SNF
Holland Home Breton Rehabilitation & Living Centre
CCN: 235540 · Grand Rapids, MI 49512 · Kent County
CCRC
Overview
- Address
- 2589 44th Street SE, Grand Rapids, MI 49512
- Phone
- 6166432500
- Certified beds
- 58
- Avg daily residents
- 41 (71% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1993-09-10
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.30 | 3.26 | 6.29 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.95 | 0.57 | 1.12 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.03 | 0.72 | 1.22 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.33 | 1.96 | 3.95 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.97 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.92
hrs / resident / day
RN (weekend)
0.57
hrs / resident / day
Total nurse (adjusted, weekend)
5.83
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
33.9%
annual
RN turnover
12.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.15
higher acuity than avg
Case-Mix Index Ratio
0.84
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-26 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2024-03-14 | 3 | 3 | 0 | 12 | 1 | 12 |
Total weighted health score
6.0
lower is better
Deficiencies (6)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
6 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-26 | 2025-04-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-14 | 2024-04-19 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-14 | 2024-04-19 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-03-14 | 2024-04-19 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-01-25 | 2023-02-21 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-01-25 | 2023-02-21 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.0% Medicaid 36.1% Other 57.9%
Operating performance
Operating Margin
5.0%
Total Margin
5.8%
Occupancy Rate
71.4%
Cost per Resident Day
$44
Revenue & costs
Net Patient Revenue
$6.3M
Total Costs
$664K
Net Income
$374K
Balance sheet
Total Assets
$4.6M
Total Liabilities
-$185K
Fund Balance
$4.7M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| CHRISTIAN LIVING SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/01/1990 |
Owner / manager individuals (30)
| Name | Role | Association |
|---|---|---|
| DECKINGA, BRANDYN | OPERATIONAL/MANAGERIAL CONTROL | since 08/08/2019 |
| DUEMLER, RONALD | OPERATIONAL/MANAGERIAL CONTROL | since 06/26/2000 |
| HEETHUIS, SARA | OPERATIONAL/MANAGERIAL CONTROL | since 10/17/2008 |
| HIMMELEIN, DOUG | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2021 |
| KINDER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | since 04/04/2021 |
| MATRO, PHILIP | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2021 |
| SCHAAB, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2006 |
| TATREAU, ANNE | OPERATIONAL/MANAGERIAL CONTROL | since 09/06/2011 |
| VUGTEVEEN, TROY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2022 |
| DEMAAGD, SCOTT | CORPORATE DIRECTOR | since 07/01/2025 |
| HEETHUIS, SARA | CORPORATE DIRECTOR | since 10/17/2008 |
| HIDALGO, CARLOS | CORPORATE DIRECTOR | since 07/01/2022 |
| JOHNSON, MARK | CORPORATE DIRECTOR | since 07/21/2021 |
| KNIBBE, DAVID | CORPORATE DIRECTOR | since 12/01/2016 |
| MALBURG, GARY | CORPORATE DIRECTOR | since 07/01/2012 |
| NAGELKERK, JEAN | CORPORATE DIRECTOR | since 07/01/2015 |
| SANCHEZ, NELSON | CORPORATE DIRECTOR | since 07/01/2017 |
| SEGOVIA, GILBERT | CORPORATE DIRECTOR | since 07/01/2022 |
| SMITH, DAVID | CORPORATE DIRECTOR | since 07/01/2022 |
| THOLE, NICK | CORPORATE DIRECTOR | since 12/01/2016 |
| URSUL, MARY | CORPORATE DIRECTOR | since 07/01/2012 |
| VANDERKOOI, MARIE | CORPORATE DIRECTOR | since 07/01/2025 |
| VOGEL-VANDERSON, SUSAN | CORPORATE DIRECTOR | since 07/01/2011 |
| VUGTEVEEN, TROY | CORPORATE DIRECTOR | since 01/01/2022 |
| WATSON, SAM | CORPORATE DIRECTOR | since 07/01/2017 |
Showing 25 of 30 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $44 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 36.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $373,892 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,343,428 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 71.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 5.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,557,310 | metrics.total_assets |
| Cost Report | Total Costs ($) | $663,789 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,741,818 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $-184,508 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.21769 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.94882 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.12273 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 6.28925 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.83124 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 41.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.72241 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.96335 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.56942 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.25517 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.86909 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | Grand Rapids | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235540 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Kent | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1993-09-10 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.8837 | Latitude |
| Provider Information | Legal Business Name | HOLLAND HOME | Legal Business Name |
| Provider Information | Location | 2589 44th Street SE,Grand Rapids,MI,49512 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.602 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 58 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.15316 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.83705 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2589 44th Street SE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Holland Home Breton Rehabilitation & Living Centre | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 400 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-14 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 12 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 12 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.57213 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 12.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.97322 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.02664 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.32928 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.12130 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.94658 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.30250 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MI | State |
| Provider Information | Telephone Number | 6166432500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.91635 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 33.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 6.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 49512 | ZIP Code |