Elder Care Record

Michigan › Kalamazoo County › Kalamazoo

Harold and Grace Upjohn Community Care Center

2400 Portage St, Kalamazoo, MI 49001

CCN 235050 · Non-profit, corporation · 87 certified beds

Continuing care retirement community
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.

Harold and Grace Upjohn Community Care Center is a Non-profit, corporation nursing home in Kalamazoo, Michigan, certified for 87 beds and caring for about 80 residents a day.

CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.

Inspectors recorded 61 health deficiencies across the three most recent survey cycles (28, 13, 20 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 70.1 per 100 beds, more than the state median of 29.4.

CMS lists 3 penalties in the period covered: fines totalling $31K and 1 payment denial.

Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Michigan median of 3.8; nursing staff turnover is 40.7%.

61health deficiencies, 3 survey cycles3 at actual harm or worse
$31Kfines listed by CMS3 penalties in period
3.8nurse hours per resident per daystate median 3.8
92%occupancy (residents ÷ beds)80 residents a day

Compared with county, state and nation

MeasureThis facilityKalamazoo Co. medianMichigan medianUS average
Overall star rating1233.0
Health citations, 3 cycles61612928.7
Citations per 100 beds70.170.129.426.8
Total nurse hours per resident day3.83.63.83.9
RN hours per resident day0.80.80.70.7
Nursing staff turnover40.7%44.8%44.6%45.8%
Fines listed$31,186$35,317$0—

County and state figures are medians across facilities (9 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)28
Cycle 213
Cycle 320

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Apr 2026, 12 Mar 2025.

Severity mix: J ×2 G ×1 D ×40 E ×11 F ×5 C ×2

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
17 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey16 Jun 2026
17 Apr 2026F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FStandard survey15 May 2026
17 Apr 2026F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey15 May 2026
17 Apr 2026F0880Provide and implement an infection prevention and control program.FStandard survey16 Jun 2026
17 Apr 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey15 May 2026
17 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey15 May 2026
17 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey15 May 2026
17 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation16 Jun 2026
17 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation15 May 2026
17 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey16 Jun 2026
17 Apr 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation15 May 2026
17 Apr 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey16 Jun 2026
17 Apr 2026F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey15 May 2026
17 Apr 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation15 May 2026
17 Apr 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey15 May 2026
17 Apr 2026F0585Honor 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.DStandard survey15 May 2026
17 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 May 2026
17 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey15 May 2026
17 Apr 2026F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey15 May 2026
17 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 May 2026
17 Apr 2026F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.DStandard survey15 May 2026
17 Apr 2026F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey16 Jun 2026
17 Apr 2026F0732Post nurse staffing information every day.CStandard survey16 Jun 2026
17 Sep 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation24 Oct 2025
17 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation24 Oct 2025
17 Sep 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Oct 2025
5 Aug 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation29 Aug 2025
5 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation29 Aug 2025
12 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Apr 2025
12 Mar 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation21 Apr 2025
12 Mar 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey21 Apr 2025
12 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey21 Apr 2025
12 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Apr 2025
12 Mar 2025F0685Assist a resident in gaining access to vision and hearing services.DStandard survey21 Apr 2025
12 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 survey21 Apr 2025
12 Mar 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey21 Apr 2025
12 Mar 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey21 Apr 2025
12 Mar 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey21 Apr 2025
12 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Apr 2025
12 Mar 2025F0887Educate 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.DStandard survey21 Apr 2025
27 Dec 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation31 Jan 2025
23 May 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey28 Jun 2024
23 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey28 Jun 2024
23 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Jun 2024
23 May 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey28 Jun 2024
23 May 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation28 Jun 2024
23 May 2024F0625Notify 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.DComplaint investigation28 Jun 2024
23 May 2024F0641Ensure each resident receives an accurate assessment.DStandard survey28 Jun 2024
23 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Jun 2024
23 May 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey28 Jun 2024
23 May 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey28 Jun 2024
23 May 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey28 Jun 2024
17 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation1 Mar 2024
17 Apr 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation10 May 2024
17 Apr 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation10 May 2024
20 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation19 Dec 2023
20 Nov 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation19 Dec 2023
20 Nov 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation19 Dec 2023
20 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Dec 2023
20 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Dec 2023
20 Nov 2023F0610Respond appropriately to all alleged violations.DComplaint investigation19 Dec 2023

Penalties

DateTypeAmountDetail
12 Mar 2025Payment denial—7 days
17 Apr 2024Fine$15,593
20 Nov 2023Fine$15,593

Staffing

Total nursing3.76 h
Nurse aides2.1 h
LPN0.84 h
RN0.82 h
Weekend total3.49 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 40.7%, RNs 33.3%; 1 administrator 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 Stay12.4%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.1%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.5%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.8%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.5%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: non-profit, corporation. Legal business name: Harold And Grace Upjohn Community Care Center.

OrganisationRole in the CMS recordInterestSince
Heritage Community of Kalamazoo5% or greater direct ownership interest100%01/01/1966

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 Kalamazoo County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Friendship VillageKalamazoo575551628.1—2 Apr 2026
Medilodge of PortagePortage1173243630.8$35K14 May 2026
Medilodge of KalamazooKalamazoo392242461.5—11 Jun 2026
Plainwell Pines Nursing and Rehabilitation Communiabuse iconPlainwell3921354138.5$195K29 May 2026
Villa At Borgess PlaceKalamazoo1012137069.3$45K21 Apr 2026
Alamo Cove Rehab and Nursing CenterSFF CandidateKalamazoo1001138080.0$18K30 Apr 2026
Medilodge of WestwoodKalamazoo971138688.7$66K12 Mar 2026
The Laurels of GalesburgGalesburg931146772.0$145K1 Jul 2026

All 9 facilities in Kalamazoo County

Questions and answers

How many deficiencies has Harold and Grace Upjohn Community Care Center been cited for?

61 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Harold and Grace Upjohn Community Care Center been fined?

Yes. CMS lists fines totalling $31K in the period covered, plus 1 payment denial.

How does staffing at Harold and Grace Upjohn Community Care Center compare?

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

Who operates Harold and Grace Upjohn Community Care Center?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Heritage Community of Kalamazoo. Individual owners and managers are not listed on this site.

When was Harold and Grace Upjohn Community Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 17 Apr 2026; the most recent standard health survey was 17 Apr 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.