Inspection Reports for
Holland Home Breton Woods Rehabilitation & Living Centre
MI, 49512
Back to Facility Profile3 Reports
Inspection Report — Apr 20, 2026
Renewal
Date: Apr 20, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 1 rule; a written corrective action plan was required before the license is renewed.
Deficiencies (1)
R 400.619 Emergency preparedness plan: the facility did not conduct acceptable fire drills as required, with staff documenting only a call and explanation rather than actual resident evacuation.
Inspection Report — May 14, 2024
Original Licensing
Date: May 14, 2024
Visit Reason
Original license application for an adult foster care adult large group home.
Findings
The facility is in compliance with all applicable rules and statutes.
Inspection Report — Oct 23, 2015
Original Licensing
Date: Oct 23, 2015
Visit Reason
Original license application for a 20-bed adult foster care large group home.
Findings
The applicant was in compliance with the licensing act and applicable administrative rules at the time of licensure.
Report Facts
License length: 6
Staff-to-resident ratio: 3
Living space: 1249
3 CMS Surveys
Inspection Report — Mar 26, 2025
Plan of Correction
Date: Mar 26, 2025
Visit Reason
Plan of correction accepted for deficiencies cited in the nursing home survey completed on 03/26/2025.
Findings
The facility failed to ensure urinary catheter equipment was consistently maintained in a secured and sanitary manner for 1 resident, resulting in discomfort and potential for catheter-associated urinary tract infections.
Deficiencies (1)
F 0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections: the facility failed to keep the urinary catheter bag off the floor, causing discomfort and risk of infection for Resident #36.
Inspection Report — Mar 14, 2024
Date: Mar 14, 2024
Visit Reason
Investigation of a complaint regarding quality of care and professional standards at the nursing facility.
Findings
The facility was found to have multiple deficiencies including failure to develop comprehensive care plans for residents using oxygen and wound care, failure to follow professional standards during medication administration, and failure to ensure proper use of positioning devices.
Deficiencies (3)
F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured: the facility failed to develop a person-centered comprehensive care plan for Resident #31 regarding oxygen use and anti-anxiety medication prior to showers, and for Resident #38 regarding wound care.
F 0658 Ensure services provided by the nursing facility meet professional standards of quality: Licensed Practical Nurse U prepared medications for Resident #249 prior to administration time, which is against best practice and facility policy.
F 0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason: the facility failed to ensure the positioning cushion for Resident #22 was consistently used and applied accurately, resulting in improper arm positioning and potential complications.
Inspection Report — Jan 25, 2023
Plan of Correction
Date: Jan 25, 2023
Visit Reason
An acceptable corrective action plan has been received.
Findings
The facility failed to develop and implement a comprehensive, person-centered care plan for 2 residents, resulting in fall mats not being implemented for Resident #38 and no care plan for peripheral vascular disease for Resident #26. Additionally, the facility failed to maintain air conditioners free from dust and debris in 7 of 11 units assessed.
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