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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 6th out of 133 homes in Michigan. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 57m per day | ▲ 24% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 17% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 20m per day | ▲ 40% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 40m per day | ▲ 33% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▲ 17% State avg: 29m per day · National avg: 29m per day |
Lower than the Michigan average: 75.8%Holland Home Breton Woods Rehabilitation & Living Centre is legally operated by Holland Home.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 8 | This facility has 13% fewer total deficiencies than a typical Michigan nursing home (7 vs. MI avg 8).↓ 13% better |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 0.6 | 0.7 | This facility has 14% fewer deficiencies per year than a typical Michigan nursing home (0.6 vs. MI avg 0.7).↓ 14% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.5 | 1.6 | This facility has 119% more deficiencies per inspection than a typical Michigan nursing home (3.5 vs. MI avg 1.6).↑ 119% worse |
Inspections
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 5 | This facility has 60% fewer total inspections than a typical Michigan nursing home (2 vs. MI avg 5).↓ 60% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 24, 2025, identified a deficiency related to urinary catheter care, where equipment was not consistently maintained in a secured and sanitary manner, causing discomfort and potential infection risk for one resident. Earlier inspections showed a pattern of deficiencies primarily involving care planning, medication administration, and facility maintenance, including issues with comprehensive care plans and air conditioner cleanliness. No enforcement actions, fines, or license suspensions were listed in the available reports. Complaint investigations were not noted in any of the reports. The inspection history shows some ongoing challenges with care planning and equipment maintenance, with no clear improvement or worsening trend over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMichigan average 6.5
Last Health inspection on Mar 2025
Michigan average 33.5
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.
100% better than Michigan averageMichigan average: 0.3
100% better than Michigan averageMichigan average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% better than Michigan average
0% compared with Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,177 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 0 | 60 | 12,664 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 17 | 0 | 17 | 3,872 | 92 | 100% | 7.9 |
| Registered Nurse | 5 | 0 | 5 | 2,234 | 91 | 99% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 832 | 63 | 68% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 618 | 70 | 76% | 6.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 498 | 68 | 74% | 7.3 |
| Other Social Services Staff | 1 | 0 | 1 | 498 | 62 | 67% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 399 | 61 | 66% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 392 | 49 | 53% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 4 | 4% | 4 |
| Physical Therapy Aide | 0 | 2 | 2 | 15 | 4 | 4% | 3.6 |
| Qualified Social Worker | 0 | 2 | 2 | 13 | 20 | 22% | 0.6 |
| Speech Language Pathologist | 0 | 1 | 1 | 12 | 4 | 4% | 3.1 |
| Medical Director | 0 | 1 | 1 | 5 | 12 | 13% | 0.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
8% worse than Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
8% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
19.2%
25% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
In line with Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
13% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.1%
59% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
1.4%
17% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
4.1%
28% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
7.5%
50% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.8%
11% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.3%
15% worse than Michigan averageMichigan average: 79.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
46.5%
8% worse than Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
79% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Holland Home Breton Woods Rehabilitation & Living Centre based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #113 / 134Payroll — State benchmarkedThis home is ranked 113th out of 134 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
9.9 miles from city center
Estimated distance in miles from Grand Rapids's city center to Holland Home Breton Woods Rehabilitation & Living Centre's address, calculated via Google Maps.
— 1.55 miles to nearest hospital (Escreen Inc)
Add your location
Holland Home Breton Woods Rehabilitation & Living Centre is located in Grand Rapids, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Holland Home Breton Woods Rehabilitation & Living Centre |
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).
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. | Grand Rapids (Third Ward) | 20 | 50.0% | -34% | 5.77 | -51% | +34% | $0 | 6 | 2.0 | - | 10 | - | 44 | Sara Heethuis | $7.8M | $4.4M | 56.1% | 235540 | ||||
| Porter Hills Village |
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).
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. | Grand Rapids (Grand Rapids Charter Township) | 100 | 39.0% | -49% | 4.94 | +25% | +15% | $0 | 9 | 3.0 | - | 39 | - | 1 | United Methodist Retirement Communities, Inc. | $22.6M | $10.9M | 48.3% | 235310 | ||||
| St. Ann’s Home |
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).
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.
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. | Grand Rapids (Westside Connection) | 95 | 24.2% | -68% | 5.07 | -10% | +18% | $0 | 15 | 5.0 | - | 23 | A+ | 25 | Carmelite Sisters Of The Divine Heart Of Jesus | $11.3M | $7.2M | 63.5% | 235643 | ||||
| SKLD Leonard |
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).
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. | Grand Rapids (Northeast) | 69 | 87.0% | +15% | 4.09 | +12% | -5% | $4.2k | 32 | 6.4 | 3 | 60 | A+ | 45 | - | $11.5M | $4.6M | 39.9% | 235261 | ||||
| StoryPoint Grand Rapids East (Samaritas) |
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).
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. | Grand Rapids (Millbrook) | 125 | 71.6% | -6% | 4.89 | +130% | +14% | $365.3k | 85 | 8.5 | 11 | 89 | A+ | 27 | - | $12.0M | $5.5M | 45.9% | 235458 |
Holland Home Breton Woods Rehabilitation & Living Centre is in the Third Ward neighborhood of Grand Rapids.
The legal owner and operator of Holland Home Breton Woods Rehabilitation & Living Centre is Holland Home.
Holland Home Breton Woods Rehabilitation & Living Centre has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MI state health department records, Holland Home Breton Woods Rehabilitation & Living Centre's license number is AL410374262.
According to MI state health department records, Holland Home Breton Woods Rehabilitation & Living Centre's license expires on April 30, 2028.
Holland Home Breton Woods Rehabilitation & Living Centre's occupancy is 50%.
Holland Home Breton Woods Rehabilitation & Living Centre has 20 beds.
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