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Home / Michigan / Wyoming

Harbor Post Acute Center

2060 Health Drive, Wyoming, MI 49519 · Kent County · (616) 333-1200

65 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 2018

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235723 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 5 health deficiencies (the Michigan average is 9.9, the national average 9.2).

Of 43 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 16 fines totaling $93,847 in the last three years; the largest was $14,814, and the latest is dated October 8, 2024.

Nurses and nurse aides worked 4.75 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.

58.9% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Avon Healthcare, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
26D
6E
10F
Potential for minimal harm
0A
0B
0C
July 1, 2026Complaint inspection · 1 citation
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify the physician and/or pharmacy when a medication was unavailable and the resident did not receive it for 4 of 4 residents reviewed (R1, R2, R3, and R4) for medication administration.
January 14, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to prevent an elopement for one of three resident's (Resident #100) reviewed for accidents and hazards. The deficient practice was corrected on 01/06/26, prior to the start of this survey and, therefore, this deficiency is considered Past Noncompliance. Resident #100 (R100)Review of an admission Record revealed R100 was an [AGE] year-old female, admitted to the facility on [DATE], with pertinent diagnoses of a recent hip fracture and Alzheimer's disease. During an interview on 01/14/26 at 8:20 AM, R100 laid in bed resting with her eyes open. R100 stated that she remembered being outside the building last week but I couldn't tell you why I did that, I just did. R100 stated that she was not harmed and felt safe and that she wouldn't be doing that again. Review of a Facility Reported Incident dated 01/05/26 reflected the following: [...]
December 4, 2025Standard inspection, Complaint inspection · 5 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to secure prescription medications according to professional standards and facility policies for 5 of 5 resident's (Resident #25, Resident #10, Resident #39, Resident #56, and Resident #45) and for one of four medication carts reviewed.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteThis citation pertains to intake 2680029. Based on observation, interview and record review, the facility failed to create and implement person centered care plans for two (R27 and R63) of 13 residents reviewed for care plans.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteThis citation pertains to intake 2680029. Based on interview and record review, the facility failed to provide showers for one (R27) of 3 residents reviewed for activities of daily living (ADL).
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement a person-centered toileting program for one (R63) of 1 resident reviewed for toileting.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review the facility failed to maintain accurate documentation regarding the disposition of controlled substances for 1 of 2 resident's (Resident #62) reviewed.
October 8, 2024Standard inspection · 10 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pressure ulcer care and treatment consistent with professional standards of practice for one resident (Resident #37) of 3 residents reviewed for care and treatment of pressure ulcers, resulting in harm and the deterioration of Resident #37's pressure ulcer.
  2. F
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide medications upon admission in a timely manner for 1 resident (Resident #207) of 13 residents reviewed for professional standards of practice.
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure working spray bottles are labeled as to content, 2. Ensure water filters were being replaced as required on equipment, 3. Ensure ice machines food contact surface/equipment are clean and maintained, and 4. Ensure the 2nd & 3rd floor kitchenette/pantries flooring is clean and free of debris and the cooler unit's door, door seals, openings and bottoms, resulting in an increased potential of contaminated foods and an increased risk of food borne illness possibly affecting 52 residents that consume food from the kitchen and kitchenettes/pantries.
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteThis citation contains 2 Deficient Practice Statements (DPS), DPS A and DPS B. DPS A Based on observation, interview, and record review, the facility failed to implement their smoking policy and procedure for 1 resident (Resident #25) of 1 resident reviewed for smoking.
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure respiratory equipment was maintained according to professional standards of practice for 4 residents (Resident #26, Resident #27, Resident #43 and Resident #48) out of 4 residents reviewed for respiratory care.
  6. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure licensed personnel followed medication administration policy and procedures when a nurse pre-poured medications for eight residents (R9, R27, R30, R31, R35, R39, R50) and documented the administration of medications that had not been given to residents.
  7. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two Residents (R20 and R26) of five residents reviewed for medication were properly assessed and monitored for self-administration of medication and failed to securely store and document medication self-administration after use.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess, monitor and notify the physician of clinical changes in condition for 1 resident (Resident #48) out of 13 residents reviewed for quality care from a total sample of 13 residents.
  9. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure antipsychotic medications were prescribed to treat a condition as diagnosed and documented with rationale in the clinical record for 1 resident (Resident #24) out of 5 residents reviewed for unnecessary medications.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the failed to ensure proper use of Personal Protective Equipment (PPE) for residents in Enhanced Barrier Precautions for 1 resident (Resident #37) of 13 residents reviewed for infection control.
May 21, 2024Complaint inspection · 9 citations
  1. F
    The resident has the right to receive notices in a format and a language he or she understands.
    F574 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to M100142556, M100143537, and M100143672. Based on interview and record review, the facility failed to provide residents a list of pertinent contact information to the State Agencies (SA), advocacy groups and the like, a description of the requirements and procedures for establishing eligibility for Medicaid, and Medicare/Medicaid coverage, and how to file a complaint with the SA, how to file a grievance, and resources for information regarding returning to the community for 4 (Resident #1, Resident #5, Resident #11, Resident #12) of 4 residents reviewed. This deficient practice affects all 54 residents who reside at the facility. Resident #1 (R1) Review of a Face Sheet revealed R1 admitted to the facility on [DATE]. [...]
  2. F
    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
    F620 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intakes M100143672 AND M100142556. Based on interview and record review, the facility failed to have an admission policy and procedure and provide admission packets for 3 (Resident #5, Resident #11, Resident #12) of 3 residents reviewed, resulting in residents being uninformed of their rights and resources, and the absence of written information available to the resident/responsible party regarding costs, policies, procedures, and services. This deficient practice affects all residents admitted to the facility.
  3. F
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intakes M100142556, 143537, and 143672. Based on interview and record review, the facility failed to prepare for discharges, provide a safe home discharge, and allow a readmission post hospitalization for 2 (Resident #4 and Resident #5) of 3 residents reviewed for discharges, resulting in both residents needing to find placement at another long-term care facility.
  4. F
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intakes M100142556, M100143537, and M100143672 Based on interview and record review, the facility failed to operationalize policies and procedures and notify the Office of the State Long-Term Care Ombudsman of monthly discharges that includes the reason for transfer or discharge, date and the receiving entity. This deficient practice affects all residents discharged from the facility since July 2023.
  5. F
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intakes M100142556 and M100143672. Based on interview and record review, the facility failed to provide Bed Hold policies to residents upon admission and transfers to acute care or therapeutic leave for 12 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident #10, Resident #11, and Resident #12). This deficient practice affects all residents admitted to the facility and residents who get sent out for acute care or therapeutic leave. Findings Include: Review of a Notice of Bed Hold Policy revealed ***This document must be signed by the patient upon discharge to the hospital or therapeutic leave*** If unable to sign, notification from the patient and/or family/DPOA (Designated Power of Attorney) must be documented. Complete top section upon admission with resident or responsible party. [...]
  6. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intake M100143672. Based on observation, interview and record review, the facility failed to have an effective telephone communication system to the facility for 1 (Resident #5) of 3 residents reviewed for communication from outside the facility. This deficient practice has the potential to affect all residents who reside at the facility.
  7. D
    Provide information about how to apply for and use Medicare and Medicaid benefits.
    F579 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intake M100143672. Based on interview and record review, the facility failed to assist and provide written information on how to apply for and use Medicare and Medicaid benefits for 1 (Resident #5) of 1 resident reviewed, resulting in the resident/representative not having Medicaid coverage in a timely manner and had an out-of-pocket expense.
  8. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intakes M100142672 AND M100142556. Based on interview and record review, the facility failed to readmit 1 (Resident #5) of 3 residents reviewed for readmissions after hospitalization, resulting in a resident who was pending Medicaid needing to find placement at another facility.
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2024
    Inspectors wroteThis citation pertains to intake M100144078. Based on observation, interview and record review, the facility failed to provide care and services for pressure ulcers for 2 (Resident #8 and Resident #6), that required repositioning, assessment and monitoring, daily dressing care and/or wound vac (vacuum) care (a treatment that uses a special dressing and a pump to apply suction to a wound and promote healing).
January 17, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure respectful and dignified treatment of two facility residents (Resident #1 (R1) and R2) by a Certified Nurse Aide (CNA F) providing cares in an unprofessional manner.
October 6, 2023Standard inspection · 13 citations
  1. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to secure 1 of 3 medication carts (100 Hall Medication Cart) and properly label a medication in 1 of 3 medication carts (100 Hall Medication Cart), resulting in the potential for misappropriation of medications and the potential for complications from administration of expired or contaminated medications.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Clean food and non-food contact surfaces to sight and touch; 2. Ensure proper concentration of quaternary ammonium sanitizer; and 3. Properly store chemicals to minimize the risk of contamination. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 55 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the facility, at 9:15 AM on 10/3/23, it was observed that an accumulation of debris was found on the underside corners of the juice machine in the kitchen. When asked how often this piece of equipment gets cleaned, Kitchen Supervisor (KS) N stated every Friday. [...]
  3. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to timely submit Payroll-Based Journal (PBJ) information for the Fiscal Year Quarter 3, 2023 (April 1 - June 30) resulting in no staffing data that is auditable or verifiable and the potential for inaccurate staffing information to be known to the state and federal entities.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteThis citation has 2 parts. Part A Based on observation, interview, and record review, the facility failed to protect clean and sanitary items from contamination and have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in contamination of clean and sanitary supplies and an increased risk of water borne pathogens to exist and spread in the facility's plumbing system possibly affecting any or all of the 55 residents in the facility. During a walkthrough of the facility, with Maintenance Director (MD) O, at 2:45 PM on 10/3/23, observation of the laundry room found an accumulation of trash and debris underneath the false bottom of the laundry bin. Further observation found a spray bottle containing a blue solution that was not labeled with a common name. [...]
  5. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a valid Advance Directive was in place for one Resident (R192), resulting in the Durable Power of Attorney (DPOA), that had not been activated, signing paperwork without the authority to do so and the potential for the Advance Directives to not reflect the medical wishes of all facility residents.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to follow facility policy on the prevention of abuse resulting in an allegation of abuse to be not reported and investigated and the potential for allegations of abuse to not be identified for all facility residents.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline and comprehensive care plan for one post-surgical resident (R32) at risk for falls, resulting in a Resident with a history of falls with injury to remain at unmitigated risk for falls.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interview and record review, the facility failed to revise the At risk Comprehensive Care Plan for changing skin integrity for one Resident (R28), resulting in no care plan for actual wounds under treatment and the potential for all facility residents to not have their plan of care reflect their current physical or mental status.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement care planned interventions, evaluate and analyze hazards and risks after falls and implement effective interventions to mitigate accident hazards and prevent falls for one resident (Resident #3) out of 2 residents reviewed for falls, resulting in injury from repeated falls.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary respiratory care and services for 1 resident (R97) utilizing a CPAP (continuous positive airway pressure) machine, resulting in R97's CPAP equipment not being cleaned per facility policy and the potential for the spread of illness and disease.
  11. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement and/or timely implement a pharmacy recommendation for 1 of 5 residents (R8), resulting in R8 not receiving a medication as per pharmacy recommendations and physician approval and a delay in implementing a pharmacy recommendation.
  12. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to safeguard the confidentiality of medical records for one resident (R32), resulting in the potential for unauthorized access to the medical records, and the potential for the loss of resident privacy and confidentiality of their personal health information.
  13. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 of 14 sampled residents (R94) had a means to contact staff in the case of needing assistance, resulting in R94 having no way to contact staff for help when in distress and the potential for a serious negative outcome.
September 21, 2023Complaint inspection · 3 citations
  1. D
    Honor 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to address 2 Residents (R3 and R4) concerns in a timely manner resulting in R3 not receiving her medications as ordered and R4's concern of neglect and abuse not getting addressed.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to conduct a complete and thorough investigation regarding incidents involving 3 Residents (Resident#2, Resident#4, Resident#7) resulting in mental anguish and discomfort for the residents with the potential for ongoing abuse and neglect for all residents living at the facility.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to provide 1 Resident (R3) medications as ordered, resulting in R3 not sleeping well.

Fire safety inspections

14 fire safety citations on file: 5 on December 4, 2025, 4 on October 8, 2024, 5 on October 6, 2023.

Every fire safety citation14 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · December 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · December 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · December 4, 2025 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 4, 2025 · Corrected (the home has a date of correction)
  6. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 8, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 8, 2024 · Corrected (the home has a date of correction)
  8. E
    Provide properly protected cooking facilities.
    K 324 · October 8, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 8, 2024 · Corrected (the home has a date of correction)
  10. F
    Provide properly protected cooking facilities.
    K 324 · October 6, 2023 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 6, 2023 · Corrected (the home has a date of correction)
  12. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 6, 2023 · Corrected (the home has a date of correction)
  13. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 6, 2023 · Corrected (the home has a date of correction)
  14. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 8, 2024Payment Denial 96 days from November 6, 2024
February 20, 2024Fine $4,938
February 12, 2024Fine $4,938
January 22, 2024Fine $14,814
January 8, 2024Fine $4,938
January 2, 2024Fine $4,587
December 11, 2023Fine $13,762
November 20, 2023Fine $4,587
November 13, 2023Fine $4,587
November 6, 2023Fine $4,587
October 30, 2023Fine $4,587
October 23, 2023Fine $4,587
October 17, 2023Fine $4,587
October 10, 2023Fine $4,587
October 2, 2023Fine $4,587
September 25, 2023Fine $4,587
September 18, 2023Fine $4,587

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)4.753.993.86
Registered nurses1.090.780.69
All nursing staff on weekends4.033.503.42
Nurse aides2.53
Licensed practical nurses1.13
Nursing staff turnover (share who left in a year)58.9%44.1%45.8%
Registered nurse turnover50.0%39.2%42.9%
Administrators who left1

CMS expects 4.01 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.04 on weekdays and 4.03 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.22 in April to June 2025 to 4.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.751.095.044.03 0.6%0 of 9061
Oct to Dec 20255.201.265.464.52 0.2%0 of 9255
Jul to Sep 20254.921.045.313.93 0.9%0 of 9259
Apr to Jun 20255.220.895.574.37 9.0%0 of 9154
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Michigan

JobMedianMiddle halfEmployed
Michigan, all employers
CNAs (nursing assistants)$19.03$18.35 to $21.5943,290
LPNs and LVNs$31.47$29.83 to $35.5210,880
Registered nurses$45.34$39.46 to $49.74104,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Harbor Post Acute Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.710.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.512.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.45.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.214.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.624.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
26.411.712.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Harbor Post Acute Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

67.8% this home

Better than the national rate

US median of homes 51.5% · Michigan: 89 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 227 eligible stays.

Potentially preventable readmissions

10.1% this home

No different from the national rate

US median of homes 10.7% · Michigan: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 235 eligible stays.

Infections that led to a hospital stay

5.2% this home

No different from the national rate

US median of homes 7.1% · Michigan: 1 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 132 eligible stays.

Self-care and mobility at discharge

66.1% this home

Median of homes: Michigan57.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 109 residents counted.

Falls with major injury

1.5% this home

Median of homes: Michigan0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 130 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Michigan1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 130 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Michigan99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 95 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HEALTHBRIDGE, LLC. CMS links this home to Avon Healthcare, a group of 9 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Hpac Mi LLC5% or greater direct ownership interestOrganization100%05/01/2025
Gottlieb, Moshe5% or greater indirect ownership interestIndividual48%05/01/2025
Freund, EliyahuManaging control - governing bodyIndividual05/01/2025
Harbor Avon ManagementOperational/managerial controlOrganization05/01/2025
Bowers, BryannaOperational/managerial controlIndividual06/11/2025
Miller, ErinOperational/managerial controlIndividual08/21/2024
Wiltrakis, MichaelOperational/managerial controlIndividual12/01/2021
2060 Health Drive LLCAdp of the SNFOrganization05/01/2025
Harbor Avon ManagementAdp of the SNFOrganization05/01/2025
Harbor Post Acute RealtyAdp of the SNFOrganization05/01/2025
Bowers, BryannaAdp of the SNFIndividual06/11/2025
Freund, EliyahuAdp of the SNFIndividual05/01/2025
Gottlieb, MosheAdp of the SNFIndividual05/01/2025
Wiltrakis, MichaelAdp of the SNFIndividual07/23/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on October 8, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on July 1, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on December 4, 2025: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Harbor Post Acute Center's Medicare star rating?
CMS rates Harbor Post Acute Center 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Harbor Post Acute Center get at its last inspection?
5 health deficiencies at the standard inspection on December 4, 2025. The Michigan average is 9.9.
Has Harbor Post Acute Center been fined?
Yes. CMS lists 16 fines totaling $93,847 in the last three years.
Does Harbor Post Acute Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Harbor Post Acute Center?
CMS lists 14 owners and managers, and links the home to Avon Healthcare. Legal business name: HEALTHBRIDGE, LLC.

Sources

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