Holland Home - Raybrook Manor
2121 Raybrook Se · Grand Rapids, MI · 49546 · 6162355702
101 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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
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.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 4.19 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
-
Potential for harm · D December 23, 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 January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 23, 2025 · found via complaint
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 27, 2026 · Pharmacy Service
-
Actual harm · G February 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 11, 2025 · Quality of Life and Care
-
Potential for harm · D February 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2025 · Resident Rights
-
Potential for harm · F February 5, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 11, 2025 · Resident Rights
-
Potential for harm · D February 5, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 11, 2025 · Resident Rights
-
Potential for harm · D February 5, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 5, 2025
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 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 5, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected March 11, 2025 · Nutrition and Dietary
-
Potential for harm · F February 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2025 · Nutrition and Dietary
-
Potential for harm · D February 5, 2025
Provide and implement an infection prevention and control program.
Corrected March 11, 2025 · Infection Control
-
Potential for harm · D January 26, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 27, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 27, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 26, 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 February 27, 2024 · Pharmacy Service
-
Potential for harm · D January 26, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 27, 2024 · Infection Control
-
Potential for harm · D January 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
No harm found · B January 26, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 27, 2024 · Nursing and Physician Services
-
Potential for harm · E November 29, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 29, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 18, 2024 · Quality of Life and Care
-
Potential for harm · E November 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 2, 2024 · Quality of Life and Care
-
Potential for harm · E January 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2023 · Quality of Life and Care
-
Potential for harm · F January 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 15, 2023 · Nutrition and Dietary
-
Potential for harm · D January 11, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected February 15, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 5, 2025 | Payment Denial | 10 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235440 · certified since September 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.