Heartwood Lodge Trinity Health
18525 Woodland Ridge Drive · Spring Lake, MI · 49456 · 6168420770
84 certified beds Non profit - Corporation Chain: Trinity Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
-
Potential for harm · D August 26, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 12, 2025 · Resident Rights
-
Actual harm · G June 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · D June 13, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 13, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · E June 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 13, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 13, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 13, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 30, 2025 · Resident Rights
-
Potential for harm · E June 13, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 13, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 13, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 13, 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 July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E June 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 30, 2025 · Quality of Life and Care
-
Potential for harm · E June 13, 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 July 10, 2025 · Quality of Life and Care
-
Potential for harm · E June 13, 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 July 10, 2025 · Pharmacy Service
-
Potential for harm · E June 13, 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 July 10, 2025 · Pharmacy Service
-
Potential for harm · D June 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F June 13, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected July 10, 2025 · Administration
-
Potential for harm · F June 13, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected July 10, 2025 · Administration
-
Potential for harm · F June 13, 2025
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
-
Potential for harm · F June 13, 2025
Implement a program that monitors antibiotic use.
Corrected July 10, 2025 · Infection Control
-
Potential for harm · D April 23, 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 July 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
-
Potential for harm · E February 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 1, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 23, 2025 | Payment Denial | 19 days |
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 235373 · certified since August 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.