Holland Home - Raybrook Manor
2121 Raybrook SE, Grand Rapids, MI 49546 · Kent County · 101 certified beds · avg 91 residents/day · certified since Sep 1, 1985
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)
▲ Immediate jeopardy, one-off · Jun 24, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 28, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Feb 5, 2025 · F-0689
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: Mar 11, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Jun 24, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 24, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 24, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 23, 2025 | 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. · from a complaint |
| Feb 5, 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. |
| Feb 5, 2025 | F · Potential for harm, facility-wide | The facility did not keep residents' personal and medical information private and confidential. |
| Feb 5, 2025 | 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. |
| Feb 5, 2025 | D · Potential for harm, one-off | 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. |
| Feb 5, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Feb 5, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Feb 5, 2025 | 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. |
| Feb 5, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 5, 2025 | 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. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 26, 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. |
| Jan 26, 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. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 26, 2024 | B · Minimal risk, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 29, 2023 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Nov 29, 2023 | E · Potential for harm, repeated | 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 |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 6 | 0 | D |
| 2025 | 11 | 1 | G ▲ |
| 2026 | 4 | 1 | J ▲ |
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 |
|---|---|---|
| Feb 5, 2025 | Payment Denial | 10 days from Mar 1, 2025 |
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) | 5.04 | 4.32 | 3.95 | top 15% in Michigan; top 13% in the U.S. |
| Registered Nurse hours | 0.99 | 0.84 | 0.69 | top 27% in Michigan; top 16% in the U.S. |
| Weekend total nurse staffing | 4.46 | 3.79 | 3.50 | top 15% in Michigan; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.49 | 0.48 | bottom 45% in Michigan; top 49% in the U.S. |
| Total nursing staff turnover (%) | 31.3 | 44.1 | 45.8 | top 17% in Michigan; top 17% in the U.S. |
| RN turnover (%) | 28.6 | 39.2 | 42.9 | top 29% in Michigan; top 26% 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 4.77, RN 0.93, weekend 4.23. 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: —/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% | 01/01/2009 |
| Authenticity Marketing Group | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Concept Rehab, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Deckinga, Brandyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/08/2019 |
| Deckinga, Brandyn | Individual | ADP of the SNF | NOT APPLICABLE | 08/08/2019 |
| 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 |
| 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 |
| Malburg, Gary | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2012 |
| Matro, Philip | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "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 |
|---|---|---|---|---|---|
| Optalis Health & Rehabilitation at Kent-Crossing | 0.3 mi | Grand Rapids, MI | ★☆☆☆☆ | 1/5 | |
| Valley Health Center | 1.7 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Mission Point Nursing & Physical Rehabilitation Ce | 2.0 mi | Grand Rapids, MI | ★★☆☆☆ | 2/5 | |
| Optalis Health and Rehabilitation of Grand Rapids | 2.1 mi | Grand Rapids, MI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Porter Hills Health Center | 2.6 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Clark Retirement Community | 2.7 mi | Grand Rapids, MI | ★★☆☆☆ | 2/5 | |
| Holland Home Breton Rehabilitation & Living Centre | 2.9 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Corewell Health Rehabilitation & Nursing Center - | 3.1 mi | Grand Rapids, MI | ★★★★★ | 4/5 | |
| Corewell Health Rehabilitation & Nursing Center - | 3.8 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Medilodge of Grand Rapids | 4.4 mi | Grand Rapids, MI | ★☆☆☆☆ | 1/5 | |
| Mary Free Bed Sub-Acute Rehabilitation | 4.5 mi | Grand Rapids, MI | ★★★★☆ | 4/5 | |
| Optalis Health & Rehabilitation at Leonard | 4.6 mi | Grand Rapids, MI | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235440.