The Timbers of Cass County
55432 Colby St · Dowagiac, MI · 49047 · 2697827828
108 certified beds For profit - Limited Liability company Chain: Atrium Centers
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (41 in the current record)
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Potential for harm · D February 19, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 12, 2026 · Resident Rights
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Potential for harm · E January 8, 2026
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 February 9, 2026 · Resident Rights
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Potential for harm · D January 8, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide activities to meet all resident's needs.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide appropriate foot care.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
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 February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
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 February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
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 February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Ensure that residents are free from significant medication errors.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · F January 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2026 · Nutrition and Dietary
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Potential for harm · F January 8, 2026
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Potential for harm · D March 12, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · E March 12, 2025 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 11, 2025 · Infection Control
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Potential for harm · E October 31, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 31, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024
Provide activities to meet all resident's needs.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 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 December 4, 2024 · Pharmacy Service
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Potential for harm · D October 31, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected December 4, 2024 · Nutrition and Dietary
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Potential for harm · F October 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 4, 2024 · Nutrition and Dietary
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Potential for harm · D October 31, 2024
Provide and implement an infection prevention and control program.
Corrected December 4, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 235652 · certified since December 15, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.