Total health inspections
3
Michigan average 6.5
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Home Care in Grand Rapids
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avenues by Brio Living Services
Home Care in Grand Rapids
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avenues by Brio Living Services
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
93.7%
Residents per day (avg)
38
Occupancy rate
93.7%
Residents per day (avg)
38
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 community
Operated by a church.
Home revenue
$22.6M
Operating deficit
-$3.9M
Voluntary non-profit community
Operated by a church.
Home revenue
$22.6M
Operating deficit
-$3.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$26.5M
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Wheelchair Accessible
Specific ProgramsWhat 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
Health Inspection History
Inspections
Total health citations
9
Michigan average 33.5
Citations per inspection
3
Michigan average 5.18
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
0
0
100% better than Michigan averageMichigan average: 0.3
Serious Health citations
0
0
100% better than Michigan averageMichigan average: 1.9
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 24, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 24, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 01, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 01, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 01, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 01, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Home Care around Grand Rapids The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
Avenues by Brio Living Services
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
Grand Rapids
251
No
0
-
-
Grace Hospice Grand Rapids
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
Grand Rapids
-
No
27
-
-
Porter Hills Home Health Care
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
Grand Rapids
-
No
38
-
-
TANDEM365
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
Grand Rapids (Northeast)
-
No
44
-
-
Places of interest near Avenues by Brio Living Services
6.1 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
79
Employees
69
Contractors
10
Staff to resident ratio
2.14:1
22% better than Michigan averageMichigan average ratio: 1.75:1
Avg staff/day
22
Average shift
8.6 hours
9% better than Michigan averageMichigan average: 7.9 hours
Total staff hours (quarter)
17,207
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
50
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
1.6%
279 contractor hours this quarter
Certified Nursing Assistant: 5
Occupational Therapy Assistant: 4
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 45 | 5 | 50 | 10,470 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,470 | 91 | 100% | 10.1 |
| Registered Nurse | 11 | 0 | 11 | 2,122 | 91 | 100% | 8.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 464 | 63 | 69% | 7.4 |
| Administrator | 1 | 0 | 1 | 458 | 60 | 66% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 405 | 51 | 56% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 388 | 49 | 54% | 7.9 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 16 | 8 | 9% | 1.8 |
| Medical Director | 0 | 1 | 1 | 1 | 2 | 2% | 0.7 |
50 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
100%
1 Occupational Therapy Aide
% of Days
69%
1 Administrator
% of Days
66%
1 Dental Services Staff
% of Days
57%
1 Nurse Practitioner
% of Days
56%
1 Clinical Nurse Specialist
% of Days
54%
4 Occupational Therapy Assistant
% of Days
9%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
37 residents
Residents by payment source
Medicaid
16 residents (43.2%)
Private pay or other
21 residents (56.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
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 averageMichigan average: 8.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
27% worse than Michigan averageMichigan average: 16.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
27% worse than Michigan averageMichigan average: 12.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.1%
Percent of long-stay residents whose ability to move independently worsened
13.1%
15% better than Michigan averageMichigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.4%
59% worse than Michigan averageMichigan average: 21.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
14% better than Michigan averageMichigan average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
16% better than Michigan averageMichigan average: 5.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.7%
Percent of long-stay residents with a urinary tract infection
4.7%
180% worse than Michigan averageMichigan average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.9%
Percent of long-stay residents who lose too much weight
1.9%
67% better than Michigan averageMichigan average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
82% better than Michigan averageMichigan average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.9%
Percent of long-stay residents who received an antipsychotic medication
16.9%
13% worse than Michigan averageMichigan average: 15.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
16% better than Michigan averageMichigan average: 82.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Avenues by Brio Living Services based on CMS SNF Cost Reports.
Occupancy Rate
93.7%
↑ 25.1pp vs 2023
Net Income
-$3.9M
↓ ~$1.9M vs 2023
Total Payroll
$10.9M
↑ ~$10.7K vs 2023
Profit Margin
-25.5%
↓ 12.3pp vs 2023
Loading trend charts...
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