3/5
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.
3/5
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.
On Leonard Street NE in Grand Rapids, roughly 3.7 miles from downtown and about a mile and a half from the nearest hospital, Skld Leonard is a 69-bed nursing home offering nursing care, hospice care, and respite stays. The Walk Score is 45. Most errands will need a car, but the location is manageable for families spread across the metro area.
The facility has been open for about 7 years. Sixty of its 69 beds are occupied, an 87% occupancy rate. The average stay runs 98 days, which places most residents somewhere in the middle territory between a short rehab course and a longer nursing arrangement. Total nursing care is 4 hours and 5 minutes per resident per day, with RNs accounting for 33 minutes of that directly.
For a 69-bed facility, the clinical range is wide. Specialty programs cover oncology, memory care, tracheostomy care, IV therapy, pulmonary care, and orthopedic rehabilitation. Therapy services on-site include physical, occupational, speech, respiratory, and neurological disciplines, backed by a therapy gym and adaptive equipment. Hospice and respite care are also part of the mix.
Nutrition-supervised dining is available, and an Active Resident Council gives residents a structured voice in how the facility operates. State inspections have tended to center on infection prevention and control, fall and injury prevention, and care planning and documentation. Medicare, Medicaid, and private pay are all accepted.
For residents whose recovery or care needs cut across multiple clinical areas, Skld Leonard offers a concentrated set of specialty tracks in a mid-sized Grand Rapids nursing home.
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 60th out of 142 homes 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.
| 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.
| 33m per day | ▼ 29% 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.
| 44m per day | ▼ 16% 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.
| 2h 3m per day | ▼ 14% 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.
| 3h 10m per day | ▼ 10% 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.
| 21m per day | ▲ 432% 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.
| 17m per day | ▼ 41% State avg: 29m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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, 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.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 8 | This facility has 413% more total deficiencies than a typical Michigan nursing home (41 vs. MI avg 8).↑ 413% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 13.7 | 2.7 | This facility has 407% more deficiencies per year than a typical Michigan nursing home (13.7 vs. MI avg 2.7).↑ 407% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Michigan average 6.5
Last Health inspection on Jun 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.
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).
100% better than Michigan averageMichigan average: 0.3
58% worse 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.
64% more staff per resident than Michigan average
18% worse than Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 9 full-time employees and 10 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
50 total: 8 full-time employees and 42 contractors.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,760 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 11,997 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 8 | 42 | 50 | 4,337 | 92 | 100% | 10.6 |
| Respiratory Therapy Technician | 0 | 17 | 17 | 2,080 | 76 | 83% | 3.3 |
| Registered Nurse | 9 | 10 | 19 | 1,857 | 86 | 93% | 8.9 |
| Physical Therapy Assistant | 0 | 16 | 16 | 1,348 | 76 | 83% | 2.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 976 | 90 | 98% | 6.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 818 | 65 | 71% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 515 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 505 | 68 | 74% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 406 | 60 | 65% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 211 | 36 | 39% | 5.9 |
| Administrator | 1 | 0 | 1 | 192 | 24 | 26% | 8 |
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)
97% lower than Michigan averageMichigan average: $76K
51% fewer fines than Michigan averageMichigan average: 2.0
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
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.
5.7
32% better than Michigan averageMichigan average: 8.4
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
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
5.0%
60% better than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
10.6%
31% better than Michigan averageMichigan average: 15.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
42% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.9%
15% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
1.4%
19% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
3.8%
33% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
2.1%
46% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
10.5%
30% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Michigan averageMichigan average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
In line with Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
62% worse than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
18% worse than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.0%
21% better than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
26% better than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.0%
35% worse than Michigan averageMichigan average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
7% of new residents, usually for short-term rehab.
82% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
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 SKLD Leonard from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #116 / 143Payroll — State benchmarkedThis home is ranked 116th out of 143 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.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #80 / 143Payroll % — State benchmarkedThis home is ranked 80th out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (82% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.5 miles from city center
Estimated distance in miles from Grand Rapids's city center to SKLD Leonard's address, calculated via Google Maps.
Add your location
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Porter Hills Village | NH AL IL MC | Grand Rapids (Grand Rapids Charter Township) | 100
Facility
100
MI AVG
75
Rank
#132 / 435 |
39.0%
Facility
39.0%
MI AVG
75.8%
Rank
#268 / 395 | -49% | 4.94
Facility
4.94
MI AVG
4.30
Rank
#26 / 142 | +25% | +15% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 9
Facility
9
MI AVG
33.5
Rank
#10 / 144 | 3.0
Facility
3.0
MI AVG
5.2
Rank
#16 / 144 | - | 37 | - |
1
Facility
1
MI AVG
39
Rank
#681 / 703 | United Methodist Retirement Communities, Inc | $14.6M
Facility
$14.6M
MI AVG
$15.8M
Rank
#44 / 143 | $10.9M
Facility
$10.9M
MI AVG
$5.6M
Rank
#27 / 143 | 74.4%
Facility
74.4%
MI AVG
39%
Rank
#47 / 143 | 235310 | ||||
| St. Ann’s Home | NH AL HC MC | Grand Rapids (Westside Connection) | 95
Facility
95
MI AVG
75
Rank
#149 / 435 |
24.2%
Facility
24.2%
MI AVG
75.8%
Rank
#344 / 395 | -68% | 5.07
Facility
5.07
MI AVG
4.30
Rank
#20 / 142 | -10% | +18% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 15
Facility
15
MI AVG
33.5
Rank
#24 / 144 | 5.0
Facility
5.0
MI AVG
5.2
Rank
#72 / 144 | - | 23 | A+ |
25
Facility
25
MI AVG
39
Rank
#480 / 703 | Carmelite Sisters Of The Divine Heart Of Jesus | $8.7M
Facility
$8.7M
MI AVG
$15.8M
Rank
#114 / 143 | $6.9M
Facility
$6.9M
MI AVG
$5.6M
Rank
#68 / 143 | 78.7%
Facility
78.7%
MI AVG
39%
Rank
#13 / 143 | 235643 | ||||
| Covenant Living of the Great Lakes | NH AL MC RC | Grand Rapids (Westside Connection) | 102
Facility
102
MI AVG
75
Rank
#121 / 435 |
28.4%
Facility
28.4%
MI AVG
75.8%
Rank
#327 / 395 | -63% | 3.49
Facility
3.49
MI AVG
4.30
Rank
#126 / 142 | +51% | -19% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 31
Facility
31
MI AVG
33.5
Rank
#76 / 144 | 10.3
Facility
10.3
MI AVG
5.2
Rank
#142 / 144 | - | 29 | A+ |
35
Facility
35
MI AVG
39
Rank
#371 / 703 | Covenant Living Of The Great Lakes | $4.8M
Facility
$4.8M
MI AVG
$15.8M
Rank
#138 / 143 | $2.3M
Facility
$2.3M
MI AVG
$5.6M
Rank
#134 / 143 | 46.9%
Facility
46.9%
MI AVG
39%
Rank
#26 / 143 | 235614 | ||||
| SKLD Leonard | NH HC RC | Grand Rapids (Northeast) | 69
Facility
69
MI AVG
75
Rank
#224 / 435 |
87.0%
Facility
87.0%
MI AVG
75.8%
Rank
#48 / 395 | +15% | 4.09
Facility
4.09
MI AVG
4.30
Rank
#60 / 142 | +12% | -5% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 32
Facility
32
MI AVG
33.5
Rank
#79 / 144 | 6.4
Facility
6.4
MI AVG
5.2
Rank
#101 / 144 | 3 | 64 | A+ |
45
Facility
45
MI AVG
39
Rank
#267 / 703 | - | $7.3M
Facility
$7.3M
MI AVG
$15.8M
Rank
#112 / 143 | $4.0M
Facility
$4.0M
MI AVG
$5.6M
Rank
#116 / 143 | 55.1%
Facility
55.1%
MI AVG
39%
Rank
#80 / 143 | 235261 | ||||
| Clark Retirement at Keller Lake | NH AL IL MC RC | Grand Rapids (East Paris) | 182
Facility
182
MI AVG
75
Rank
#16 / 435 |
70.3%
Facility
70.3%
MI AVG
75.8%
Rank
#121 / 395 | -7% | 4.14
Facility
4.14
MI AVG
4.30
Rank
#60 / 142 | +80% | -4% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 61
Facility
61
MI AVG
33.5
Rank
#124 / 144 | 7.6
Facility
7.6
MI AVG
5.2
Rank
#120 / 144 | 3 | 119 | A+ |
34
Facility
34
MI AVG
39
Rank
#379 / 703 | Dana Scratch | $15.5M
Facility
$15.5M
MI AVG
$15.8M
Rank
#32 / 143 | $9.2M
Facility
$9.2M
MI AVG
$5.6M
Rank
#37 / 143 | 59.6%
Facility
59.6%
MI AVG
39%
Rank
#82 / 143 | 235103 |
SKLD Leonard is located in Grand Rapids, Michigan.
Here are the financial assistance programs available to residents in Michigan.
SKLD Leonard is in the Northeast neighborhood of Grand Rapids.
SKLD Leonard has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
SKLD Leonard's occupancy is 84.4%.
SKLD Leonard is registered as a non-profit in MI.
Yes — there are 4 photos of SKLD Leonard in the photo gallery on this page.
SKLD Leonard is located at 1700 Leonard St Ne, Grand Rapids, MI 49505.
(616) 456-7243 will put you in contact with the team at SKLD Leonard.
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