The Villa at West Branch
445 South Valley Street · West Branch, MI · 48661 · 9893453600
70 certified beds For profit - Corporation Chain: Villa Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
61% 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: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $56,193 |
Inspection citations (45 in the current record)
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Potential for harm · D August 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D April 29, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 28, 2025 · Resident Rights
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Potential for harm · D April 29, 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 May 28, 2025 · Resident Rights
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Potential for harm · D April 29, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 28, 2025 · Quality of Life and Care
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Potential for harm · D April 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 28, 2025 · Quality of Life and Care
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Potential for harm · D April 29, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 28, 2025 · Quality of Life and Care
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Potential for harm · D April 29, 2025
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 May 28, 2025 · Pharmacy Service
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Potential for harm · E April 29, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 28, 2025 · Pharmacy Service
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Potential for harm · F April 29, 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 May 28, 2025 · Pharmacy Service
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Potential for harm · D April 29, 2025
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 May 28, 2025 · Nutrition and Dietary
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Potential for harm · F April 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 28, 2025 · Nutrition and Dietary
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Potential for harm · E April 29, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected May 28, 2025 · Administration
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Potential for harm · F April 29, 2025
Provide and implement an infection prevention and control program.
Corrected May 28, 2025 · Infection Control
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Actual harm · G May 9, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 13, 2024 · Quality of Life and Care
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Actual harm · G May 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 13, 2024 · Quality of Life and Care
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Potential for harm · E May 9, 2024
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 13, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 13, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 13, 2024 · Quality of Life and Care
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Potential for harm · E May 9, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 13, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 13, 2024 · Pharmacy Service
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Potential for harm · D May 9, 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 June 13, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 13, 2024 · Pharmacy Service
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Potential for harm · F May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2024 · Nutrition and Dietary
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Potential for harm · D May 9, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 13, 2024 · Administration
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Potential for harm · E May 9, 2024
Provide and implement an infection prevention and control program.
Corrected June 13, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2024 | Fine | $56,193 |
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 235414 · certified since July 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.