Avenues by Brio Living Services

Home Care Agency

Avenues by Brio Living Services

3600 Fulton St E, Grand Rapids, MI 49546 View Map
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Overview of Avenues by Brio Living Services

Age gracefully in the comforts of home with an outstanding continuing care at home provider, Avenues by Brio Living Services is a membership-based program in Grand Rapids, MI, providing comprehensive home care services. Utilizing a holistic and innovative approach to care, the community ensures seniors receive unrivaled care and assistance for their special needs and preferences. Let go of your worries with a team of compassionate and well-trained professionals delivering the necessary attention.

With its history of providing top-notch care since 2011, Avenues by Brio ensures a safe healing journey for seniors to live their best years in the comforts of their own homes. Moreover, Avenues by Brio Living Services ensures seniors have easy access to care when their needs change over time. Spend your golden years living as you prefer at your residence with exceptional care and support from Avenues by Brio Living Services.

(616) 914-1172

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Michigan average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Michigan average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Michigan average: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Michigan average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 56m per day

This home provides 15% more nursing time per resident than the state average.

Michigan average: 4h 18m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 251

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Michigan average
Occupancy rate 93.7%
Residents per day (avg) 38
Occupancy rate
93.7%
Residents per day (avg)
38

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

6% of new residents, usually for short-term rehab.

Typical stay 7 years

Private pay

57% of new residents, often for short stays.

Typical stay 8 - 9 years

Medicaid

37% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit home
Church
Home revenue
$22.6M
Operating deficit
-$3.9M
Voluntary non-profit home Church
Home revenue
$22,556,519.00
Operating deficit
$-3,937,667.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.6M
42.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.9M
Total costs $26.5M
Walk Score
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Safety & Compliance

Wheelchair Accessible

Programs & Activities

Specific Programs
What We Do, Events, About Us, Resource Center, Member Form, Family and Resident Portal, Careers, Contact Us

Types of Care at Avenues by Brio Living Services

Home Care

Compare Home Care around Grand Rapids

The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Avenues by Brio Living Services
SNF

Nursing Home 24/7 care needed

HC

Home Care

Grand Rapids
251
No
0
UNITED METHODIST RETIREMENT COMMUNITIES, INC.
93.7%
$15,415,260.00
$9,590,346.00
62.2%
38.20
5/5
4.9375
5/5
5/5
4/5
9
+38%
+15%
+24%
TANDEM365
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

SNF

Nursing Homes 24/7 care needed

Grand Rapids (Northeast)
-
No
44
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Avenues by Brio Living Services

Address 6.1 miles from city center

Address 3600 Fulton St E, Grand Rapids, MI 49546

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

79
Total Staff
69
Employees
10
Contractors
17,207
Total Hours (Quarter)
22
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse118.3 No
Licensed Practical Nurse810.1 No
Certified Nursing Assistant508.5 Yes
Staff by Category
Administration
2 staff
7.4hs shift avg
Nursing Staff
69 staff
8.7hs shift avg
Physicians & Practitioners
2 staff
7.9hs shift avg
Therapy Services
5 staff
6.7hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
0 staff
0hs shift avg
Dietary Services
0 staff
0hs shift avg
Other Services
1 staff
7.9hs shift avg
Contractor Analysis
1.6%
of total hours from contractors
279 contractor hours this quarter
Certified Nursing Assistant: 5 Occupational Therapy Assistant: 4 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4555010,47091100%8.5
Licensed Practical Nurse8082,47091100%10.1
Registered Nurse110112,12291100%8.3
Occupational Therapy Aide1014646369%7.4
Administrator1014586066%7.6
Dental Services Staff1014125257%7.9
Nurse Practitioner1014055156%7.9
Clinical Nurse Specialist1013884954%7.9
Occupational Therapy Assistant0441689%1.8
Medical Director011122%0.7

Health Inspection History

Inspections
Total health inspections 3

Michigan average 6.5


Last Health inspection on Jul 2025

Total health citations 9
Citations per inspection
3

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 9 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Michigan average

Michigan average: 0.3


Serious Health citations More info 0
100% better than Michigan average

Michigan average: 1.9

0 critical citations More info Michigan average: 0.3

0 serious citations More info Michigan average: 1.9

9 moderate citations More info Michigan average: 30.8

0 minor citations More info Michigan average: 0.5
Citations history (last 3 years)
Resident Rights moderate citation Jul 24, 2025
Corrected

Infection Control moderate citation Aug 01, 2024
Corrected

Nutrition moderate citation Aug 01, 2024
Corrected

Quality of Care moderate citation Aug 01, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Part of: Brio Living Services
Resident Census by Payment Source
37 Total Residents
Medicaid 16 (43.2%)
Private Pay/Other 21 (56.8%)
Programs & Services
Residents' Group
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.7
9% better than Michigan average

Michigan average: 8.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.8
27% worse than Michigan average

Michigan average: 16.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.8%
27% worse than Michigan average

Michigan average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.1%
15% better than Michigan average

Michigan average: 15.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 33.4%
59% worse than Michigan average

Michigan average: 21.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.7%
14% better than Michigan average

Michigan average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
16% better than Michigan average

Michigan average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.7%
180% worse than Michigan average

Michigan average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.9%
67% better than Michigan average

Michigan average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
82% better than Michigan average

Michigan average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.9%
13% worse than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than Michigan average

Michigan average: 94.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Michigan average

Michigan average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
16% better than Michigan average

Michigan average: 82.5%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Michigan Seniors

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MI Choice Waiver

Michigan Medicaid MI Choice Waiver

Age 65+ or disabled, Michigan resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Delivered through regional waiver agents; waitlists possible.

Home Help Program

Michigan Home Help

Age 65+ or disabled, Michigan resident, Medicaid- eligible or low-income.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Can hire family caregivers; less intensive than waiver.

Program of All-Inclusive Care for the Elderly (PACE)

Michigan PACE

Age 55+, Michigan resident, nursing home-level care need, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple).

16 PACE centers (e.g., Ingham, Wayne counties); expanding slowly.

Medicare Savings Program (MSP)

Michigan Medicare Savings Program

Age 65+ or disabled, Michigan resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Michigan NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Michigan resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

16 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Michigan SCSEP

Age 55+, unemployed, low-income, Michigan resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; Operation ABLE partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Michigan VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Michigan resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in urban/rural areas.

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