Grand Oaks Nursing Center
600 Denmark Street · Baldwin, MI · 49304 · 2317454648
79 certified beds For profit - Corporation Chain: The Peplinski Group
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D January 29, 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 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 29, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 1, 2026 · Quality of Life and Care
-
Potential for harm · E March 20, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 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 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected April 25, 2025 · Nursing and Physician Services
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Potential for harm · D March 20, 2025
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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Potential for harm · E March 20, 2025
Implement a program that monitors antibiotic use.
Corrected April 25, 2025 · Infection Control
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Potential for harm · D March 20, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · E November 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 1, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 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 June 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 20, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · F March 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · D March 20, 2024
Provide and implement an infection prevention and control program.
Corrected April 26, 2024 · Infection Control
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Actual harm · G April 5, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 3, 2023 · Quality of Life and Care
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Actual harm · G April 5, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected May 3, 2023 · Quality of Life and Care
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Potential for harm · E April 5, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 3, 2023 · Resident Rights
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Potential for harm · D April 5, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 5, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 5, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 5, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 3, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235499 · certified since December 11, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.