SKLD Leonard
Nursing Home, Hospice Care, Respite 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.

SKLD Leonard

Nursing Home, Hospice Care, Respite 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.
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SKLD Leonard accepts Medicare, Medicaid, and private pay.

Overview of Skld Leonard

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.

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.
▼ 4.4% Below MI avg. ▼ 4.4% Below 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.
▲ 6.1% Above MI avg. ▲ 6.1% 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.
▼ 14.2% Below MI avg. ▼ 14.2% Below 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.
▲ 6.4% Above MI avg. ▲ 6.4% 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 #91 / 129Nurse hours — State benchmarkedThis home is ranked 91st 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 91st 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.

3h 49m

11% below 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.
36m
−22% 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.
59m
+11% 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.
2h 14m
−6% 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.
3h 31m
Avg 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.
3m
−13% 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.
14m
−51% State avg: 29m per day · National avg: 29m per day

4 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the Michigan average: 76.7%
Occupancy rate
87% Rank #46 / 105Occupancy rate — State benchmarkedThis home is ranked 46th 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.
Residents per day
60
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.
98 days
Bed community size
69-bed community Rank #218 / 428Bed count — State benchmarkedThis home is ranked 218th 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 moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
8 years in operation Rank #125 / 295Years in operation — State benchmarkedThis home is ranked 125th out of 295 homes we track in Michigan for years in operation. Shows how long this facility has been in operation compared to other Michigan facilities. Longer operating histories may 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.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 45 / 100 Rank #262 / 674Walk Score — State benchmarkedThis home is ranked 262nd 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.
BBB Rating
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

Additional Policies & Features

Pets not allowed

Contact SKLD Leonard

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 5

Michigan average 6.5


Last Health inspection on Jun 2025

Total health citations
32 Rank #73 / 128Health citations — State benchmarkedThis home is ranked 73rd 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
6.4 Rank #91 / 128Citations per inspection — State benchmarkedThis home is ranked 91st 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.

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
100% better than Michigan average

Michigan average: 0.3


Serious health citations
3
58% worse than Michigan average

Michigan average: 1.9

0 critical citations Michigan average: 0.3

3 serious citations Michigan average: 1.9

29 moderate citations Michigan average: 30.8

0 minor citations Michigan average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Jun 18, 2025
Corrected

Infection Control moderate citation Feb 26, 2025
Corrected

Nutrition moderate citation Feb 26, 2025
Corrected

Nutrition moderate citation Feb 26, 2025
Corrected

Staffing Data

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

Total staff 167
Employees 76
Contractors 91
Staff to resident ratio 2.78 : 1
64% 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 43
Average shift 6.5 hours
18% worse than Michigan average
Michigan average: 7.9 hours Michigan average shift: 7.9 hoursSee full Michigan ranking
Total staff hours (quarter) 25,729

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 19 total: 9 full-time employees and 10 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 50 total: 8 full-time employees and 42 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 49 CNA Staff are full-time employees. No contractors work on this role. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

26.3%

6,760 contractor hours this quarter

Licensed Practical Nurse: 42 Respiratory Therapy Technician: 17 Physical Therapy Assistant: 16 Registered Nurse: 10 Physical Therapy Aide: 3 Qualified Social Worker: 2 Speech Language Pathologist: 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 Assistant4904911,99792100%7.3
Licensed Practical Nurse842504,33792100%10.6
Respiratory Therapy Technician017172,0807683%3.3
Registered Nurse910191,8578693%8.9
Physical Therapy Assistant016161,3487683%2.7
Other Dietary Services Staff5059769098%6.9
Clinical Nurse Specialist2028186571%8.3
Nurse Practitioner1015156470%8
Physical Therapy Aide0335056874%7.3
Mental Health Service Worker1014886166%8
Speech Language Pathologist0114066065%6.8
Qualified Social Worker0222113639%5.9
Administrator1011922426%8
49 Certified Nursing Assistant
% of Days 100%
50 Licensed Practical Nurse
% of Days 100%
17 Respiratory Therapy Technician
% of Days 83%
19 Registered Nurse
% of Days 93%

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 Rank #1 / 129Federal fines — State benchmarkedThis home is ranked 1st out of 129 homes we track in Michigan for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Michigan average among facilities with fines, and where it ranks among 129 facilities in the pool. Lower total dollars mean 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.
97% lower than Michigan average

Michigan average: $76K

Number of fines 1
51% fewer fines than Michigan average

Michigan average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Michigan average

Michigan average: 0.8

Fines amount comparison
Fines amount comparison
This facility $2K
Michigan average $76K

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. 5.7
32% better 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. 12.2
25% better than Michigan average

Michigan average: 16.3

Long-stay resident measures
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 5.0%
60% better than Michigan average

Michigan average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.6%
31% better 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 21.0%
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 4.5%
42% worse than Michigan average

Michigan average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.9%
15% better than Michigan average

Michigan average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
19% better than Michigan average

Michigan average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.8%
33% better than Michigan average

Michigan average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.1%
46% better than Michigan average

Michigan average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.5%
30% better than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
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 95.2%
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 84.1%
In line with Michigan average

Michigan average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
62% worse than Michigan average

Michigan average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.2%
18% worse than Michigan average

Michigan average: 79.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.0%
21% better than Michigan average

Michigan average: 24.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.5%
26% better than Michigan average

Michigan average: 11.5%

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%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 35.0%
35% worse than Michigan average

Michigan average: 53.7%

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

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.

Finances and operations

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

Nonprofit
Other Nonprofit
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."
$7.3M
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."
-$1.3M
Nonprofit Other Nonprofit
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."
$7.3M Rank #104 / 120Net patient revenue — State benchmarkedThis home is ranked 104th 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."
-$1.3M
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.
$457.4K
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 #109 / 120Payroll costs — State benchmarkedThis home is ranked 109th 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.
$4.0M 55.1% 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 #63 / 120Payroll % of net patient revenue — State benchmarkedThis home is ranked 63rd 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).
$4.5M
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).
$8.5M

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

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.

Admissions
183 total

Coverage residents most often arrive under.

Medicare 7%
Private pay 82%
Medicaid 11%
Discharges
216 total

Coverage residents most often leave under.

Medicare 10%
Private pay 69%
Medicaid 21%

Places of interest near SKLD Leonard

Address 2.5 miles from city center Info Estimated distance in miles from Grand Rapids's city center to SKLD Leonard's address, calculated via Google Maps.

Calculate Travel Distance to SKLD Leonard

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Address

Compare Nursing Homes 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. 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.
Holland Home Raybrook Campus
NH
AL
IL
MC
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
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
St. Ann’s Home
NH
AL
HOS
MC
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
Covenant Living of the Great Lakes
NH
AL
MC
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
SKLD Leonard
NH
HOS
RC
SNF
Grand Rapids (Northeast)
69
Facility 69
MI AVG 74
Rank #218 / 428
87.0%
Facility 87.0%
MI AVG 76.7
Rank #46 / 105
+13%
3.81
Facility 3.81
MI AVG 4.30
Rank #91 / 129
+12%-11%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
32
Facility 32
MI AVG 33.5
Rank #73 / 128
6.4
Facility 6.4
MI AVG 5.2
Rank #91 / 128
360A+
45
Facility 45
MI AVG 40
Rank #262 / 674
-
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
MI AVG $13.2M
Rank #104 / 120
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
MI AVG $7.7M
Rank #109 / 120
55.1%Fiscal year ending 12/2023
Facility 55.1%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #63 / 120
235261

Financial Assistance for
Nursing Home in Michigan

SKLD Leonard 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 SKLD Leonard

What neighborhood is SKLD Leonard in?

SKLD Leonard is in the Northeast neighborhood of Grand Rapids.

Is SKLD Leonard in a walkable area?

SKLD Leonard has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at SKLD Leonard?

SKLD Leonard's occupancy is 84.4%.

How long has SKLD Leonard been in business?

SKLD Leonard has been operating for approximately 8 years, based on available licensing and registration records.

Are pets allowed at SKLD Leonard?

No, SKLD Leonard has a no-pet policy.

Does SKLD Leonard operate as a for-profit or non-profit?

SKLD Leonard is registered as a non-profit in MI.

Has SKLD Leonard had any deficiencies?

SKLD Leonard has had 41 reported deficiencies since 2023 according to records from Michigan Dept. of Licensing and Regulatory Affairs (LARA).

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