Elder Care Record

Michigan › Lake County › Baldwin

Grand Oaks Nursing Center

600 Denmark Street, Baldwin, MI 49304

CCN 235499 · For-profit, individual · 79 certified beds · chain The Peplinski Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 79 beds, Grand Oaks Nursing Center serves Baldwin in Lake County, Michigan and has taken Medicare and Medicaid residents since 1990.

CMS gives it 4 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 12, 4 by cycle, most recent first), none at the actual-harm level. That is 29.1 per 100 beds, about the same as the state median of 29.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 56.0%.

23health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.8
79%occupancy (residents ÷ beds)62 residents a day

Compared with county, state and nation

MeasureThis facilityLake Co. medianMichigan medianUS average
Overall star rating4433.0
Health citations, 3 cycles23232928.7
Citations per 100 beds29.129.129.426.8
Total nurse hours per resident day4.04.03.83.9
RN hours per resident day0.50.50.70.7
Nursing staff turnover56.0%56.0%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 212
Cycle 34

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2026, 20 Mar 2025.

Severity mix: D ×17 E ×5 F ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey12 Jun 2026
6 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Jun 2026
6 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey12 Jun 2026
6 May 2026F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard survey12 Jun 2026
6 May 2026F0880Provide and implement an infection prevention and control program.DStandard survey12 Jun 2026
29 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation1 Mar 2026
29 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation1 Mar 2026
20 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey25 Apr 2025
20 Mar 2025F0881Implement a program that monitors antibiotic use.EStandard survey25 Apr 2025
20 Mar 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation25 Apr 2025
20 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Apr 2025
20 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey25 Apr 2025
20 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Apr 2025
20 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey25 Apr 2025
20 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey25 Apr 2025
20 Mar 2025F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey25 Apr 2025
20 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey25 Apr 2025
20 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation1 Nov 2024
7 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Nov 2024
23 May 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Jun 2024
20 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 Apr 2024
20 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey26 Apr 2024
20 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey26 Apr 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.04 h
Nurse aides2.73 h
LPN0.82 h
RN0.49 h
Weekend total3.55 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 56.0%, RNs 46.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.5%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.2%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.6%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.5%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: The Peplinski Group (10 facilities).

OrganisationRole in the CMS recordInterestSince
The Peplinski Group IncAdp of the snfNOT APPLICABLE03/06/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Grand Oaks Nursing Center been cited for?

23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Grand Oaks Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Grand Oaks Nursing Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Grand Oaks Nursing Center?

It is part of the The Peplinski Group chain. Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.

When was Grand Oaks Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 6 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.