Holland Home Breton Rehabilitation & Living Centre

Name: Holland Home Breton Rehabilitation & Living Centre
Address: 2589 44th Street SE, Grand Rapids, MI, 49512, US
Telephone: 6166432500

2589 44th Street SE, Grand Rapids, MI 49512 · Kent County · 58 certified beds · avg 43 residents/day · certified since Sep 10, 1993

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · 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.

All citations in the current public record (8)

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
Apr 30, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 30, 2026	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.
Apr 30, 2026	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 26, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 14, 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.
Mar 14, 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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 4).

Year	Citations	Worst severity that year
2024	3	D
2025	1	D
2026	4	E

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)

No fines or payment denials in the published 3-year window.

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)	5.94	4.32	3.95	top 8% in Michigan; top 4% in the U.S.
Registered Nurse hours	1.05	0.84	0.69	top 21% in Michigan; top 14% in the U.S.
Weekend total nurse staffing	5.56	3.79	3.50	top 3% in Michigan; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.49	0.48	top 39% in Michigan; top 35% in the U.S.
Total nursing staff turnover (%)	28.1	44.1	45.8	top 11% in Michigan; top 11% in the U.S.
RN turnover (%)	12.5	39.2	42.9	top 8% in Michigan; top 6% 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 5.14, RN 0.91, weekend 4.81. Staffing rating: 5/5.

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: 5/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Christian Living Services	Organization	5% or Greater Direct Ownership Interest	100%	12/01/1990
Authenticity Marketing Group	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2014
Deckinga, Brandyn	Individual	Operational/Managerial Control	NOT APPLICABLE	08/08/2019
Deckinga, Brandyn	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Demaagd, Scott	Individual	Corporate Director	NOT APPLICABLE	07/01/2025
Duemler, Ronald	Individual	Operational/Managerial Control	NOT APPLICABLE	06/26/2000
Duemler, Ronald	Individual	ADP of the SNF	NOT APPLICABLE	06/26/2000
Heethuis, Sara	Individual	Corporate Director	NOT APPLICABLE	10/17/2008
Heethuis, Sara	Individual	Operational/Managerial Control	NOT APPLICABLE	10/17/2008
Heethuis, Sara	Individual	ADP of the SNF	NOT APPLICABLE	10/17/2008
Hidalgo, Carlos	Individual	Corporate Director	NOT APPLICABLE	07/01/2022
Himmelein, Douglas	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Himmelein, Douglas	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Huntington	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2009
Johnson, Mark	Individual	Corporate Director	NOT APPLICABLE	07/21/2021
Johnson, Mark	Individual	Corporate Officer	NOT APPLICABLE	07/01/2025
Kinder, Adam	Individual	Corporate Officer	NOT APPLICABLE	04/04/2021
Kinder, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	04/04/2021
Knibbe, David	Individual	Corporate Director	NOT APPLICABLE	12/01/2016
Malburg, Gary	Individual	Corporate Director	NOT APPLICABLE	07/01/2012

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"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
Corewell Health Rehabilitation & Nursing Center -	1.3 mi	Grand Rapids, MI	★★★★★	4/5
Optalis Health and Rehabilitation of Grand Rapids	1.8 mi	Grand Rapids, MI	★☆☆☆☆	1/5	abuseSFF
Optalis Health & Rehabilitation at Kent-Crossing	2.8 mi	Grand Rapids, MI	★☆☆☆☆	1/5
Holland Home - Raybrook Manor	2.9 mi	Grand Rapids, MI	★★★★★	4/5
Optalis Health & Rehabilitation of Wyoming	4.1 mi	Wyoming, MI	★☆☆☆☆	1/5
Valley Health Center	4.5 mi	Grand Rapids, MI	★★★★★	5/5
Mission Point Nursing & Physical Rehabilitation Ce	4.7 mi	Grand Rapids, MI	★★☆☆☆	2/5
Clark Retirement Community	4.7 mi	Grand Rapids, MI	★★☆☆☆	2/5
Harbor Post Acute Center	5.4 mi	Wyoming, MI	★★★☆☆	2/5
Porter Hills Health Center	5.5 mi	Grand Rapids, MI	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Grand Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 235540.

The Care File

Visit checklist — Holland Home Breton Rehabilitation & Living Centre

2589 44th Street SE, Grand Rapids, MI 49512 · 6166432500

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235540 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)