Plainwell Pines Nursing and Rehabilitation Communi
3260 East B Avenue · Plainwell, MI · 49080 · 2693496649
39 certified beds For profit - Corporation Chain: Atrium Centers
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 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
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 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
76% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 76% | median 45% |
| Fines (3-yr window) | 2 · $194,994 |
Inspection citations (52 in the current record)
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Immediate jeopardy · J December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
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Potential for harm · F December 17, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected January 12, 2026 · Administration
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Potential for harm · D September 17, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 29, 2025 · Resident Rights
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Potential for harm · E September 17, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 29, 2025 · Resident Rights
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Potential for harm · D September 17, 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 October 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025 · 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 October 29, 2025 · Environmental
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Potential for harm · D May 8, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 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 June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Provide activities to meet all resident's needs.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 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 June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · F May 8, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 5, 2025 · Infection Control
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Potential for harm · D May 8, 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 June 5, 2025 · Infection Control
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Potential for harm · D May 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 5, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 27, 2024 | Fine | $33,638 |
| June 27, 2024 | Payment Denial | 22 days |
| May 16, 2024 | Fine | $161,356 |
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 235637 · certified since March 14, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.