Holland Home Breton Rehabilitation & Living Centre
A nursing home in Grand Rapids, Michigan 49512
2589 44th Street SE, Grand Rapids, Michigan 49512. (616) 643-2500.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle Michigan average: 9.9
- 5.11 nurse hours per resident per day Michigan average: 4.03
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The Michigan average is 9.9.
Last standard inspection Apr 30, 2026.
Most serious in three years: E: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
8 citations in 3 months of the last 36. Last cited Apr 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 8 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 30, 2026: standard inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide and implement an infection prevention and control program.
Mar 26, 2025: standard inspection1 citation
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 14, 2024: standard inspection3 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 10, 1993.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 58 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
5.11 nurse hours per resident per day
The Michigan average is 4.03.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Michigan average |
|---|---|---|
| Nurse hours per resident per day | 5.11 | 4.03 |
| Of which registered nurses | 0.86 | 0.78 |
| At weekends | 4.75 | 3.50 |
| Nursing staff turnover | 15.4% | 44.6% |
| Registered nurse turnover | 11.1% | 39.2% |
| Administrators who left | 0 | Not given |
Who owns it?
- Christian Living Services owns 100% directly since Dec 1, 1990.
- 37 owners or officers are people: Ronald Duemler (runs it (operational or managerial control)); Ronald Duemler (additional disclosable party (controls, leases property to, or provides services to the home)); Douglas Himmelein (runs it (operational or managerial control)); Douglas Himmelein (additional disclosable party (controls, leases property to, or provides services to the home)); Carlos Hidalgo (corporate director); Anne Tatreau (runs it (operational or managerial control)); Anne Tatreau (additional disclosable party (controls, leases property to, or provides services to the home)); Philip Matro (runs it (operational or managerial control)); Philip Matro (additional disclosable party (controls, leases property to, or provides services to the home)); David Smith (corporate director); Troy Vugteveen (corporate officer); Troy Vugteveen (corporate director); Troy Vugteveen (runs it (operational or managerial control)); Mary Ursul (corporate director, 0%); Mark Johnson (corporate officer, 0%); Mark Johnson (corporate director); Susan L Vogel-Vanderson (corporate director); Gilbert Segovia (corporate director); Brandyn Deckinga (runs it (operational or managerial control)); Brandyn Deckinga (additional disclosable party (controls, leases property to, or provides services to the home)); Scott Schaab (runs it (operational or managerial control)); Scott Schaab (additional disclosable party (controls, leases property to, or provides services to the home)); Gary P Malburg (corporate officer, 0%); Gary P Malburg (corporate director, 0%); David Knibbe (corporate director); Scott Demaagd (corporate director); Sam R Watson (corporate director); Nick Thole (corporate director); Jean M Nagelkerk (corporate director); Marie Vanderkooi (corporate director); Adam Kinder (corporate officer, 0%); Adam Kinder (runs it (operational or managerial control)); Nelson Sanchez (corporate officer, 0%); Nelson Sanchez (corporate director); Sara Heethuis (corporate director); Sara Heethuis (runs it (operational or managerial control)); Sara Heethuis (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Christian Living Services | Owns 5% or more directly | 100% | Dec 1, 1990 |
| Huntington | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2009 | |
| Raymond James | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2011 | |
| Plante & Moran PLLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2003 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 19, 2025 | |
| Saint Mary’s Health Services | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2000 | |
| Select Rehabilitation, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2010 | |
| Authenticity Marketing Group | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2014 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Michigan average 3.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.2 miles, this one had the 9th most health citations at the latest inspection cycle (4; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Holland Home Breton Rehabilitation & Living Centre This nursing home | 4 | |
| Corewell Health Rehabilitation & Nursing Center - | 1.3 | 2 |
| Optalis Health and Rehabilitation of Grand Rapids | 1.8 | 54 |
| Optalis Health & Rehabilitation at Kent-Crossing | 2.8 | 26 |
| Holland Home - Raybrook Manor | 2.9 | 6 |
| Optalis Health & Rehabilitation of Wyoming | 4.1 | 32 |
| Valley Health Center | 4.5 | 2 |
| Mission Point Nursing & Physical Rehabilitation Ce | 4.7 | 6 |
| Clark Retirement Community | 4.7 | 8 |
| Harbor Post Acute Center | 5.4 | 7 |
| Porter Hills Health Center | 5.5 | 1 |
| Mary Free Bed Sub-Acute Rehabilitation | 6.2 | 5 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.