South Haven Nursing and Rehabilitation Community
850 Phillips · South Haven, MI · 49090 · 2696375147
70 certified beds For profit - Limited Liability company Chain: Atrium Centers
Why this verdict
- 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).
- No federal fines or payment denials in CMS’s 3-year window.
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
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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · E December 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · E December 17, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · E December 17, 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 January 16, 2026 · Resident Rights
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Potential for harm · D December 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025
Provide activities to meet all resident's needs.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · E December 17, 2025
Ensure the activities program is directed by a qualified professional.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
Provide appropriate foot care.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D December 17, 2025
Ensure that residents are free from significant medication errors.
Corrected January 16, 2026 · Pharmacy Service
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Potential for harm · D December 17, 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 January 16, 2026 · Pharmacy Service
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Potential for harm · D December 17, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · E December 17, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · F December 17, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2026 · Infection Control
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Potential for harm · F December 17, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 16, 2026 · Environmental
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Potential for harm · D December 17, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B December 17, 2025
Ensure each resident receives an accurate assessment.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 1, 2024
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 October 31, 2024 · Quality of Life and Care
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Potential for harm · D October 1, 2024
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 October 31, 2024 · Pharmacy Service
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Potential for harm · D October 1, 2024
Ensure that residents are free from significant medication errors.
Corrected October 31, 2024 · Pharmacy Service
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Potential for harm · F October 1, 2024
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 October 31, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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 235270 · certified since April 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.