Harold and Grace Upjohn Community Care Center
2400 Portage St · Kalamazoo, MI · 49001 · 2693814290
87 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $31,186 |
Inspection citations (56 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2026 · Resident Rights
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Potential for harm · E April 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2026 · Quality of Life and Care
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Potential for harm · E April 17, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 15, 2026 · Quality of Life and Care
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Potential for harm · E April 17, 2026 · 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 May 15, 2026 · Environmental
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Potential for harm · D September 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 12, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 21, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 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 April 21, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 21, 2025 · Pharmacy Service
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Potential for harm · D March 12, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · F March 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · D March 12, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 21, 2025 · Administration
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Potential for harm · D March 12, 2025
Provide and implement an infection prevention and control program.
Corrected April 21, 2025 · Infection Control
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Potential for harm · D March 12, 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 April 21, 2025 · Infection Control
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Potential for harm · E March 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · E December 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 31, 2025 · Infection Control
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Potential for harm · D May 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 28, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 28, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected June 28, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 12, 2025 | Payment Denial | 7 days |
| April 17, 2024 | Fine | $15,593 |
| November 20, 2023 | Fine | $15,593 |
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 235050 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.