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Nursing Home

Holland Home Breton Woods Rehabilitation & Living Centre

Nursing Home

Holland Home Breton Woods Rehabilitation & Living Centre

2589 44th St SE, Grand Rapids, MI 49512 View map
Overview of Holland Home Breton Woods Rehabilitation & Living Centre

Breton Woods is a senior living center that provides comfort, care, and a strong sense of community to its residents. Beyond offering the standard amenities found in most senior living facilities, the home goes the extra mile to provide a wide range of activities and spaces that enrich the lives of its residents. With a high staff-to-resident ratio, each resident receives personalized attention and care from the dedicated team of healthcare professionals. 

The spacious private rooms are crafted to offer all the comforts of home, giving residents their own oasis where they can relax and recharge. For those looking to unwind and have fun, Breton Woods offers a billiards room, woodworking and arts studios, game room, shuffleboard court, and more. Fitness enthusiasts can make use of the state-of-the-art wellness center and indoor pool to keep their bodies and minds in top shape. Breton Woods also features an on-site cafe bistro and hair salon, which provide residents with opportunities to socialize and indulge in some pampering. Additionally, the monthly newsletter keeps residents informed as well about the latest news and events happening within the community.

(616) 643-2500

Managed by Sara Heethius

Executive Director

Sara Heethius serves as the Executive Director of the Breton Woods Campus at Holland Home. She leads the community with dedication, ensuring high-quality care and a supportive environment for residents. Sara's leadership is central to the community's mission and operations.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Michigan average: 3.6/5
Health Inspection Info 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.
5/5
Michigan average: 3.3/5
Staffing Info 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.
5/5
Michigan average: 3.4/5
Quality Measures Info 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.
5/5
Michigan average: 3.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 46m per day

This home provides 36% more nursing time per resident than the Michigan average.

Michigan average: 4h 15m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 20

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Michigan average
Occupancy rate 50%
Residents per day 10
Occupancy rate
50%
Residents per day
10

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

79% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Voluntary non-profit community
Home revenue
$7.8M
Surplus of revenue
$373.9K
Voluntary non-profit community
Home revenue
$7,793,459.00
Surplus of revenue
$373,892.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
45.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
Total costs $7.4M
Bed community size
20-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 44 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Population served

Aged

About this community

Occupancy

Occupancy rate
50%
In line with Michigan average
Occupied beds
10 / 20
Average residents 84 per day

License details

Facility type
Adult Large Group Home (capacity 13-20)
Status Regular
Issuance February 5, 2024
Expiration January 5, 2026
County: KENT

Additional licensing details

License number: AL410374262

Ownership & operating entity

Holland Home Breton Woods Rehabilitation & Living Centre is legally operated by Holland Home.

Types of Care at Holland Home Breton Woods Rehabilitation & Living Centre

Assisted Living Independent Living Memory Care Skilled Nursing
Contact Holland Home Breton Woods Rehabilitation & Living Centre

Inspection History

In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.

2 visits/inspections

Michigan average: 5 visits/inspections

Latest inspection

Date:March 24, 2025
Type:Routine

7 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 3

Michigan average 6.5


Last Health inspection on Mar 2025

Total health citations 6

Michigan average 33.5

Citations per inspection
2

Michigan average 5.18


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

All 6 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

6 moderate citations More info Michigan average: 30.8

0 minor citations More info Michigan average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 26, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 14, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 14, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 14, 2024
Corrected

Compare Nursing Homes around Grand Rapids The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).

5 facilities compared · CMS & MI Dept. of Health data · Updated Mar 2026

Holland Home Breton Woods Rehabilitation & Living Centre
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

Grand Rapids
58
71.4%
-6%
5.77
-32%
+34%
0
6
0
43
44
Heethuis, Sara
$7,7M
$3,5M
45.6%
235540
Medilodge of Wyoming
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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).

Grand Rapids (Gezon Park)
80
93.5%
+23%
3.83
+5%
-11%
0
12
0
75
41
-
$12,5M
$4,1M
32.6%
235630
Green House Homes
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).

Grand Rapids
-
91.0%
+20%
6.27
-
+46%
3
0
0
88
32
Loveland Elder Green House Homes For Life Enrichment A Colorado Non
$14,8M
$6,8M
46.3%
65412
Mission Point of Nursing & Physical Rehabilitation Center Forest Hills
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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.

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).

Grand Rapids
58
94.6%
+25%
4.16
-59%
-3%
2
50
4
57
43
Bilbao, Andrew
$10,5M
$3,5M
33.8%
235366
Grace Hospice Grand Rapids
-
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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).

Grand Rapids
-
-
-
-
-
-
-
-
-
0
0
0
-
27
-
-
-
-
-

Places of interest near Holland Home Breton Woods Rehabilitation & Living Centre

Address 9.9 miles from city center — 1.55 miles to nearest hospital (Escreen Inc)

Address 2589 44th St SE, Grand Rapids, MI 49512

Calculate Travel Distance to Holland Home Breton Woods Rehabilitation & Living Centre

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 117
Employees 98
Contractors 19
Staff to resident ratio 2.66:1
52% better than Michigan average

Michigan average ratio: 1.75:1

Avg staff/day 32
Average shift 7.7 hours
0% compared with Michigan average

Michigan average: 7.9 hours

Total staff hours (quarter) 22,393
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 67
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

4.8%

1,078 contractor hours this quarter

Respiratory Therapy Technician: 5 Physical Therapy Aide: 4 Speech Language Pathologist: 3 Physical Therapy Assistant: 3 Qualified Social Worker: 2 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6706712,68691100%7.9
Licensed Practical Nurse170173,58191100%7.9
Registered Nurse8082,18391100%8.4
Clinical Nurse Specialist2029766470%7.9
Administrator1015126470%8
Nurse Practitioner1015086369%8.1
Physical Therapy Assistant0334726369%7.5
Other Dietary Services Staff1014556673%6.9
Respiratory Therapy Technician0554246976%6.1
Other Social Services Staff1014155358%7.8
Physical Therapy Aide0441062932%3.6
Qualified Social Worker022313640%0.9
Speech Language Pathologist0332355%4.7
Occupational Therapy Assistant0111644%4
Medical Director01161213%0.5
67 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 70%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 69%
3 Physical Therapy Assistant
% of Days 69%
1 Other Dietary Services Staff
% of Days 73%
5 Respiratory Therapy Technician
% of Days 76%
1 Other Social Services Staff
% of Days 58%
4 Physical Therapy Aide
% of Days 32%
2 Qualified Social Worker
% of Days 40%
3 Speech Language Pathologist
% of Days 5%
1 Occupational Therapy Assistant
% of Days 4%
1 Medical Director
% of Days 13%

Facility Characteristics

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

Total census
44 residents
Residents by payment source
Medicare
7 residents (15.9%)
Medicaid
18 residents (40.9%)
Private pay or other
19 residents (43.2%)
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.

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. 9.7
16% worse 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. 17.6
8% 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 13.5%
8% worse than Michigan average

Michigan average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.2%
25% worse 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 20.3%
In line with 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%
13% 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 9.1%
59% worse than Michigan average

Michigan average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
17% better than Michigan average

Michigan average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.1%
28% better than Michigan average

Michigan average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Michigan average

Michigan average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.5%
50% better than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
In line with Michigan average

Michigan average: 94.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
In line with 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 91.8%
11% better than Michigan average

Michigan average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Michigan average

Michigan average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 67.3%
15% worse than Michigan average

Michigan average: 79.5%

Guides for Better Senior Living

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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.