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Holland Home Breton Rehabilitation & Living Centre

2589 44th Street Se, Grand Rapids, MI 49512 · Kent County · (616) 643-2500

58 certified beds, about 43 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235540 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 30, 2026, inspectors cited 4 health deficiencies (the Michigan average is 9.9, the national average 9.2).

None of its 8 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.14 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.

28.1% of nursing staff left within the year CMS measured (Michigan average 44.1%).

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 4 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) June 2, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to consistently use dignified terms for residents and ensure consistent dignified dining experiences for 10 (Residents #3, 19, 15, 42, 44, 6, 29, 38, 25, & 28) of 45 residents reviewed for dignity resulting in the potential for feelings of shame, embarrassment, and/or decreased meal enjoyment.
  2. 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) June 2, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was revised to reflect an increased need for assistance for transfers in 1 resident (Resident #6) of 12 residents reviewed for care plans, resulting in the potential for injury and falls.
  3. 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) June 2, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe transfers were performed and the comprehensive care plan was updated with therapy recommendations in 1 resident (Resident #6) of 3 residents reviewed for accidents/falls, resulting in the potential for injury and falls due to unsafe transfers.
  4. 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) June 2, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to effectively implement Enhanced Barrier Precautions (EBP) per facility policy and Centers for Disease Control and Prevention (CDC) guidance, in 1 resident (Resident #6) of 12 residents reviewed for infection control, resulting in the potential for cross-contamination and the development and spread of infection to a vulnerable population.
March 26, 2025Standard inspection · 1 citation
  1. 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) April 23, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure urinary catheter equipment was consistently maintained in a secured and sanitary manner for 1 (Resident #36) of 2 residents reviewed for urinary catheter care, resulting in discomfort and pain at the urinary catheter insertion site and the potential for further catheter-associated urinary tract infections.
March 14, 2024Standard inspection · 3 citations
  1. 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) April 19, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop a person-centered comprehensive care plan for 2 (Resident #31 and Resident #38) of 12 residents reviewed for comprehensive care plans, resulting in the potential for unmet care needs.
  2. D
    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, isolated · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that professional standards of nursing practice were followed during medication administration for 1 (Resident #249) of 16 sampled residents reviewed for professional standards of nursing care resulting in the potential for worsening of health conditions.
  3. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a positioning device was consistently used and applied accurately for 1 (Resident #22) of 2 residents reviewed for positioning, resulting in the potential for decreased range of motion and related complications, skin breakdown, contractures (hardening of the muscles, tendons, and other tissues) and pain.

Fire safety inspections

7 fire safety citations on file: 3 on April 30, 2026, 2 on March 26, 2025, 2 on March 14, 2024.

Every fire safety citation7 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 30, 2026 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 30, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · April 30, 2026 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · March 26, 2025 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 26, 2025 · Corrected (the home has a date of correction)
  6. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · March 14, 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 · March 14, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)5.143.993.86
Registered nurses0.910.780.69
All nursing staff on weekends4.813.503.42
Nurse aides3.24
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)28.1%44.1%45.8%
Registered nurse turnover12.5%39.2%42.9%
Administrators who left0

CMS expects 3.32 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 5.27 on weekdays and 4.81 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.11 in April to June 2025 to 5.14 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.140.915.274.81 0.0%0 of 9043
Oct to Dec 20255.130.895.284.76 0.0%0 of 9242
Jul to Sep 20255.300.955.454.92 1.4%0 of 9241
Apr to Jun 20255.110.945.294.67 0.0%0 of 9143
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.

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.

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
15.010.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.03.2
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
16.412.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.05.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.214.815.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Holland Home Breton Rehabilitation & Living Centre's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.5% 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

46.5% this home

No different from 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. 47 eligible stays.

Potentially preventable readmissions

10.3% 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. 57 eligible stays.

Infections that led to a hospital stay

6.2% 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. 27 eligible stays.

Self-care and mobility at discharge

60.0% 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. 20 residents counted.

Falls with major injury

0.0% 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. 25 residents counted.

New or worsened pressure ulcers

8.2% 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. 25 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

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.

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: HOLLAND HOME.

NameRoleTypeShareSince
Christian Living Services5% or greater direct ownership interestOrganization100%12/01/1990
Demaagd, ScottCorporate directorIndividual07/01/2025
Heethuis, SaraCorporate directorIndividual10/17/2008
Hidalgo, CarlosCorporate directorIndividual07/01/2022
Johnson, MarkCorporate directorIndividual07/21/2021
Knibbe, DavidCorporate directorIndividual12/01/2016
Malburg, GaryCorporate directorIndividual07/01/2012
Nagelkerk, JeanCorporate directorIndividual07/01/2015
Sanchez, NelsonCorporate directorIndividual07/01/2017
Segovia, GilbertCorporate directorIndividual07/01/2022
Smith, DavidCorporate directorIndividual07/01/2022
Thole, NickCorporate directorIndividual12/01/2016
Ursul, MaryCorporate directorIndividual07/01/2012
Vanderkooi, MarieCorporate directorIndividual07/01/2025
Vogel-Vanderson, SusanCorporate directorIndividual07/01/2011
Vugteveen, TroyCorporate directorIndividual01/01/2022
Watson, SamCorporate directorIndividual07/01/2017
Johnson, MarkCorporate officerIndividual07/01/2025
Kinder, AdamCorporate officerIndividual04/04/2021
Malburg, GaryCorporate officerIndividual07/01/2012
Sanchez, NelsonCorporate officerIndividual07/01/2025
Vugteveen, TroyCorporate officerIndividual01/01/2022
Deckinga, BrandynOperational/managerial controlIndividual08/08/2019
Duemler, RonaldOperational/managerial controlIndividual06/26/2000
Heethuis, SaraOperational/managerial controlIndividual10/17/2008
Himmelein, DouglasOperational/managerial controlIndividual11/01/2021
Kinder, AdamOperational/managerial controlIndividual04/04/2021
Matro, PhilipOperational/managerial controlIndividual04/14/2021
Schaab, ScottOperational/managerial controlIndividual01/01/2006
Tatreau, AnneOperational/managerial controlIndividual09/06/2011
Vugteveen, TroyOperational/managerial controlIndividual01/01/2022
Authenticity Marketing GroupAdp of the SNFOrganization01/01/2014
HuntingtonAdp of the SNFOrganization01/01/2009
Plante & Moran PLLCAdp of the SNFOrganization01/01/2003
Raymond JamesAdp of the SNFOrganization01/01/2011
Saint Mary's Health ServicesAdp of the SNFOrganization01/01/2000
Select Rehabilitation, LLCAdp of the SNFOrganization01/01/2010
Deckinga, BrandynAdp of the SNFIndividual08/09/2019
Duemler, RonaldAdp of the SNFIndividual06/26/2000
Heethuis, SaraAdp of the SNFIndividual10/17/2008
Himmelein, DouglasAdp of the SNFIndividual11/01/2021
Matro, PhilipAdp of the SNFIndividual04/14/2021
Schaab, ScottAdp of the SNFIndividual01/01/2006
Tatreau, AnneAdp of the SNFIndividual09/06/2011

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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 30, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."

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 Holland Home Breton Rehabilitation & Living Centre's Medicare star rating?
CMS rates Holland Home Breton Rehabilitation & Living Centre 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Holland Home Breton Rehabilitation & Living Centre get at its last inspection?
4 health deficiencies at the standard inspection on April 30, 2026. The Michigan average is 9.9.
Has Holland Home Breton Rehabilitation & Living Centre been fined?
CMS lists no fines in the last three years.
Does Holland Home Breton Rehabilitation & Living Centre 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 Holland Home Breton Rehabilitation & Living Centre?
CMS lists 44 owners and managers. Legal business name: HOLLAND HOME.

Sources

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