Elder Care Record

Michigan › Berrien County › Niles

West Woods of Niles

1211 State Line Rd, Niles, MI 49120

CCN 235594 · For-profit, corporation · 121 certified beds · chain The Peplinski Group

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 121 beds, West Woods of Niles serves Niles in Berrien County, Michigan and has taken Medicare and Medicaid residents since 2000.

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 3.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (21, 7, 13 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 33.9 per 100 beds, about the same as the state median of 29.4.

CMS lists 3 penalties in the period covered: fines totalling $17K and 1 payment denial.

Reported nurse staffing is 3.9 hours per resident per day (0.6 RN), close to the Michigan median of 3.8; nursing staff turnover is 38.1%.

41health deficiencies, 3 survey cycles5 at actual harm or worse
$17Kfines listed by CMS3 penalties in period
3.9nurse hours per resident per daystate median 3.8
88%occupancy (residents ÷ beds)107 residents a day

Compared with county, state and nation

MeasureThis facilityBerrien Co. medianMichigan medianUS average
Overall star rating1133.0
Health citations, 3 cycles41412928.7
Citations per 100 beds33.945.529.426.8
Total nurse hours per resident day3.93.93.83.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover38.1%44.6%44.6%45.8%
Fines listed$16,800$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)21
Cycle 27
Cycle 313

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Feb 2026, 9 Jan 2025.

Severity mix: J ×1 G ×4 D ×27 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)
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
10 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation9 Mar 2026
10 Feb 2026F0730Observe each nurse aide's job performance and give regular training.FStandard survey9 Mar 2026
10 Feb 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey9 Mar 2026
10 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey9 Mar 2026
10 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey9 Mar 2026
10 Feb 2026F0880Provide and implement an infection prevention and control program.EStandard survey9 Mar 2026
10 Feb 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey9 Mar 2026
10 Feb 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey9 Mar 2026
10 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation9 Mar 2026
10 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey9 Mar 2026
10 Feb 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard survey9 Mar 2026
10 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey13 Apr 2026
10 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation9 Mar 2026
10 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey13 Apr 2026
10 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey9 Mar 2026
10 Feb 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey13 Apr 2026
10 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey9 Mar 2026
10 Feb 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey9 Mar 2026
10 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jan 2026
10 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Jan 2026
19 Nov 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation4 Dec 2025
9 Jan 2025F0880Provide and implement an infection prevention and control program.FStandard survey12 Feb 2025
9 Jan 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard survey12 Feb 2025
9 Jan 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.EStandard survey12 Feb 2025
9 Jan 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey12 Feb 2025
9 Jan 2025F0679Provide activities to meet all resident's needs.DStandard survey12 Feb 2025
9 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Oct 2024
9 Jan 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey8 Oct 2024
3 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation26 Jul 2024
3 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation26 Jul 2024
3 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation26 Jul 2024
3 Jul 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation26 Jul 2024
14 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation10 Apr 2024
14 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation10 Apr 2024
1 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Dec 2023
29 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Dec 2023
29 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Dec 2023
29 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 Dec 2023
29 Nov 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey22 Dec 2023
29 Nov 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Dec 2023
29 Nov 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey22 Dec 2023

Penalties

DateTypeAmountDetail
10 Feb 2026Payment denial—34 days
3 Jul 2024Fine$8,400
3 Jul 2024Fine$8,400

Staffing

Total nursing3.92 h
Nurse aides2.67 h
LPN0.68 h
RN0.57 h
Weekend total3.53 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 38.1%, RNs 25.0%; 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 Stay16.7%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.3%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.8%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay39.0%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.9%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.1%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, corporation. Legal business name: Ardan Associates, Inc. Chain: The Peplinski Group (10 facilities).

OrganisationRole in the CMS recordInterestSince
The Peplinski Group IncAdp of the snfNOT APPLICABLE04/07/2025
West Wood Estates, LLCAdp of the snfNOT APPLICABLE04/07/2025

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
Niles Care Center, LLCNiles1002124141.0$158K17 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

All 7 facilities in Berrien County

Questions and answers

How many deficiencies has West Woods of Niles 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 West Woods of Niles been fined?

Yes. CMS lists fines totalling $17K in the period covered, plus 1 payment denial.

How does staffing at West Woods of Niles compare?

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

Who operates West Woods of Niles?

It is part of the The Peplinski Group chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was West Woods of Niles last inspected?

The most recent survey or investigation in the CMS record is dated 10 Feb 2026; the most recent standard health survey was 10 Feb 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.