Elder Care Record

Michigan › Berrien County › Niles

Niles Care Center, LLC

911 S 3rd St, Niles, MI 49120

CCN 235361 · For-profit, limited liability company · 100 certified beds · chain Avon Healthcare

Ownership changed in last 12 months
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.

Niles Care Center, LLC, in Niles, Michigan, is certified for 100 beds under for-profit, limited liability company ownership and belongs to the Avon Healthcare chain.

CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (15, 14, 12 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 41.0 per 100 beds, more than the state median of 29.4.

CMS lists 4 penalties in the period covered: fines totalling $158K and 2 payment denials.

Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 67.8%.

CMS flags that the facility changed ownership in the last 12 months.

41health deficiencies, 3 survey cycles5 at actual harm or worse
$158Kfines listed by CMS4 penalties in period
3.4nurse hours per resident per daystate median 3.8
53%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityBerrien Co. medianMichigan medianUS average
Overall star rating2133.0
Health citations, 3 cycles41412928.7
Citations per 100 beds41.045.529.426.8
Total nurse hours per resident day3.43.93.83.9
RN hours per resident day0.50.60.70.7
Nursing staff turnover67.8%44.6%44.6%45.8%
Fines listed$158,405$8,827$0—

County and state figures are medians across facilities (7 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)15
Cycle 214
Cycle 312

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 5 Dec 2024.

Severity mix: J ×2 G ×3 D ×21 E ×5 F ×10

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 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation8 May 2026
17 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation8 May 2026
23 Jan 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard survey23 Feb 2026
23 Jan 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.FComplaint investigation23 Feb 2026
23 Jan 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey23 Feb 2026
23 Jan 2026F0880Provide and implement an infection prevention and control program.EStandard survey23 Feb 2026
23 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Feb 2026
23 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey23 Feb 2026
23 Jan 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey23 Feb 2026
23 Jan 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 survey23 Feb 2026
23 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 Feb 2026
10 Dec 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation22 Dec 2025
10 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation22 Dec 2025
20 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation21 Aug 2025
20 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation21 Aug 2025
5 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Mar 2025
5 Dec 2024F0880Provide and implement an infection prevention and control program.FStandard survey3 Mar 2025
5 Dec 2024F0887Educate 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.FStandard survey31 Dec 2024
5 Dec 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey6 Jan 2025
5 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey3 Mar 2025
5 Dec 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey31 Dec 2024
5 Dec 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey3 Mar 2025
5 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey31 Dec 2024
5 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey31 Dec 2024
5 Dec 2024F0693Ensure 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.DStandard survey31 Dec 2024
5 Dec 2024F0758Implement 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.DStandard survey12 Feb 2025
24 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation12 Nov 2024
24 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation12 Nov 2024
24 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Nov 2024
3 Jul 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation6 Sep 2024
3 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 Sep 2024
20 Jun 2024F0585Honor 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.DComplaint investigation16 Jul 2024
20 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Jul 2024
25 Oct 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey10 Nov 2023
25 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Nov 2023
25 Oct 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey10 Nov 2023
25 Oct 2023F0584Honor 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 survey10 Nov 2023
25 Oct 2023F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey10 Nov 2023
25 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey10 Nov 2023
4 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation24 Oct 2023
4 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GComplaint investigation24 Oct 2023

Penalties

DateTypeAmountDetail
20 Aug 2025Fine$75,595
5 Dec 2024Payment denial—51 days
4 Oct 2023Payment denial—28 days
4 Oct 2023Fine$82,810

Staffing

Total nursing3.45 h
Nurse aides1.98 h
LPN0.93 h
RN0.54 h
Weekend total2.99 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 67.8%, RNs 90.0%; 3 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 Stay13.7%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.9%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.6%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.4%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: for-profit, limited liability company. Legal business name: Niles Care Center Llc. Chain: Avon Healthcare (9 facilities).

OrganisationRole in the CMS recordInterestSince
Niles Avon ManagementOperational/managerial controlNOT APPLICABLE09/01/2025
Niles Avon ManagementAdp of the snfNOT APPLICABLE09/01/2025
Niles Care Center PropcoAdp of the snfNOT APPLICABLE09/01/2025

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 Berrien County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Coventry House InnSt Joseph324353196.9—8 Jan 2026
Corewell Health Rehabilitation & Nursing Center -Stevensville1113253329.7$9K16 Apr 2026
Royalton Manor, LLCSt Joseph1231135645.5$174K19 Mar 2026
The Orchards At NilesNiles841146982.1—23 Jan 2026
West Woods of BridgmanBridgman921134548.9—30 Jun 2026
West Woods of NilesNiles1211144133.9$17K10 Feb 2026

All 7 facilities in Berrien County

Questions and answers

How many deficiencies has Niles Care Center, LLC been cited for?

41 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Niles Care Center, LLC been fined?

Yes. CMS lists fines totalling $158K in the period covered, plus 2 payment denials.

How does staffing at Niles Care Center, LLC compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Niles Care Center, LLC?

It is part of the Avon Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Niles Avon Management. Individual owners and managers are not listed on this site.

When was Niles Care Center, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 17 Apr 2026; the most recent standard health survey was 23 Jan 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.