Alamo Nursing Home Inc
8290 W C Ave · Kalamazoo, MI · 49009 · 2693432587
100 certified beds For profit - Corporation Chain: Avon Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 7 citations involved actual harm to residents.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $18,274 |
Inspection citations (68 in the current record)
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Actual harm · G February 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 10, 2026 · Quality of Life and Care
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Actual harm · G February 24, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · D February 24, 2026 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 24, 2026 · 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 March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 24, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
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 April 10, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
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 March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 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 March 10, 2026 · Resident Assessment and Care Planning
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Actual harm · G September 22, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D September 22, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 22, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 19, 2025 · Infection Control
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Potential for harm · D February 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · D February 26, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D February 26, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · E February 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 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 March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 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 March 26, 2025 · Pharmacy Service
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Potential for harm · D February 26, 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 15, 2025 · Pharmacy Service
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Potential for harm · E February 26, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 26, 2025 · Nutrition and Dietary
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Potential for harm · E February 26, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 15, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 22, 2025 | Payment Denial | 34 days |
| August 28, 2024 | Fine | $18,274 |
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 235311 · certified since June 17, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.