Helen Newberry Joy Hltcu Golden Leaves Living Cent
502 West Harrie Street · Newberry, MI · 49868 · 9062939215
39 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $24,420 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
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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 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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 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 | 33% | median 45% |
| Fines (3-yr window) | 1 · $24,420 |
Inspection citations (35 in the current record)
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Actual harm · G January 2, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 5, 2026 · Quality of Life and Care
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Potential for harm · D August 28, 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 October 7, 2025 · Resident Rights
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Potential for harm · E August 28, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Respond appropriately to all alleged violations.
Corrected October 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 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 October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 7, 2025 · Pharmacy Service
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Potential for harm · D August 28, 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 October 7, 2025 · Pharmacy Service
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Potential for harm · F August 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2025 · Nutrition and Dietary
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Actual harm · G June 5, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 15, 2025 · Resident Rights
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Actual harm · G June 5, 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 July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 26, 2024 · found via complaint
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 November 15, 2024 · Resident Rights
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Potential for harm · D September 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
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 15, 2024 · Pharmacy Service
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Potential for harm · D September 26, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected November 15, 2024 · Quality of Life and Care
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Actual harm · G June 26, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 26, 2024 · Quality of Life and Care
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Actual harm · G June 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · F June 26, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 26, 2024 · Administration
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Potential for harm · E June 26, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 26, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected July 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
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 July 26, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 26, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2025 | Fine | $24,420 |
| August 28, 2025 | Payment Denial | 46 days |
| June 5, 2025 | Payment Denial | 13 days |
| August 14, 2024 | Payment Denial | 1 days |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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 235705 · certified since November 6, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.