SNF
Mary Free Bed Sub-Acute Rehabilitation
CCN: 235708 · Grand Rapids, MI 49503 · Kent County
Overview
- Address
- 235 Wealthy Street SE, 5th Floor, Grand Rapids, MI 49503
- Phone
- 6168408931
- Certified beds
- 48
- Avg daily residents
- 45 (93% of beds filled)
- Ownership
- For-profit partnership
- Provider type
- Medicare
- Medicare/Medicaid since
- 2015-09-30
- Setting
- Urban
4 /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 | 5.46 | 3.83 | 5.51 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.40 | 0.67 | 1.41 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.27 | 0.85 | 1.28 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.79 | 2.31 | 2.81 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.67 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.68 | — | — | — |
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)
4.78
hrs / resident / day
RN (weekend)
0.75
hrs / resident / day
Total nurse (adjusted, weekend)
4.81
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
44.1%
annual
RN turnover
44.4%
annual
Administrators departed
New facility — insufficient data.
Resident acuity
Nursing Case-Mix Index
1.36
higher acuity than avg
Case-Mix Index Ratio
0.98
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) | 2025-04-16 | 4 | 3 | 2 | 56 | 1 | 56 |
| Cycle 2/3 (prior) | 2024-05-16 | 4 | 3 | 1 | 20 | 1 | 20 |
Total weighted health score
47.0
lower is better
Deficiencies (12)
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).
3 A/B/C No actual harm — minor
8 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0760 | Ensure that residents are free from significant medication errors. | G | 2025-10-21 | 2025-10-17 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-16 | 2025-05-26 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-04-16 | 2025-05-26 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-16 | 2025-03-27 |
| 0732 | Post nurse staffing information every day. | C | 2024-05-16 | 2024-06-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-16 | 2024-06-10 |
| 0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2024-05-16 | 2024-06-10 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-03-22 | 2023-04-28 |
| 0730 | Observe each nurse aide's job performance and give regular training. | B | 2023-03-22 | 2023-04-28 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-03-22 | 2023-04-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-22 | 2023-04-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-03-22 | 2022-05-12 |
Financial Health (FY 2024)
Operating performance
Operating Margin
-19.1%
Total Margin
-14.9%
Occupancy Rate
90.0%
Cost per Resident Day
$170
Revenue & costs
Net Patient Revenue
$9.1M
Total Costs
$2.7M
Net Income
-$1.4M
Balance sheet
Total Assets
$11.4M
Total Liabilities
$3.0M
Fund Balance
$8.4M
Current Ratio
0.89
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: TRINITY HEALTH
- Chain ID
525- Facilities in chain
- 20
- Legal business name
- MARY FREE BED SUB-ACUTE REHABILITATION
Chain-average star ratings (for peer context)
Overall
3.4
Health
3.1
Staffing
4.1
QM
3.6
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| MARY FREE BED REHABILITATION HOSPITAL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2015 |
| TRINITY CONTINUING CARE SERVICES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2015 |
| TRINITY HEALTH CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2015 |
Owner / manager individuals (12)
| Name | Role | Association |
|---|---|---|
| CUDNEY, KIERSTEN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2022 |
| BOWENS, MARCUS | CORPORATE DIRECTOR | since 12/01/2022 |
| BRASSER, BRUCE | CORPORATE DIRECTOR | since 01/01/2015 |
| CHESLEK, INGRID | CORPORATE DIRECTOR | since 02/01/2023 |
| GUZMAN, NATHANIEL | CORPORATE DIRECTOR | since 12/01/2022 |
| JOHNSON, STACEY | CORPORATE DIRECTOR | since 12/01/2022 |
| LATOVICK, PAMELA | CORPORATE DIRECTOR | since 07/01/2018 |
| PENNINGTON, LEEANN | CORPORATE DIRECTOR | since 12/01/2022 |
| TREAT, MEG | CORPORATE DIRECTOR | since 12/01/2022 |
| WANG, RALPH | CORPORATE DIRECTOR | since 12/01/2022 |
| JOHNSON, STACEY | CORPORATE OFFICER | since 12/01/2022 |
| WANG, RALPH | CORPORATE OFFICER | since 12/01/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- None
- 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 2024, 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 ($) | $170 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.89 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 34.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,401,939 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,057,973 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -19.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $11,367,435 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,681,397 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $8,350,992 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,016,443 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -14.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.28482 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.81031 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.41026 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.50539 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.81477 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | 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 | 44.7 | 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 | 0.85009 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.31037 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67006 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.83052 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.37620 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 525 | Chain ID |
| Provider Information | Chain Name | TRINITY HEALTH | Chain Name |
| Provider Information | City/Town | Grand Rapids | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235708 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Kent | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2015-09-30 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.9632 | Latitude |
| Provider Information | Legal Business Name | MARY FREE BED SUB-ACUTE REHABILITATION | Legal Business Name |
| Provider Information | Location | 235 Wealthy Street SE, 5th Floor,Grand Rapids,MI,49503 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.66 | 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 | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 48 | 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 | 20 | 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 | 1.35698 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.98500 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Partnership | 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 | 235 Wealthy Street SE, 5th Floor | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Mary Free Bed Sub-Acute Rehabilitation | 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 | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 56 | 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 | 2 | 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 | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-16 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 56 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | 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 | 2024-05-16 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | 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 | 1 | 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 | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.74507 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 44.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.67385 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.27470 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.78817 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.67880 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.39916 | 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 | 5.46203 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | 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 | 6168408931 | 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 | 4.77685 | 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 | 44.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 47.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 49503 | ZIP Code |