Clearstream Rehabilitation and Nursing Center
240 E North St · Hastings, MI · 49058 · 2699459564
98 certified beds For profit - Individual Chain: Avon Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $35,416 |
Inspection citations (45 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · E April 2, 2025
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.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 2, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 2, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 2, 2025
Provide or arrange emergency care by a doctor 24 hours a day.
Corrected April 30, 2025 · Nursing and Physician Services
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Potential for harm · D April 2, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · D April 2, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 4, 2025 · Pharmacy Service
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Potential for harm · E April 2, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · D April 2, 2025
Provide and implement an infection prevention and control program.
Corrected April 30, 2025 · Infection Control
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Potential for harm · D April 2, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 8, 2024 · Quality of Life and Care
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Actual harm · G September 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 8, 2024 · Quality of Life and Care
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Actual harm · G June 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D June 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 25, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 15, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 18, 2024 | Fine | $19,532 |
| June 25, 2024 | Fine | $15,884 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235281 · certified since April 5, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.