Niles Care Center, LLC
911 S 3rd St · Niles, MI · 49120 · 2696844320
100 certified beds For profit - Limited Liability company Chain: Avon Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $116,300 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$116,300 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 2 · $199,110 |
Inspection citations (41 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 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.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · F January 23, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · D January 23, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · F January 23, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected February 23, 2026 · Administration
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Potential for harm · E January 23, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
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Potential for harm · F January 23, 2026 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 23, 2026 · Nutrition and Dietary
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Actual harm · G December 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2025 · Quality of Life and Care
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Immediate jeopardy · J August 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 3, 2025 · Resident Rights
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Potential for harm · D December 5, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024
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 December 31, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 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.
Corrected February 12, 2025 · Pharmacy Service
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Potential for harm · E December 5, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected March 3, 2025 · Pharmacy Service
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Potential for harm · F December 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 3, 2025 · Nutrition and Dietary
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Potential for harm · F December 5, 2024
Provide and implement an infection prevention and control program.
Corrected March 3, 2025 · Infection Control
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Potential for harm · F December 5, 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.
Corrected December 31, 2024 · Infection Control
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Potential for harm · F December 5, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 6, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 20, 2025 | Fine | $116,300 |
| December 5, 2024 | Payment Denial | 51 days |
| October 4, 2023 | Fine | $82,810 |
| October 4, 2023 | Payment Denial | 28 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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235361 · certified since July 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.