medilodge of Kalamazoo | Kalamazoo | 2 of 5 | 10 | $0 | 9 Jul 2025 | |
| Villa at Borgess Place | Kalamazoo | 2 of 5 | 31 | $45,130 | 13 Aug 2025 | |
| Harold and Grace Upjohn Community Care Center | Kalamazoo | 1 of 5 | 28 | $31,186 | 17 Apr 2026 | |
| Medilodge of Portage | Portage | 3 of 5 | 13 | $35,317 | 14 May 2026 | |
| The Laurels of Galesburg | Galesburg | 1 of 5 | 20 | $145,115 | 10 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Alamo Cove Rehab and Nursing Center (CCN 235311). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/alamo-cove-rehab-and-nursing-center-kalamazoo-mi-235311/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Alamo Cove Rehab and Nursing Center last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a standard survey. It gave 17 citations. The standard survey before the last one was on 26 Feb 2025.
- Who operates Alamo Cove Rehab and Nursing Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Avon Healthcare. The CMS ownership file names Avon Alamo Management for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Alamo Cove Rehab and Nursing Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.