Michigan › Barry County › Hastings
Clearstream Rehabilitation and Nursing Center
240 E North St, Hastings, MI 49058
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Clearstream Rehabilitation and Nursing Center, in Hastings, Michigan, is certified for 98 beds under for-profit, individual ownership and belongs to the Avon Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (11, 19, 17 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 48.0 per 100 beds, more than the state median of 29.4.
CMS lists 2 penalties in the period covered: fines totalling $35K.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 53.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Barry Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 47 | 29 | 28.7 |
| Citations per 100 beds | 48.0 | 48.0 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.3 | 4.9 | 3.8 | 3.9 |
| RN hours per resident day | 0.5 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 53.8% | 53.8% | 44.6% | 45.8% |
| Fines listed | $35,416 | $35,416 | $0 | — |
County and state figures are medians across facilities (2 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 May 2026, 2 Apr 2025.
Severity mix: J ×1 G ×3 D ×32 E ×6 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 22 May 2026 |
| 5 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 May 2026 |
| 5 May 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 22 May 2026 |
| 5 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 22 May 2026 |
| 5 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 22 May 2026 |
| 5 May 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 | 22 May 2026 |
| 5 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 May 2026 |
| 5 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 May 2026 |
| 5 May 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 22 May 2026 |
| 5 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 May 2026 |
| 26 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 13 Mar 2026 |
| 2 Apr 2025 | F0584 | 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. | E | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 4 Jun 2025 |
| 2 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Apr 2025 |
| 2 Apr 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 | 30 Apr 2025 |
| 2 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | 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 | 30 Apr 2025 |
| 2 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 30 Apr 2025 |
| 2 Apr 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | 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 | 30 Apr 2025 |
| 2 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 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 | 4 Jun 2025 |
| 2 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Apr 2025 |
| 18 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 8 Oct 2024 |
| 18 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 8 Oct 2024 |
| 18 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Oct 2024 |
| 25 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Jul 2024 |
| 25 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jul 2024 |
| 25 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Jul 2024 |
| 25 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jul 2024 |
| 25 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Jul 2024 |
| 26 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Apr 2024 |
| 26 Mar 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 | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 12 Apr 2024 |
| 26 Mar 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 | 12 Apr 2024 |
| 26 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Apr 2024 |
| 26 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Sep 2024 | Fine | $19,532 | |
| 25 Jun 2024 | Fine | $15,884 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 53.8%, RNs 75.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.0% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.5% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Avon Healthcare (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Renewal Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 05/10/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Barry County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Thornapple Manor | Hastings | 161 | 5 | 4 | 5 | 21 | 13.0 | — | 23 Apr 2026 |
All 2 facilities in Barry County
Questions and answers
How many deficiencies has Clearstream Rehabilitation and Nursing Center been cited for?
47 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Clearstream Rehabilitation and Nursing Center been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Clearstream Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Clearstream Rehabilitation and Nursing Center?
It is part of the Avon Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Renewal Healthcare LLC. Individual owners and managers are not listed on this site.
When was Clearstream Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 5 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.