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The Timbers of Cass County

55432 Colby St., Dowagiac, MI 49047 · Cass County · (269) 782-7828

108 certified beds, about 100 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2010

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235652 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 8, 2026, inspectors cited 10 health deficiencies (the Michigan average is 9.9, the national average 9.2).

None of its 42 health citations since October 2023 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 3.46 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

28.9% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Atrium Centers, an affiliated group of 26 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 42 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
5E
4F
Potential for minimal harm
0A
0B
0C
May 14, 2026Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · 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) June 12, 2026
    Inspectors wroteThis citation pertains to intakes #2998895 and #3000521. Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from resident-to-resident sexual abuse for 1 resident (Resident #2) of 4 residents reviewed for abuse when Resident #4 who had a known history of sexual behaviors and who could propel her wheelchair throughout the facility touched Resident #2 sexually when he did not give consent, resulting in Resident #2 experiencing fear, wanting Resident #4 to stop coming to his room and wanting to discharge from the facility.
February 19, 2026Complaint inspection · 1 citation
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · 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) March 12, 2026
    Inspectors wroteThis citation pertains to intake #2735635Based on interview and record review, the facility failed to provide 30-day notification of discharge and implement appropriate discharge processes for 2 (Resident #100 and Resident #101) of 4 residents reviewed for facility-initiated discharge resulting in a lack of resident education related to care needs, lack of medical supplies needed for care at home, and the unapproved discharge of both residents.
January 8, 2026Standard inspection · 10 citations
  1. 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) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.
  3. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation and interview, the facility failed to maintain a clean and homelike environment for 4 residents (R91, R45, R5, and R14) of 4 residents reviewed for a safe, clean, and homelike environment resulting in a loud oxygen concentrator, unclean bed linens and wheelchair cushion, and holes in bed sheets, with the potential for a reasonable person to experience feelings of embarrassment, shame, and/or loss of self-esteem.
  4. 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 · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was consistently provided with showers/bathing for 3 of 4 residents (Resident #31, #36, and #41) and nail care for 1 (Resident #41) of 4 residents reviewed for activities of daily living, resulting in unmet personal hygiene needs with the potential for decreased self-esteem.
  5. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide resident centered activities designed to support leisure needs for 3 (Resident #70, Resident #60 and Resident #75) of 4 residents reviewed for activities, resulting in feelings of boredom and the potential for worsening symptoms of depression, as well as a decline in physical and cognitive well-being.
  6. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure treatment and care to maintain foot health in 1 (Resident #36) of 1 resident reviewed for foot care, resulting in delay of treatment for podiatry concerns and pain/discomfort of Resident #36's feet.
  7. 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) February 9, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement interventions for positioning and contractures for 2 of 2 residents (R5 and R41) reviewed for range of motion, resulting in the potential for worsening of contracture and developing skin breakdown.
  8. 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) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care to prevent bowel incontinence for a continent resident in 1 (Resident #31) of 1 resident reviewed for bowel incontinence, resulting in delay of treatment for diarrhea and the potential for dehydration.
  9. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were assessed for risk of entrapment and informed consent was obtained prior to installation of bedrails for 1 (Resident #78) of 1 resident reviewed for bed rails, resulting in the risk for entrapment and injury.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure medications were administered per the physician's order for 1(Resident #60) of 1 resident reviewed for significant medication errors, resulting in the potential for adverse effects of the administration of digoxin without checking the resident's pulse and/or administering the medication if below the parameter of <60 beats per minute as outlined in the physician order.
March 12, 2025Complaint inspection · 4 citations
  1. E
    Ensure the activities program is directed by a qualified professional.
    F680 · 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) April 11, 2025
    Inspectors wroteThis citation pertains to MI00149672, MI00150373, MI00150362, MI00150996 Based on interview and record review, the facility failed to employ an Activity Director who possessed the required qualifications resulting in the potential for unmet met psychosocial needs, feelings of boredom, isolation, and a lack of person-centered activities. This citation has the potential to impact any resident who relies on the activities program to support their leisure involvement.
  2. D
    Provide activities to meet all resident's needs.
    F679 · 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) April 11, 2025
    Inspectors wroteThis citation pertains to MI00149672, MI00150373, MI00150362, MI00150546 Based on observation, interview, and record review, the facility failed to provide individualized activities based on resident preferences, needs, and abilities for 4 of 4 Residents (Resident #100, Resident #101, Resident #102, and Resident#103) reviewed for activities, resulting in a potential for social isolation, decreased connectedness to the resident's environment, and decreased overall well-being.
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteThis citation pertains to intakes MI00150362 & MI00149672. Based on interview, and record review, the facility failed to maintain complete and accurate medical records for 1 resident (Resident #103) of 3 residents reviewed for complete and accurate medical records, resulting in the lack of proper documentation of involvement in activities programs.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to implement transmission-based precautions for 1 (Resident #104) of 3 residents reviewed for isolation precautions, resulting in the potential for the spread of infection, cross-contamination, and disease transmission for residents residing in the facility.
October 31, 2024Standard inspection, Complaint inspection · 14 citations
  1. 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) December 4, 2024
    Inspectors wroteBased on observation and interview, the facility failed to: 1. Properly label/date and securely store food product once opened or prepared; 2. Discard expired food items; and 3. ensure cleanliness of food and non-food contact surfaces. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected all residents who consume food/supplement from the kitchen and from nourishment room refrigerators/freezers.
  2. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to honor mealtime preferences for 3 anonymous residents (attending a resident council meeting) and Resident #78, resulting in expressed feelings of discontent and a potential for increased loneliness.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide timely notification of exhaustion of Medicare Part A benefits in 1 (Resident #90) of 4 residents reviewed for beneficiary notification resulting in Resident #90 being unaware of changes in regard to financial liability, and frustration.
  4. 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) December 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop comprehensive care plans for 2 (Resident #53 and Resident #90) of 20 residents reviewed for care planning resulting in the potential for unmet medical, physical, mental, and psychosocial needs.
  5. 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) December 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received care in accordance with professional standards in 1 (Resident #353) of 3 residents reviewed for quality of care, resulting in Resident #353 having dysuria (pain with urination) for approximately 7 days and the potential for a decline in overall physical, mental and psychosocial well being.
  6. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide individualized activities based on resident preferences, needs, and abilities for 1 of 2 Residents (Resident #55) reviewed for activities, resulting in a potential for social isolation, decreased connectedness to the resident's environment, and decreased overall well-being.
  7. 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 · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteThis intake pertains to intake MI00146328. Based on observation, interview, and record review, the facility failed to prevent elopement for 1 (R82) of 6 residents reviewed for elopement, resulting in R82 leaving the facility alone, unbeknownst to staff, for an extended period, and was later found under a bush next to the facility resulting in potential for further successful elopements.
  8. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure timely and consistent weight monitoring for one resident (Resident #76) of 4 residents reviewed for nutritional status resulting in undetected weight loss, nutritional status decline and unmet nutritional needs.
  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) December 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide documentation of education to the resident/representative on the intended or actual benefit versus potential risk(s) or adverse consequences associated with a psychotropic medication (any drug that affects brain activities associated with mental processes and behavior) for 1 (Resident #35) of 5 residents reviewed for unnecessary medications, resulting in the potential for lack of awareness of medication risks versus benefits.
  10. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' food preferences at meals were consistently honored for 2 (Residents #27 and #78) of 18 residents reviewed for food concerns resulting in resident/representative complaints of food choices not being honored and the potential for decreased meal enjoyment, feelings of frustration, and the potential for weight loss and nutritional decline.
  11. 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) December 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards of infection control with resident's tube feeding equipment for one of one resident (R50) reviewed for infection control resulting in the potential for harborage and cross-contamination of pathogens in a vulnerable population.
  12. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were screened for eligibility to receive Pneumococcal vaccinations and receive vaccination if eligible for 3 (Resident #18, #35 and #48 ) of 5 residents reviewed for vaccinations, resulting in the potential of acquiring, transmitting, or experiencing complications from pneumococcal pneumonia.
  13. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure COVID-19 immunization were offered to 2 (Resident #18 and #48) out of 5 residents, reviewed for COVID-19 immunizations, resulting in the higher likelihood of infection and complications from COVID-19.
  14. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure clean and sanitary room and equipment conditions for 2 (Resident #27 and #55) of 20 sampled residents reviewed for sanitary conditions resulting in: 1.) a stained and soiled privacy curtain and dusty blinds for Resident #27, and 2.) a visibly soiled wheelchair for Resident #55.
June 21, 2024Complaint inspection · 4 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2024
    Inspectors wroteThis citation pertains to intake MI00143214 Based on interview and record review, the facility failed to report timely and accurately to the State Agency a required reportable incident of resident to resident abuse in 2 (Resident #104 and Resident #105) of 3 residents reviewed for reportable incidents resulting in the potential for additional reportable incidents go unreported and/or cause a delay in the investigative process.
  2. 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 · Corrected (the home has a date of correction) July 29, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure safe transport of a resident in a wheelchair with foot pedals was in place in 1 (Resident #106) of 1 resident reviewed for accidents resulting in the potential for injury to the resident.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: (1) properly store medications in a secure manner in 3 of 3 treatment carts reviewed and (2) ensure that treatment carts remained secure resulting in the potential for residents, visitors, and/or staff to access the medication in the facility with a current census of 104 residents.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper hand hygiene was performed during medication administration in 3 (Resident #107, Resident #108, Resident #109) of 3 residents reviewed for hand hygiene during medication administration, resulting in the potential for the spread of infection, cross-contamination, and disease transmission for residents who receive medication while residing in the facility.
October 11, 2023Standard inspection, Complaint inspection · 8 citations
  1. 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, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Ensure general cleaning and general repair of the kitchen; 2. Clean food and non-food contact surfaces to sight and touch; 3. Maintain an environment free from pests; 4. Properly store food product; and 5. Ensure a convenient number of hand sinks in the kitchen. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 93 residents who consume food from the kitchen.
  2. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain a medication error rate less than 5% (total error rate of 29.63%) in 3 of 4 sampled residents (Resident #15, Resident #70, and Resident #301) reviewed for medication administration, resulting in the potential for reduced medication efficacy, increased risk of adverse reaction and/or side effects, and administration of wrong medications.
  3. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appetizing and temperature appropriate food products to 3 residents (Resident #53, #57, and #16) of 4 residents reviewed for food palatability, resulting in dissatisfaction with meals, and the potential for decreased food acceptance and nutritional decline.
  4. D
    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, isolated · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide written notification of the facility bed hold policy upon discharge to an acute care hospital for 2 ( Resident #1, Resident #72) residents reviewed for emergency hospital transfer resulting in the potential for unanticipated expense or the loss of desired room placement in the facility.
  5. 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) November 15, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received care in accordance with physician orders in 1 of 20 residents (Resident #73) reviewed for standards of care, resulting in the delay in care and the potential for further health complications.
  6. 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 · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure assistance with Activities for Daily Living (ADL) care was provided for 1 (Resident #9) of 3 residents reviewed for ADL care, resulting in the potential for avoidable negative physical and psychosocial outcomes for Resident #9.
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to adequately monitor and/or track resident's behaviors in 2 (Resident #44 and Resident #52) of 20 residents reviewed for behaviors, resulting in the potential for inadequate individualized care, insufficient behavioral data, and the inability to attain their highest practicable mental and psychosocial well-being.
  8. 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, 2023
    Inspectors wroteThis citation has 2 DPS Statements. DPS A Based on observation, interview, and record review, the facility failed to 1.) properly maintain infection control practices in a contact isolation room and 2.) adequately clean frequently touched surfaces, resident use equipment, and ensure general cleanliness in the facility for 3 of 25 residents (Resident #56, # 9 and #35) reviewed for infection control, resulting in the potential for the development and transmission of communicable diseases and infections to a vulnerable population.

Fire safety inspections

15 fire safety citations on file: 8 on January 8, 2026, 4 on October 31, 2024, 3 on October 11, 2023.

Every fire safety citation15 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · January 8, 2026 · Corrected (the home has a date of correction)
  2. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · January 8, 2026 · Corrected (the home has a date of correction)
  3. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · January 8, 2026 · Corrected (the home has a date of correction)
  4. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 8, 2026 · Corrected (the home has a date of correction)
  5. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 8, 2026 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 8, 2026 · Corrected (the home has a date of correction)
  7. F
    Have proper medical gas storage and administration areas.
    K 923 · January 8, 2026 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 8, 2026 · Corrected (the home has a date of correction)
  9. F
    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 31, 2024 · Waiver
  10. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 31, 2024 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 31, 2024 · Corrected (the home has a date of correction)
  12. E
    Provide properly protected cooking facilities.
    K 324 · October 31, 2024 · 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 11, 2023 · Corrected (the home has a date of correction)
  14. E
    Provide properly protected cooking facilities.
    K 324 · October 11, 2023 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 11, 2023 · Waiver

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)3.463.993.86
Registered nurses0.690.780.69
All nursing staff on weekends2.883.503.42
Nurse aides2.11
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)28.9%44.1%45.8%
Registered nurse turnover38.1%39.2%42.9%
Administrators who left2

CMS expects 3.21 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 3.70 on weekdays and 2.88 on weekends, 22% 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 3.40 in April to June 2025 to 3.46 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.460.693.702.88 0.0%0 of 90100
Oct to Dec 20253.410.633.602.93 0.0%0 of 92100
Jul to Sep 20253.360.663.522.95 0.0%0 of 9297
Apr to Jun 20253.400.763.573.00 0.0%0 of 9194
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 The Timbers of Cass County. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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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
10.910.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.40.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.03.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.512.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.35.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.814.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.524.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.111.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.81.9
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 The Timbers of Cass County's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.1% 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

52.1% 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. 89 eligible stays.

Potentially preventable readmissions

11.8% 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. 94 eligible stays.

Infections that led to a hospital stay

6.8% 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. 51 eligible stays.

Self-care and mobility at discharge

75.0% 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. 28 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. 39 residents counted.

New or worsened pressure ulcers

2.7% 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. 39 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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. 16 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: ATRIUM TIMBERS LLC. CMS links this home to Atrium Centers, a group of 26 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Orion Operating Services LLC5% or greater direct ownership interestOrganization100%12/31/2008
Paredes, MiguelIndirect ownership interestIndividual08/18/2021
Lument Real Estate Capital LLC5% or greater mortgage interestOrganization05/01/2022
Heller, DavidManaging control - governing bodyIndividual09/18/2024
Johnson, CindyManaging control - governing bodyIndividual09/18/2024
Amicus Capital Holdings IncOperational/managerial controlOrganization08/18/2021
Atrium Centers Management LLCOperational/managerial controlOrganization09/18/2024
Atrium Centers, LLCOperational/managerial controlOrganization12/31/2008
Orion Operating Services LLCOperational/managerial controlOrganization12/31/2008
Albright Ross, SusanOperational/managerial controlIndividual01/02/2018
Amsbury, JulieOperational/managerial controlIndividual01/15/2024
Anderson, CurtOperational/managerial controlIndividual08/01/2025
Cherry, JillOperational/managerial controlIndividual06/01/2025
Clarke, DeannOperational/managerial controlIndividual10/01/2025
Dorsey, JasmineOperational/managerial controlIndividual05/01/2025
Geniac, SamuelOperational/managerial controlIndividual05/29/2025
Heller, DavidOperational/managerial controlIndividual09/18/2024
Johnson, CindyOperational/managerial controlIndividual09/18/2024
Schmidt, RobertIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/23/2026
Amicus Capital Holdings IncAdp of the SNFOrganization08/18/2021
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustAdp of the SNFOrganization08/18/2021
Amicus Properties LLCAdp of the SNFOrganization01/01/2021
Atrium Centers Management LLCAdp of the SNFOrganization09/18/2024
Broad River RehabilitationAdp of the SNFOrganization09/01/2021
Evergreen Two LLCAdp of the SNFOrganization02/24/2026
Forvis Mazars LLPAdp of the SNFOrganization06/01/2023
Leaderstat LtdAdp of the SNFOrganization01/01/2025
Ocs Real Estate Holdings LLCAdp of the SNFOrganization01/01/2021
Omnicare LLCAdp of the SNFOrganization01/01/2025
Orion Properties Ten LLCAdp of the SNFOrganization05/01/2022
Plante & Moran PLLCAdp of the SNFOrganization01/01/2025
Albright Ross, SusanAdp of the SNFIndividual01/02/2018
Amsbury, JulieAdp of the SNFIndividual01/15/2024
Anderson, CurtAdp of the SNFIndividual08/01/2025
Cherry, JillAdp of the SNFIndividual06/01/2025
Clarke, DeannAdp of the SNFIndividual10/01/2025
Dorsey, JasmineAdp of the SNFIndividual05/01/2025
Geniac, SamuelAdp of the SNFIndividual05/29/2025
Heller, DavidAdp of the SNFIndividual09/18/2024
Johnson, CindyAdp of the SNFIndividual09/18/2024
Paredes, MiguelAdp of the SNFIndividual08/18/2021

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on January 8, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on January 8, 2026: "Provide and implement an infection prevention and control program."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 19, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on January 8, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Michigan average of 3.50.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Michigan contacts for a concern about a nursing home

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Common questions

What is The Timbers of Cass County's Medicare star rating?
CMS rates The Timbers of Cass County 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Timbers of Cass County get at its last inspection?
10 health deficiencies at the standard inspection on January 8, 2026. The Michigan average is 9.9.
Has The Timbers of Cass County been fined?
CMS lists no fines in the last three years.
Does The Timbers of Cass County 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 The Timbers of Cass County?
CMS lists 41 owners and managers, and links the home to Atrium Centers. Legal business name: ATRIUM TIMBERS LLC.

Sources

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