Hearth Record

The Timbers of Cass County

A nursing home in Dowagiac, Michigan 49047

55432 Colby St, Dowagiac, Michigan 49047. (269) 782-7828.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 34 citations in 6 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

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?

12 health citations at the latest inspection cycle

The Michigan average is 9.9.

Last standard inspection Jan 8, 2026.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

34 citations in 6 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

34 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 34 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 11 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 14, 2026: complaint inspection1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2026.

Feb 19, 2026: complaint inspection1 citation
  • Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 12, 2026.

Jan 8, 2026: standard inspection10 citations
  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Provide appropriate foot care.

    Rule F0687. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 9, 2026.

Mar 12, 2025: complaint inspection4 citations
  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.

  • Ensure the activities program is directed by a qualified professional.

    Rule F0680. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.

Oct 31, 2024: standard inspection13 citations
  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • 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.

    Rule F0887. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

Oct 31, 2024: standard and complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 4, 2024.

Jun 21, 2024: complaint inspection4 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2024.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Dec 15, 2010.
  • 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 for profit, limited liability company.
  • 108 certified beds.
Source:

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.
  • 11 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.53 nurse hours per resident per day

The Michigan average is 4.03.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMichigan average
Nurse hours per resident per day3.534.03
Of which registered nurses0.680.78
At weekends2.983.50
Nursing staff turnover24.1%44.6%
Registered nurse turnover42.9%39.2%
Administrators who left1Not given

Who owns it?

  • Orion Operating Services LLC owns 100% directly since Dec 31, 2008.
  • Atrium Centers Management LLC and Amicus Capital Holdings Inc. and Orion Operating Services LLC and Atrium Centers, LLC run it.
  • 22 owners or officers are people: Cindy Johnson (runs it (operational or managerial control)); Cindy Johnson (on the governing body (managing control)); Cindy Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Jill Cherry (runs it (operational or managerial control)); Jill Cherry (additional disclosable party (controls, leases property to, or provides services to the home)); David Heller (runs it (operational or managerial control)); David Heller (on the governing body (managing control)); David Heller (additional disclosable party (controls, leases property to, or provides services to the home)); Jasmine E Dorsey (runs it (operational or managerial control)); Jasmine E Dorsey (additional disclosable party (controls, leases property to, or provides services to the home)); Miguel Paredes (additional disclosable party (controls, leases property to, or provides services to the home)); Miguel Paredes (owns a share through other companies); Curt Anderson (runs it (operational or managerial control)); Curt Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Albright Ross (runs it (operational or managerial control)); Susan Albright Ross (additional disclosable party (controls, leases property to, or provides services to the home)); Deann Clarke (runs it (operational or managerial control)); Deann Clarke (additional disclosable party (controls, leases property to, or provides services to the home)); Julie Amsbury (runs it (operational or managerial control)); Julie Amsbury (additional disclosable party (controls, leases property to, or provides services to the home)); Samuel Geniac (runs it (operational or managerial control)); Samuel Geniac (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Atrium Centers (26 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustOwns 5% or more through other companies100%Aug 18, 2026
Amicus Capital Holdings Inc.Owns 5% or more through other companies100%Jan 1, 2021
Orion Operating Services LLCOwns 5% or more directly100%Dec 31, 2008
Atrium Centers Management LLCRuns it (operational or managerial control)100%Sep 18, 2024
Atrium Centers, LLCOwns 5% or more through other companies100%Dec 31, 2008
Lument Real Estate Capital LLCHolds 5% or more of the mortgage76%May 1, 2022
Evergreen Two LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 24, 2026
Omnicare LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2025
Plante & Moran PLLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2025
Orion Properties Ten LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 1, 2022
Broad River RehabilitationAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2021
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 18, 2021
Amicus Capital Holdings Inc.Runs it (operational or managerial control)Aug 18, 2021
Amicus Capital Holdings Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Aug 18, 2021
Ocs Real Estate Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2021
Leaderstat LtdAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2025
Orion Operating Services LLCRuns it (operational or managerial control)Dec 31, 2008
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2023
Atrium Centers Management LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 18, 2024
Atrium Centers, LLCRuns it (operational or managerial control)Dec 31, 2008
Amicus Properties LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2021

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Michigan average 3.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing4 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 20.5 miles, this one had the 4th most health citations at the latest inspection cycle (12; the middle value was 10.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

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

  • 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).

  • 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).

  • 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).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • 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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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