Harold and Grace Upjohn Community Care Center
2400 Portage St · Kalamazoo, MI · 49001 · 2693814290
87 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $31,186 |
Inspection citations (56 in the current record)
-
Potential for harm · D April 17, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2026 · Resident Rights
-
Potential for harm · E April 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2026 · Quality of Life and Care
-
Potential for harm · E April 17, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 15, 2026 · Quality of Life and Care
-
Potential for harm · E April 17, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 15, 2026 · Environmental
-
Potential for harm · D September 17, 2025 · 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 October 24, 2025 · Resident Rights
-
Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2025 · Quality of Life and Care
-
Potential for harm · D September 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 24, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 21, 2025 · Resident Rights
-
Potential for harm · D March 12, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 21, 2025 · Resident Rights
-
Potential for harm · D March 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 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 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 12, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 21, 2025 · Pharmacy Service
-
Potential for harm · D March 12, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected April 21, 2025 · Nutrition and Dietary
-
Potential for harm · F March 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
-
Potential for harm · D March 12, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 21, 2025 · Administration
-
Potential for harm · D March 12, 2025
Provide and implement an infection prevention and control program.
Corrected April 21, 2025 · Infection Control
-
Potential for harm · D March 12, 2025
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.
Corrected April 21, 2025 · Infection Control
-
Potential for harm · E March 12, 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 21, 2025 · Resident Rights
-
Potential for harm · E December 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 31, 2025 · Infection Control
-
Potential for harm · D May 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 28, 2024 · Resident Rights
-
Potential for harm · D May 23, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 28, 2024 · Resident Rights
-
Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected June 28, 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 |
|---|---|---|
| March 12, 2025 | Payment Denial | 7 days |
| April 17, 2024 | Fine | $15,593 |
| November 20, 2023 | Fine | $15,593 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235050 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.