West Woods of BridgmanCMS ratings, inspections and fines
- Address
- 9935 Red Arrow Hwy, Bridgman, MI 49106
- CCN
- 235625
- Ownership type
- For-profit, limited liability company
- Certified beds
- 92
- Chain
- The Peplinski Group
- Residents per day
- 78
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives West Woods of Bridgman an overall rating of 1 of 5 stars. The last standard survey was on 20 Aug 2025. The latest survey cycle has 25 health citations. The median for nursing homes in Michigan is 8. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Berrien County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Aug 2025 | 25 | 8 |
| Cycle 2 | 22 Aug 2024 | 8 | 9 |
| Cycle 3 | No date | 12 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Jul 2026 |
| 30 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jun 2026 |
| 30 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 28 Jul 2026 |
| 30 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 Jul 2026 |
| 16 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | B | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | G | Complaint investigation | 11 Feb 2026 |
| 16 Jan 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | B | Complaint investigation | 11 Feb 2026 |
| 20 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 17 Sep 2025 |
| 20 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Sep 2025 |
| 20 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | 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 | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 17 Sep 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 May 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 2 Jun 2025 |
| 22 Aug 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 | 25 Sep 2024 |
| 22 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 25 Sep 2024 |
| 22 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Sep 2024 |
| 22 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Sep 2024 |
| 22 Aug 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 25 Sep 2024 |
| 22 Aug 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 25 Sep 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Sep 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Jun 2024 |
| 30 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 28 Jun 2024 |
| 28 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | 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 | 27 Jul 2023 |
| 28 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | F0803 | Ensure 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. | E | Standard survey | 27 Jul 2023 |
| 28 Jun 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 | 17 Aug 2023 |
| 28 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jul 2023 |
| 28 Jun 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 27 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Aug 2025 | Payment denial | 7 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.96 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.48 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.74 | 0.88 | |
| Nurse aides | 2.74 | 2.33 | |
| All nurse staff, weekends | 3.65 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 47.6%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 61.5%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.1% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.5% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Bridgman Care Operating, LLC
- Chain
- The Peplinski Group (10 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| P&M Holding Group LLP | Adp of the snf | 1 Apr 2014 | |
| Peplinksi Holdings, Inc. | Adp of the snf | 1 Jan 2012 | |
| Red Arrow Property Holdings, LLC | Adp of the snf | 1 Apr 2014 | |
| The Peplinski Group Inc | Adp of the snf | 25 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Berrien County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Corewell Health Rehabilitation & Nursing Center - | Stevensville | 3 of 5 | 7 | $8,827 | 16 Apr 2026 | |
| Royalton Manor, LLC | St Joseph | 1 of 5 | 17 | $173,966 | 16 Apr 2025 | |
| Coventry House Inn | St Joseph | 4 of 5 | 10 | $0 | 8 Jan 2026 | |
| The Orchards at Niles | Niles | 1 of 5 | 6 | $0 | 27 Aug 2025 | |
| Niles Care Center, LLC | Niles | 2 of 5 | 15 | $158,405 | 23 Jan 2026 | |
| West Woods of Niles | Niles | 1 of 5 | 21 | $16,800 | 10 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of West Woods of Bridgman (CCN 235625). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/west-woods-of-bridgman-bridgman-mi-235625/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was West Woods of Bridgman last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jun 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 22 Aug 2024.
- Who operates West Woods of Bridgman?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Peplinski Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is West Woods of Bridgman a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.