Plainwell Pines Nursing and Rehabilitation Communi
3260 East B Avenue · Plainwell, MI · 49080 · 2693496649
39 certified beds For profit - Corporation Chain: Atrium Centers
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
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 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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
76% 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 | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 76% | median 45% |
| Fines (3-yr window) | 2 · $194,994 |
Inspection citations (52 in the current record)
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Immediate jeopardy · J December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
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Potential for harm · F December 17, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected January 12, 2026 · Administration
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Potential for harm · D September 17, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 29, 2025 · Resident Rights
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Potential for harm · E September 17, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 29, 2025 · Resident Rights
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Potential for harm · D September 17, 2025 · 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 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025 · 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 October 29, 2025 · Environmental
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Potential for harm · D May 8, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 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 June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Provide activities to meet all resident's needs.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 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 June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · F May 8, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 5, 2025 · Infection Control
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Potential for harm · D May 8, 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 June 5, 2025 · Infection Control
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Potential for harm · D May 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 5, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 27, 2024 | Fine | $33,638 |
| June 27, 2024 | Payment Denial | 22 days |
| May 16, 2024 | Fine | $161,356 |
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 235637 · certified since March 14, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.