Elder Care Record

Michigan › Kent County › Grand Rapids

Holland Home - Raybrook Manor

2121 Raybrook Se, Grand Rapids, MI 49546

CCN 235440 · Non-profit, corporation · 101 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.

Certified for 101 beds, Holland Home - Raybrook Manor serves Grand Rapids in Kent County, Michigan and has taken Medicare and Medicaid residents since 1985.

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

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (6, 9, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.8 per 100 beds, about the same as the state median of 29.4.

CMS lists 1 penalty in the period covered: no fines and 1 payment denial.

Reported nurse staffing is 4.8 hours per resident per day (0.9 RN), above the Michigan median of 3.8; nursing staff turnover is 31.3%.

24health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS1 penalty in period
4.8nurse hours per resident per daystate median 3.8
90%occupancy (residents ÷ beds)91 residents a day

Compared with county, state and nation

MeasureThis facilityKent Co. medianMichigan medianUS average
Overall star rating5433.0
Health citations, 3 cycles24222928.7
Citations per 100 beds23.826.729.426.8
Total nurse hours per resident day4.84.33.83.9
RN hours per resident day0.90.80.70.7
Nursing staff turnover31.3%44.3%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (27 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)6
Cycle 29
Cycle 39

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2026, 5 Feb 2025.

Severity mix: J ×1 G ×1 D ×16 E ×3 F ×2 B ×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
24 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation (under dispute review)28 Jul 2026
24 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation (under dispute review)28 Jul 2026
24 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation28 Jul 2026
12 Mar 2026F0584Honor 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.EStandard survey14 Apr 2026
23 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation27 Jan 2026
23 Dec 2025F0761Ensure 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.DComplaint investigation27 Jan 2026
5 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey11 Mar 2025
5 Feb 2025F0583Keep residents' personal and medical records private and confidential.FStandard survey11 Mar 2025
5 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Mar 2025
5 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey11 Mar 2025
5 Feb 2025F0585Honor 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 survey11 Mar 2025
5 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Mar 2025
5 Feb 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey11 Mar 2025
5 Feb 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey11 Mar 2025
5 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey11 Mar 2025
26 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Jan 2024
26 Jan 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey27 Feb 2024
26 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey27 Feb 2024
26 Jan 2024F0761Ensure 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.DStandard survey27 Feb 2024
26 Jan 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey27 Feb 2024
26 Jan 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.BStandard survey27 Feb 2024
29 Nov 2023F0610Respond appropriately to all alleged violations.EComplaint investigation2 Jan 2024
29 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation2 Jan 2024
29 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation18 Jan 2024

Penalties

DateTypeAmountDetail
5 Feb 2025Payment denial—10 days

Staffing

Total nursing4.77 h
Nurse aides3.07 h
LPN0.77 h
RN0.93 h
Weekend total4.23 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 31.3%, RNs 28.6%; 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 Stay4.4%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.0%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.4%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.1%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.7%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.4%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: Holland Home.

OrganisationRole in the CMS recordInterestSince
Christian Living Services5% or greater direct ownership interest100%01/01/2009
Concept Rehab, Inc.Operational/managerial controlNOT APPLICABLE10/01/2025
Authenticity Marketing GroupAdp of the snfNOT APPLICABLE01/01/2014
HuntingtonAdp of the snfNOT APPLICABLE01/01/2009
Saint Mary'S Health ServicesAdp of the snfNOT APPLICABLE01/01/2000

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 Kent County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Corewell Health Grand Rapids Hospitals RehabilitatGrand Rapids1205541915.8—15 Jan 2026
Corewell Health Rehabilitation & Nursing Center -Grand Rapids1655452112.7—10 Sep 2025
Corewell Health Rehabilitation & Nursing Center -Grand Rapids8055511.3—9 Jul 2025
Edison Christian Health CenterGrand Rapids13654596.6—17 Sep 2025
Holland Home Breton Rehabilitation & Living CentreGrand Rapids58555813.8—30 Apr 2026
Medilodge of WyomingWyoming805541012.5—24 Jul 2025
Michigan Veteran Homes At Grand RapidsGrand Rapids12855553.9—30 Apr 2025
Porter Hills Health CenterGrand Rapids39555923.1—24 Jul 2025

All 27 facilities in Kent County

Questions and answers

How many deficiencies has Holland Home - Raybrook Manor been cited for?

24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Holland Home - Raybrook Manor been fined?

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

How does staffing at Holland Home - Raybrook Manor compare?

Reported total nurse staffing is 4.8 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Holland Home - Raybrook Manor?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Christian Living Services and Concept Rehab, Inc.. Individual owners and managers are not listed on this site.

When was Holland Home - Raybrook Manor last inspected?

The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 12 Mar 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.