Roosevelt Park Nursing and Rehabilitation Communit

1300 West Broadway Avenue · Muskegon, MI · 49441 · 2317552221

39 certified beds For profit - Corporation Chain: Atrium Centers

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).

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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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 68
Staffing 20% 74
Federal penalties 15% 43
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.853.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.52≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)1 · $78,176

Inspection citations (44 in the current record)

  • Potential for harm · D April 2, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 13, 2026 · Quality of Life and Care

  • Potential for harm · E April 2, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 13, 2026 · Quality of Life and Care

  • Potential for harm · E September 17, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 5, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 16, 2025 · Resident Rights

  • Potential for harm · E June 5, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 16, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 5, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 5, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected July 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    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 July 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected July 16, 2025 · Quality of Life and Care

  • Potential for harm · E June 5, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 16, 2025 · Nursing and Physician Services

  • Potential for harm · E June 5, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 30, 2025 · Pharmacy Service

  • Potential for harm · E June 5, 2025

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected July 16, 2025 · Nutrition and Dietary

  • Potential for harm · F June 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 16, 2025 · Infection Control

  • Potential for harm · D June 5, 2025

    Implement a program that monitors antibiotic use.

    Corrected July 16, 2025 · Infection Control

  • Potential for harm · D June 5, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 16, 2025 · Infection Control

  • Potential for harm · E June 5, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 16, 2025 · Environmental

  • Potential for harm · E February 27, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 25, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 3, 2024

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected August 13, 2024 · Resident Rights

  • Potential for harm · E July 3, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 13, 2024 · Resident Rights

  • Potential for harm · D July 3, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 13, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 18, 2023Fine$78,176
August 18, 2023Payment Denial26 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235549 · certified since June 9, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.