Vista Grande Villa
2251 Springport Road · Jackson, MI · 49202 · 5177870226
60 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
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.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D February 20, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026
Respond appropriately to all alleged violations.
Corrected March 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 28, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 28, 2026 · Pharmacy Service
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Potential for harm · F February 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 28, 2026 · Nutrition and Dietary
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Potential for harm · D February 20, 2026
Provide and implement an infection prevention and control program.
Corrected March 28, 2026 · Infection Control
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No harm found · C February 20, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 28, 2026 · Resident Rights
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Potential for harm · D November 14, 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 December 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 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 January 9, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
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 January 9, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 9, 2025 · Administration
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Potential for harm · D October 18, 2023
Assess the resident when there is a significant change in condition
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023
Ensure each resident receives an accurate assessment.
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 28, 2023 · Quality of Life and Care
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Potential for harm · D October 18, 2023
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 November 28, 2023 · Pharmacy Service
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Potential for harm · E October 18, 2023
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 November 28, 2023 · Pharmacy Service
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Potential for harm · F October 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 28, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 235254 · certified since January 15, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.