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Holland Home Breton Woods Rehabilitation & Living Centre
Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care & Skilled Nursing · Grand Rapids, MI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of a senior living facility Exterior view of the Holland Home Breton Woods facility Exterior view of the Holland Home Breton Woods building Exterior view of Holland Home Breton Woods Rehabilitation Centre Cozy resident room with natural light and plants Interior view of a common area with seating Common area with seating and decor Rehabilitation gym with equipment and staff assisting residents

Holland Home Breton Woods Rehabilitation & Living Centre

Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care & Skilled Nursing · Grand Rapids, MI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2589 44Th St Se, Grand Rapids, MI 49512 View map Calculator: See prices in your area
Holland Home Breton Woods Rehabilitation & Living Centre accepts Medicare, Medicaid, and private pay.
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Holland Home Breton Woods Rehabilitation & Living Centre accepts Medicare, Medicaid, and private pay.

Overview of Holland Home Breton Woods Rehabilitation & Living Centre

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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.

Facility Direct Line (616) 643-2500
Facility Direct Line (616) 643-2500
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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.
▲ 59.4% Above MI avg. ▲ 59.4% Above MI avg.MI average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 76.9% Above MI avg. ▲ 76.9% Above MI avg.MI average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 43.0% Above MI avg. ▲ 43.0% Above MI avg.MI average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 33.0% Above MI avg. ▲ 33.0% Above MI avg.MI average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Michigan averages

Rank #6 / 129Nurse hours — State benchmarkedThis home is ranked 6th out of 129 homes we track in Michigan for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 129 Michigan facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 6th out of 129 homes we track in Michigan for nurse hours. 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.

5h 56m

38% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 3m
+37% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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 8m
+29% State avg: 53m per day · National avg: 52m per day
Nurse Aide Info 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 45m
+57% State avg: 2h 23m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
5h 33m
+58% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
8m
+89% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
29m
Avg State avg: 29m per day · National avg: 29m per day

0 of 6 metrics below state avg

Standout metric: Physical Therapist is +89% above Michigan average

Capacity and availability

Residents per day
10
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
101 days
Bed community size
20-bed community Rank #326 / 428Bed count — State benchmarkedThis home is ranked 326th out of 428 homes we track in Michigan for bed count. Shows this facility's certified or reported bed count compared to other Michigan facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 44 / 100 Rank #269 / 674Walk Score — State benchmarkedThis home is ranked 269th out of 674 homes we track in Michigan for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Michigan facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
50%
Rank #93 / 105Occupancy rate — State benchmarkedThis home is ranked 93rd out of 105 homes we track in Michigan for occupancy. Shows this facility's occupancy rate versus the Michigan average, with its Statewide rank out of 105. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Michigan average: 75.8%
Occupied beds
10 / 20
Average occupied beds in Michigan homes 84 beds

License Details

Facility TypeAdult Large Group Home (Capacity 13-20)
StatusRegular
IssuanceMay 1, 2026
ExpirationApril 30, 2028
CountyKent
License NumberAL410374262

Ownership & Operating Entity

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

Additional Policies & Features

Pets not allowed

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.

Since 2015 · 11 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 7 deficiencies 5 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2015 vs. Michigan state average
Overall vs. MI average 0 Worse No metrics in this bucket. 2 Better Metrics better than Michigan average:
• Total deficiencies (30% below)
• Deficiencies per inspection (15% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMI Averagevs. MI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 710 This facility has 30% fewer total deficiencies than a typical Michigan nursing home (7 vs. MI avg 10).↓ 30% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.41.64 This facility has 15% fewer deficiencies per inspection than a typical Michigan nursing home (1.4 vs. MI avg 1.64).↓ 15% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMI Averagevs. MI Avg
Total inspections Info Combined count of all inspections conducted at this facility. 55 This facility has total inspections in line with the Michigan average (5 vs. MI avg 5).— At avg
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 3

Michigan average 6.5

Last Health inspection on Mar 2025

Total health citations
6 Rank #4 / 128Health citations — State benchmarkedThis home is ranked 4th out of 128 homes we track in Michigan for health citations. Shows this facility's total health deficiency citations benchmarked to the Michigan State average, with a ranking across all 128 MI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Michigan average 33.5

Citations per inspection
2 Rank #5 / 128Citations per inspection — State benchmarkedThis home is ranked 5th out of 128 homes we track in Michigan for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Michigan mean across 128 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than Michigan average

Michigan average: 0.3

Serious health citations
0
100% better than Michigan average

Michigan average: 1.9

0 critical citations Michigan average: 0.3
0 serious citations Michigan average: 1.9
6 moderate citations Michigan average: 30.8
0 minor citations Michigan average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Mar 26, 2025
Corrected
Quality of Care moderate citation Mar 14, 2024
Corrected
Care Planning moderate citation Mar 14, 2024
Corrected
Care Planning moderate citation Mar 14, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 101
Employees 88
Contractors 13
Staff to resident ratio 2.30 : 1
35% more staff per resident than Michigan average
Michigan average ratio: 1.70 : 1 Michigan average ratio: 1.70 : 1See full Michigan ranking
Avg staff/day 31
Average shift 7.9 hours
0% compared with Michigan average
Michigan average: 7.9 hours Michigan average shift: 7.9 hoursSee full Michigan ranking
Total staff hours (quarter) 22,573

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 60 CNA Staff are full-time employees. No contractors work on this role. 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.2%

1,177 contractor hours this quarter

Physical Therapy Assistant: 5 Qualified Social Worker: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6006012,66492100%8.1
Licensed Practical Nurse170173,87292100%7.9
Registered Nurse5052,2349199%8.5
Clinical Nurse Specialist2028326368%8
Physical Therapy Assistant0556187076%6.7
Administrator1015046368%8
Respiratory Therapy Technician0114986874%7.3
Other Social Services Staff1014986267%8
Other Dietary Services Staff1013996166%6.5
Nurse Practitioner1013924953%8
Occupational Therapy Assistant0111644%4
Physical Therapy Aide0221544%3.6
Qualified Social Worker022132022%0.6
Speech Language Pathologist0111244%3.1
Medical Director01151213%0.4
60 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
5 Registered Nurse
% of Days 99%
2 Clinical Nurse Specialist
% of Days 68%
View All Staffing Data in Grand Rapids

Penalties and fines

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.

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
Significantly above average Michigan avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
Above average Michigan avg: 3.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Michigan average

Michigan average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.5%
8% worse than Michigan average

Michigan average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 44
Medicare
7
15.9% of residents
Medicaid
18
40.9% of residents
Private pay or other
19
43.2% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$319.9K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M Rank #110 / 120Net patient revenue — State benchmarkedThis home is ranked 110th out of 120 homes we track in Michigan. Shows this facility's net patient revenue compared to the Michigan average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$319.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$54.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #108 / 120Payroll costs — State benchmarkedThis home is ranked 108th out of 120 homes we track in Michigan. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Michigan average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.1M 64.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #25 / 120Payroll % of net patient revenue — State benchmarkedThis home is ranked 25th out of 120 homes we track in Michigan. Shows payroll as a percentage of net patient revenue versus the Michigan average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.0M
How we calculate these figures

This home is owned by Sara Heethuis

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 235540

Show certification details

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.

Most new residents arrive under private pay (79% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
187 total

Coverage residents most often arrive under.

Medicare 18%
Private pay 79%
Medicaid 3%
Discharges
150 total

Coverage residents most often leave under.

Medicare 17%
Private pay 81%
Medicaid 3%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Managed by Sara Heethius

Executive Director

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

Address 6.9 miles from city center Info Estimated distance in miles from Grand Rapids's city center to Holland Home Breton Woods Rehabilitation & Living Centre's address, calculated via Google Maps.

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

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Address

Compare Assisted Living around Grand Rapids

Info below is compiled from CMS reports & the MI Licensing & Regulatory Affairs (LARA), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Michigan average is: 59.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
St. Ann’s Home ★ ★ ★ ★ ★
AL
HOS
MC
NH
SNF
Grand Rapids (Westside Connection)
95
Facility 95
MI AVG 74
Rank #143 / 428
24.2%
Facility 24.2%
MI AVG 76.7%
Rank #103 / 105
-68%
5.85
Facility 5.85
MI AVG 4.30
Rank #9 / 129
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -10%+36%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
15
Facility 15
MI AVG 33.5
Rank #23 / 128
5.0
Facility 5.0
MI AVG 5.2
Rank #69 / 128
-23A+
25
Facility 25
MI AVG 40
Rank #474 / 674
Carmelite Sisters Of The Divine Heart Of Jesus
$8.7MFiscal year ending 12/2023
Facility $8.7MFiscal year ending 12/2023
MI AVG $13.2M
Rank #95 / 120
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
MI AVG $7.7M
Rank #55 / 120
78.7%Fiscal year ending 12/2023
Facility 78.7%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #9 / 120
235643
Holland Home Breton Woods Rehabilitation & Living Centre ★ ★ ★ ★ ★
AL
HC
HOS
IL
MC
NH
SNF
Grand Rapids (Third Ward)
20
Facility 20
MI AVG 74
Rank #326 / 428
50.0%
Facility 50.0%
MI AVG 76.7%
Rank #93 / 105
-35%
5.94
Facility 5.94
MI AVG 4.30
Rank #6 / 129
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -51%+38%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
6
Facility 6
MI AVG 33.5
Rank #4 / 128
2.0
Facility 2.0
MI AVG 5.2
Rank #5 / 128
-10-
44
Facility 44
MI AVG 40
Rank #269 / 674
Sara Heethuis
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
MI AVG $13.2M
Rank #110 / 120
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
MI AVG $7.7M
Rank #108 / 120
64.7%Fiscal year ending 12/2023
Facility 64.7%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #25 / 120
235540
Holland Home Raybrook Campus ★ ★ ★ ★ ★
AL
IL
MC
NH
SNF
Grand Rapids (Ridgemoor)
236
Facility 236
MI AVG 74
Rank #3 / 428
22.5%
Facility 22.5%
MI AVG 76.7%
Rank #105 / 105
-71%
5.04
Facility 5.04
MI AVG 4.30
Rank #16 / 129
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -16%+17%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
21
Facility 21
MI AVG 33.5
Rank #43 / 128
5.3
Facility 5.3
MI AVG 5.2
Rank #77 / 128
153-
41
Facility 41
MI AVG 40
Rank #306 / 674
Christian Living Services
$24.0MFiscal year ending 12/2023
Facility $24.0MFiscal year ending 12/2023
MI AVG $13.2M
Rank #7 / 120
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
MI AVG $7.7M
Rank #10 / 120
59.1%Fiscal year ending 12/2023
Facility 59.1%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #42 / 120
235440
Medilodge of Wyoming ★ ★ ★ ★ ★
AL
NH
PC
SNF
Wyoming (Gezon Park)
80
Facility 80
MI AVG 74
Rank #175 / 428
94.8%
Facility 94.8%
MI AVG 76.7%
Rank #18 / 105
+24%
3.95
Facility 3.95
MI AVG 4.30
Rank #76 / 129
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +50%-8%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
12
Facility 12
MI AVG 33.5
Rank #18 / 128
3.0
Facility 3.0
MI AVG 5.2
Rank #16 / 128
-76-
41
Facility 41
MI AVG 40
Rank #306 / 674
-
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
MI AVG $13.2M
Rank #88 / 120
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MI AVG $7.7M
Rank #99 / 120
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #91 / 120
235630
Covenant Living of the Great Lakes ★ ★ ★ ★ ☆
AL
MC
NH
RC
SNF
Grand Rapids (Westside Connection)
102
Facility 102
MI AVG 74
Rank #115 / 428
28.4%
Facility 28.4%
MI AVG 76.7%
Rank #102 / 105
-63%
4.12
Facility 4.12
MI AVG 4.30
Rank #53 / 129
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ +51%-4%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
31
Facility 31
MI AVG 33.5
Rank #70 / 128
10.3
Facility 10.3
MI AVG 5.2
Rank #126 / 128
-29A+
35
Facility 35
MI AVG 40
Rank #366 / 674
Covenant Living Of The Great Lakes
$4.8MFiscal year ending 09/2023
Facility $4.8MFiscal year ending 09/2023
MI AVG $13.2M
Rank #118 / 120
$2.3MFiscal year ending 09/2023
Facility $2.3MFiscal year ending 09/2023
MI AVG $7.7M
Rank #119 / 120
46.9%Fiscal year ending 09/2023
Facility 46.9%Fiscal year ending 09/2023
MI AVG 59.2%
Rank #112 / 120
235614
Nursing Home Explorer

Financial Assistance for
Assisted Living in Michigan

Holland Home Breton Woods Rehabilitation & Living Centre is located in Grand Rapids, Michigan.
Here are the financial assistance programs available to residents in Michigan.

Get Financial aid guidance

MI Choice Waiver

Michigan Medicaid MI Choice Waiver

Age 65+ or disabled
General Michigan resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MI

Delivered through regional waiver agents; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Adult day care ($65/day)

Home Help Program

Michigan Home Help

Age 65+ or disabled
General Michigan resident, Medicaid- eligible or low-income.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MI

Can hire family caregivers; less intensive than waiver.

Benefits
Personal care (up to 60 hours/month) Homemaker services Respite (varies)

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

Michigan PACE

Age 55+
General Michigan resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple).
MI

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

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

Medicare Savings Program (MSP)

Michigan Medicare Savings Program

Age 65+ or disabled
General Michigan resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MI

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Michigan NFCSP Respite Care

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Michigan resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MI

16 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training

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

Michigan VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Michigan resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MI

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Frequently Asked Questions about Holland Home Breton Woods Rehabilitation & Living Centre

What neighborhood is Holland Home Breton Woods Rehabilitation & Living Centre in?

Holland Home Breton Woods Rehabilitation & Living Centre is in the Third Ward neighborhood of Grand Rapids.

Who is the owner of Holland Home Breton Woods Rehabilitation & Living Centre?

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

Is Holland Home Breton Woods Rehabilitation & Living Centre in a walkable area?

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.

What is the license number of Holland Home Breton Woods Rehabilitation & Living Centre?

According to MI state health department records, Holland Home Breton Woods Rehabilitation & Living Centre's license number is AL410374262.

When does Holland Home Breton Woods Rehabilitation & Living Centre's license expire?

According to MI state health department records, Holland Home Breton Woods Rehabilitation & Living Centre's license expires on April 30, 2028.

What is the occupancy rate at Holland Home Breton Woods Rehabilitation & Living Centre?

Holland Home Breton Woods Rehabilitation & Living Centre's occupancy is 50%.

Are pets allowed at Holland Home Breton Woods Rehabilitation & Living Centre?

No, Holland Home Breton Woods Rehabilitation & Living Centre has a no-pet policy.

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