West Woods of Bridgman

9935 Red Arrow Hwy · Bridgman, MI · 49106 · 2694653017

92 certified beds For profit - Limited Liability company Chain: The Peplinski Group

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).
  • Inspection results are getting worse cycle over cycle, not better.
  • 4 citations involved actual harm to residents.

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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.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

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 29
Serious harm & abuse 20% 36
Staffing 20% 65
Federal penalties 15% 64
Trend 10% 30
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: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.643.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day3.46≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Immediate jeopardy · J January 16, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 11, 2026 · Quality of Life and Care

  • Actual harm · G January 16, 2026 · found via complaint

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

    Corrected February 11, 2026 · Nursing and Physician Services

  • Actual harm · G January 16, 2026 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected February 11, 2026 · Administration

  • Potential for harm · D January 16, 2026 · 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 February 11, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected February 11, 2026 · Pharmacy Service

  • No harm found · B January 16, 2026 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected February 11, 2026 · Nursing and Physician Services

  • No harm found · B January 16, 2026 · found via complaint

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected February 11, 2026 · Nursing and Physician Services

  • Actual harm · G August 20, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 20, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    Provide activities to meet all resident's needs.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · E August 20, 2025

    Ensure the activities program is directed by a qualified professional.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 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 September 17, 2025 · Pharmacy Service

  • Potential for harm · D August 20, 2025

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

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 20, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 17, 2025 · Infection Control

  • Potential for harm · E August 20, 2025

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

    Corrected September 17, 2025 · Environmental

  • Potential for harm · E August 20, 2025 · found via complaint

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

    Corrected September 17, 2025 · Resident Rights

  • No harm found · C August 20, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · D May 13, 2025 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 22, 2024

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

    Corrected September 25, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 25, 2024 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
August 20, 2025Payment Denial7 days
June 28, 2023Payment Denial20 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235625 · certified since November 28, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.