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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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 52nd out of 133 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 |
Lower than the Michigan average: 75.8%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, citation, 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.
| 1 | 8 | This facility has 88% fewer total deficiencies than a typical Michigan nursing home (1 vs. MI avg 8).↓ 88% better |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 0.1 | 0.7 | This facility has 86% fewer deficiencies per year than a typical Michigan nursing home (0.1 vs. MI avg 0.7).↓ 86% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 4, 2025, identified deficiencies related to bed rail assist devices, including entrapment risks, missing physician orders, lack of staff training, and absent manufacturer guidelines. Earlier inspections, including the renewal on August 26, 2023, and the original licensing in 2015, found the facility to be in substantial compliance with no deficiencies noted. The main issues have involved safety and documentation concerning resident care equipment. No complaint investigations or enforcement actions were listed in the available reports. The record shows a recent emergence of specific safety-related deficiencies after a long period of compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMichigan average 6.5
Last Health inspection on Aug 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.
8 of 21 citations resulted from standard inspections; 3 of 21 resulted from complaint investigations; and 10 of 21 came from combined inspections (standard and complaint).
100% better than Michigan averageMichigan average: 0.3
100% better 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.
0% compared with Michigan average
0% compared with Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,173 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 14,600 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 37 | 0 | 37 | 9,861 | 92 | 100% | 8.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,481 | 89 | 97% | 6.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,356 | 73 | 79% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,317 | 74 | 80% | 7.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 898 | 77 | 84% | 6.9 |
| Registered Nurse | 6 | 0 | 6 | 865 | 63 | 68% | 8.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 848 | 65 | 71% | 7 |
| Speech Language Pathologist | 0 | 2 | 2 | 679 | 68 | 74% | 5.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 582 | 78 | 85% | 7.5 |
| Dietitian | 1 | 0 | 1 | 536 | 66 | 72% | 8.1 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 59 | 64% | 7.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 413 | 62 | 67% | 6.5 |
| Dental Services Staff | 1 | 0 | 1 | 308 | 42 | 46% | 7.3 |
| Qualified Social Worker | 0 | 3 | 3 | 243 | 52 | 57% | 4.7 |
| Other Physician | 0 | 1 | 1 | 51 | 26 | 28% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 27 | 6 | 7% | 4.5 |
| Medical Director | 0 | 1 | 1 | 14 | 14 | 15% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.0
18% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.1
7% better than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
12% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
15.9%
In line with Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
26% better than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
5% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.1%
58% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
6.2%
267% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
7.5%
32% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.5%
30% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
In line with Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
8% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
7% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.4%
6% better 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.
40% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 The Rivers Assisted Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #99 / 134Payroll — State benchmarkedThis home is ranked 99th out of 134 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
134.9 miles from city center
Estimated distance in miles from Grosse Pointe Woods's city center to The Rivers Assisted Living's address, calculated via Google Maps.
Add your location
The Rivers Assisted Living is located in Grosse Pointe Woods, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Holland Home Breton Woods Rehabilitation & Living Centre |
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).
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. | Grand Rapids (Third Ward) | 20 | 71.4% | -6% | 5.77 | -51% | +34% | $0 | 6 | 2.0 | - | 43 | - | 44 | Sara Heethuis | $7.8M | $4.4M | 56.1% | 235540 | ||||
| Porter Hills Village |
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).
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. | Grand Rapids (Grand Rapids Charter Township) | 100 | 93.7% | +24% | 4.94 | +25% | +15% | $0 | 9 | 3.0 | - | 38 | - | 1 | United Methodist Retirement Communities, Inc. | $22.6M | $10.9M | 48.3% | 235310 | ||||
| St. Ann’s Home |
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).
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.
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. | Grand Rapids (Westside Connection) | 95 | 64.7% | -15% | 5.07 | -10% | +18% | $0 | 15 | 5.0 | - | 48 | A+ | 25 | Carmelite Sisters Of The Divine Heart Of Jesus | $11.3M | $7.2M | 63.5% | 235643 | ||||
| The Rivers Assisted Living |
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).
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. | Grosse Pointe Woods | 100 | 75.8% | 0% | 4.19 | -56% | -3% | $0 | 21 | 4.2 | - | 74 | - | 84 | Heather Montpas | $11.0M | $5.0M | 45% | 235709 | ||||
| Medilodge of Grand Rapids |
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).
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.
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. | Grand Rapids (Northeast) | 103 | 66.9% | -12% | 4.10 | -15% | -5% | $68.8k | 68 | 7.6 | 6 | 49 | - | 40 | Grand Rapids Holdco LLC | $13.5M | $5.9M | 43.7% | 235038 |
The Rivers Assisted Living has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MI state health department records, The Rivers Assisted Living's license number is AH820338800.
The Rivers Assisted Living's occupancy is 23%.
Yes — see the floorplan options available at The Rivers Assisted Living on this page.
The Rivers Assisted Living has 100 beds.
Yes — there are 25 photos of The Rivers Assisted Living in the photo gallery on this page.
The Rivers Assisted Living is located at 900 Cook Rd.
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