Hillcrest Nursing and Rehabilitation Community
695 Mitzi Street, North Muskegon, MI 49445 · Muskegon County · 39 certified beds · avg 36 residents/day · certified since Aug 1, 1992
Part of chain: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 28, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 24, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 3, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 4, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 4, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 4, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 28, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 11, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 11, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Oct 3, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 6 | 1 | G ▲ |
| 2025 | 5 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2024 | Payment Denial | 34 days from Apr 4, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Michigan avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.86 | 4.32 | 3.95 | bottom 31% in Michigan; top 46% in the U.S. |
| Registered Nurse hours | 0.59 | 0.84 | 0.69 | bottom 28% in Michigan; top 50% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.79 | 3.50 | bottom 38% in Michigan; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.49 | 0.48 | bottom 22% in Michigan; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 52.0 | 44.1 | 45.8 | bottom 25% in Michigan; bottom 32% in the U.S. |
| RN turnover (%) | 42.9 | 39.2 | 42.9 | bottom 43% in Michigan; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.59, RN 0.55, weekend 3.22. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Atrium Centers, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2007 |
| Albright Ross, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2018 |
| Albright Ross, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2018 |
| Amicus Capital Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Amicus Capital Holdings, INC. Employee Stock Ownership Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Amicus Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Anderson, Curt | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Anderson, Curt | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Atrium Centers Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2007 |
| Bailey, Essel | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Broad River Rehabilitation | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2021 |
| Cherry, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Cherry, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Finney, Donald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2003 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Johnson, Cindy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2024 |
| Johnson, Cindy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2024 |
| Johnson, Cindy | Individual | ADP of the SNF | NOT APPLICABLE | 09/18/2024 |
| Kramer, Tina | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2025 |
| Kramer, Tina | Individual | ADP of the SNF | NOT APPLICABLE | 03/26/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Harbor Terrace Senior Living | 2.6 mi | Muskegon, MI | ★★★★★ | 4/5 | |
| Lake Woods Nursing & Rehabilitation Center | 3.8 mi | Muskegon, MI | ★★☆☆☆ | 2/5 | abuse |
| Optalis Health & Rehabilitation of Muskegon | 4.1 mi | Muskegon, MI | ★★☆☆☆ | 2/5 | |
| Roosevelt Park Nursing and Rehabilitation Communit | 4.9 mi | Muskegon, MI | ★★☆☆☆ | 1/5 | abuse |
| Christian Care Nursing Center | 5.0 mi | Muskegon, MI | ★★☆☆☆ | 2/5 | |
| Optalis Health & Rehabilitation of Whitehall | 9.8 mi | Whitehall, MI | ★☆☆☆☆ | 1/5 | abuse |
| Heartwood Lodge Trinity Health | 12.3 mi | Spring Lake, MI | ★☆☆☆☆ | 1/5 | |
| Riverside Nursing Centre | 14.9 mi | Grand Haven, MI | ★☆☆☆☆ | 1/5 | |
| Medilodge at the Shore | 15.1 mi | Grand Haven, MI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235522.