Show Inspection Reports
Total health inspections
5
Michigan average 6.5
Last Health inspection on Jun 2025
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
SKLD Leonard
Nursing Home in Grand Rapids
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
SKLD Leonard
Nursing Home in Grand Rapids
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Skld Leonard, located in Grand Rapids, provides exceptional healthcare services with a range of amenities to make patients feel at home. The facility’s nutrition-supervised dining programs offer healthy and delicious meals, while wifi and gadgets keep patients connected to the outside world. At Skld Leonard, patient care goes beyond the conventional. The facility offers a wide range of specialized care services, including oncology, memory care, tracheostomy, IV therapy, pulmonary, orthopedic, and more.
With clinical capabilities and medical tests and treatments available on-site, patients can receive personalized and advanced healthcare while feeling at home. The rehabilitation process is enhanced by adaptive equipment and a modern therapy gym that creates a home-like setting. The facility’s physical, occupational, speech, respiratory, and neurological therapy all contribute to a holistic approach to care. Skld Leonard aims to create an environment where patients can age with profound meaning, receiving the care and support they need to lead fulfilling lives.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 41st out of 103 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.
This home is ranked 41st out of 103 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.
4h 5m per day
vs Michigan avg
-4%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
69
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87%
Avg. Length of Stay
98 days
Occupancy rate
87%
Avg. Length of Stay
98 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
7% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
82% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.5M
Operating loss
-$794.9K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.5M
Operating loss
-$794.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.3M
7 years in operation
An established community with some operational experience and growing routines.
Walk Score: 45 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Staffing
Key information about the people who lead and staff this community.
ContactMegan Kilcline, Company Contact
Types of Care at SKLD Leonard
Skilled Nursing
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.
5 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Michigan average: 5 visits/inspections
Latest inspection
Date
June 18, 2025
Complaint Investigation41 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Michigan average: 8 deficiencies
Inspection Report Summary for SKLD Leonard
The most recent inspection on June 18, 2025, identified a deficiency related to inadequate supervision of a high fall risk resident who eloped from the facility. Earlier inspections showed multiple deficiencies involving resident care, including wound care inconsistencies, staffing shortages, medication misappropriation, and safety issues such as falls and improper use of mechanical lifts. Complaint investigations substantiated concerns about supervision lapses, missed wound treatments, and medication security, with some staff suspensions and terminations resulting from these findings. Enforcement actions included staff suspensions and terminations but no fines or license revocations were listed in the available reports. The facility has shown some corrective actions and monitoring, but deficiencies related to resident supervision and care have recurred over time without a clear pattern of sustained improvement.
Health Inspection History
Inspections
Total health citations
32
Michigan average 33.5
Citations per inspection
6.4
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 32 citations resulted from standard inspections; 2 of 32 resulted from complaint investigations; and 8 of 32 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Michigan averageMichigan average: 0.3
Serious Health citations
3
3
58% worse than Michigan averageMichigan average: 1.9
0 critical citations
3 serious citations
29 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 18, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 26, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 26, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 26, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 26, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Grand Rapids The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
| 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 (Third Ward) | 58 | 71.4% | -6% | 5.77 | -32% | +34% | 0 | 6 | 2.0 | 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 | 3.0 | 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 | 0.0 | 0 | 88 | - | 32 | Loveland Elder Green House Homes For Life Enrichment A Colorado Non | $14.8M | $6.8M | 46.3% | 65412 | ||||
| SKLD Leonard |
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 (Northeast) | 69 | 84.4% | +11% | 4.09 | -11% | -5% | 2 | 32 | 6.4 | 3 | 61 | A+ | 45 | - | $11.1M | $3.3M | 29.5% | 235261 | ||||
| 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 (Eastmont) | 58 | 94.6% | +25% | 4.16 | -59% | -3% | 2 | 50 | 10.0 | 4 | 57 | - | 43 | Bilbao, Andrew | $10.5M | $3.5M | 33.8% | 235366 |
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Places of interest near SKLD Leonard
3.7 miles from city center
Estimated distance in miles from Grand Rapids's city center to SKLD Leonard's address, calculated via Google Maps.
— 1.49 miles to nearest hospital (Heart Failure & Transplant Services)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
112
Employees
89
Contractors
23
Staff to resident ratio
1.87:1
7% better than Michigan averageMichigan average ratio: 1.75:1
Avg staff/day
38
Average shift
7.4 hours
6% worse than Michigan averageMichigan average: 7.9 hours
Total staff hours (quarter)
25,523
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8%
2,054 contractor hours this quarter
Physical Therapy Assistant: 7
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Physical Therapy Aide: 2
Qualified Social Worker: 2
Occupational Therapy Assistant: 2
Administrator: 1
Staff by category
| Certified Nursing Assistant | 48 | 0 | 48 | 11,954 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 12 | 0 | 12 | 3,980 | 91 | 100% | 8.9 |
| Registered Nurse | 10 | 0 | 10 | 3,008 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,114 | 91 | 100% | 6.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,076 | 64 | 70% | 6.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 831 | 66 | 73% | 6.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 513 | 61 | 67% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 1 | 2 | 480 | 60 | 66% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 468 | 69 | 76% | 6.6 |
| Dental Services Staff | 2 | 0 | 2 | 409 | 55 | 60% | 7.3 |
| Qualified Social Worker | 0 | 2 | 2 | 203 | 36 | 40% | 5.6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 187 | 39 | 43% | 4.6 |
| Physical Therapy Assistant | 0 | 7 | 7 | 162 | 39 | 43% | 4 |
| Nurse Aide in Training | 1 | 0 | 1 | 71 | 14 | 15% | 5.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 44 | 13 | 14% | 3.4 |
48 Certified Nursing Assistant
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
6 Other Dietary Services Staff
% of Days
100%
3 RN Director of Nursing
% of Days
70%
4 Speech Language Pathologist
% of Days
73%
3 Clinical Nurse Specialist
% of Days
67%
1 Nurse Practitioner
% of Days
70%
2 Mental Health Service Worker
% of Days
70%
2 Administrator
% of Days
66%
2 Physical Therapy Aide
% of Days
76%
2 Dental Services Staff
% of Days
60%
2 Qualified Social Worker
% of Days
40%
5 Respiratory Therapy Technician
% of Days
43%
7 Physical Therapy Assistant
% of Days
43%
1 Nurse Aide in Training
% of Days
15%
2 Occupational Therapy Assistant
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60
Medicare
4
6.7% of residents
Medicaid
47
78.3% of residents
Private pay or other
9
15% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.7
32% better than Michigan averageMichigan average: 8.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
25% better than Michigan averageMichigan average: 16.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
60% better than Michigan averageMichigan average: 12.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.6%
Percent of long-stay residents whose ability to move independently worsened
10.6%
31% better than Michigan averageMichigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
In line with Michigan averageMichigan average: 21.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
42% worse than Michigan averageMichigan average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.9%
Percent of long-stay high risk residents with pressure ulcers
4.9%
15% better than Michigan averageMichigan average: 5.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
19% better than Michigan averageMichigan average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
33% better than Michigan averageMichigan average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
46% better than Michigan averageMichigan average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.5%
Percent of long-stay residents who received an antipsychotic medication
10.5%
30% better than Michigan averageMichigan average: 15.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Michigan averageMichigan average: 94.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Michigan averageMichigan average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
In line with Michigan averageMichigan average: 82.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
62% worse than Michigan averageMichigan average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
18% worse than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$2K
97% lower than Michigan averageMichigan average: $76K
Number of fines
1
51% fewer fines than Michigan averageMichigan average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Michigan averageMichigan average: 0.8
Fines amount comparison
Fines amount comparison
This facility
$2K
Michigan average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2023
$2K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for SKLD Leonard based on CMS SNF Cost Reports.
Occupancy Rate
84.4%
↓ 1.2pp vs 2022
Net Income
-$794.9K
↓ ~$930.7K vs 2022
Total Payroll
$4.6M
↑ ~$165.3K vs 2022
Profit Margin
-7.2%
↓ 8.4pp vs 2022
Loading trend charts...
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