Michigan › Cass County › Dowagiac
The Timbers of Cass County
55432 Colby St, Dowagiac, MI 49047
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 108 beds, The Timbers of Cass County serves Dowagiac in Cass County, Michigan and has taken Medicare and Medicaid residents since 2010.
CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (12, 18, 12 by cycle, most recent first), none at the actual-harm level. That is 38.9 per 100 beds, more than the state median of 29.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the Michigan median of 3.8; nursing staff turnover is 28.9%.
Compared with county, state and nation
| Measure | This facility | Cass Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 42 | 29 | 28.7 |
| Citations per 100 beds | 38.9 | 38.9 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.9 | 3.8 | 3.9 |
| RN hours per resident day | 0.7 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 28.9% | 38.8% | 44.6% | 45.8% |
| Fines listed | $0 | $15,593 | $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: 8 Jan 2026, 31 Oct 2024.
Severity mix: D ×33 E ×5 F ×4
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 |
|---|---|---|---|---|---|
| 14 May 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 | 12 Jun 2026 |
| 19 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 12 Mar 2026 |
| 8 Jan 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 | 9 Feb 2026 |
| 8 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | 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 | 9 Feb 2026 |
| 8 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0687 | Provide appropriate foot care. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 9 Feb 2026 |
| 8 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 9 Feb 2026 |
| 12 Mar 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 11 Apr 2025 |
| 12 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 11 Apr 2025 |
| 12 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Apr 2025 |
| 12 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Apr 2025 |
| 31 Oct 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 | 4 Dec 2024 |
| 31 Oct 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 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 | 4 Dec 2024 |
| 31 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Dec 2024 |
| 31 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0758 | Implement 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. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0887 | Educate 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. | D | Standard survey | 4 Dec 2024 |
| 31 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 4 Dec 2024 |
| 21 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jul 2024 |
| 21 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Jul 2024 |
| 21 Jun 2024 | 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 | Complaint investigation | 29 Jul 2024 |
| 21 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Jul 2024 |
| 11 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 15 Nov 2023 |
| 11 Oct 2023 | F0625 | Notify 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. | D | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 15 Nov 2023 |
| 11 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 28.9%, RNs 38.1%; 2 administrators 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 | 10.9% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 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 | 7.5% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.9% | 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: Atrium Timbers Llc. Chain: Atrium Centers (26 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Orion Operating Services LLC | 5% or greater direct ownership interest | 100% | 12/31/2008 |
| Lument Real Estate Capital LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| Amicus Capital Holdings Inc | Operational/managerial control | NOT APPLICABLE | 08/18/2021 |
| Atrium Centers Management LLC | Operational/managerial control | NOT APPLICABLE | 09/18/2024 |
| Atrium Centers, LLC | Operational/managerial control | NOT APPLICABLE | 12/31/2008 |
| Orion Operating Services LLC | Operational/managerial control | NOT APPLICABLE | 12/31/2008 |
| Amicus Capital Holdings Inc | Adp of the snf | NOT APPLICABLE | 08/18/2021 |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Adp of the snf | NOT APPLICABLE | 08/18/2021 |
| Amicus Properties LLC | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
| Atrium Centers Management LLC | Adp of the snf | NOT APPLICABLE | 09/18/2024 |
| Broad River Rehabilitation | Adp of the snf | NOT APPLICABLE | 09/01/2021 |
| Evergreen Two LLC | Adp of the snf | NOT APPLICABLE | 02/24/2026 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Leaderstat Ltd | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Ocs Real Estate Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
| Omnicare LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Orion Properties Ten LLC | Adp of the snf | NOT APPLICABLE | 05/01/2022 |
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 Cass County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cass County Medical Care Facility | Cassopolis | 80 | 5 | 4 | 5 | 18 | 22.5 | $16K | 23 Jun 2026 |
All 2 facilities in Cass County
Questions and answers
How many deficiencies has The Timbers of Cass County been cited for?
42 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 The Timbers of Cass County been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Timbers of Cass County compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates The Timbers of Cass County?
It is part of the Atrium Centers chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Orion Operating Services LLC, Amicus Capital Holdings Inc and Atrium Centers Management LLC. Individual owners and managers are not listed on this site.
When was The Timbers of Cass County last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 8 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.