MichiganGrand Rapids

Mary Free Bed Sub-Acute Rehabilitation

235 Wealthy Street SE, 5th Floor, Grand Rapids, MI 49503 · Kent County · 48 certified beds · avg 47 residents/day · certified since Sep 30, 2015

Part of chain: TRINITY HEALTH (19 facilities, chain avg rating 3.3★)

4/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
5.04
Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 · Oct 21, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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: Oct 17, 2025 (Past Non-Compliance)

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
May 13, 2026F · Potential for harm, facility-wideThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
May 13, 2026D · Potential for harm, one-offThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
May 13, 2026D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 13, 2026C · Minimal risk, facility-wideThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 21, 2025▲ G · Actual harm, one-offThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 16, 2025F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 16, 2025F · Potential for harm, facility-wideThe 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.
Apr 16, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 16, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 16, 2024C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
May 16, 2024C · Minimal risk, facility-wideThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

YearCitationsSerious (G–L)Worst severity that year
202430F
202541G ▲
202640F

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)

MeasureThis facilityMichigan avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.044.323.95top 14% in Michigan; top 13% in the U.S.
Registered Nurse hours1.010.840.69top 25% in Michigan; top 15% in the U.S.
Weekend total nurse staffing4.143.793.50top 23% in Michigan; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)0.390.490.48bottom 44% in Michigan; bottom 50% in the U.S.
Total nursing staff turnover (%)43.544.145.8top 46% in Michigan; top 46% in the U.S.
RN turnover (%)40.039.242.9bottom 47% in Michigan; top 46% 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 5.35, RN 1.07, weekend 4.39. Staffing rating: 4/5.

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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Mary Free Bed Rehabilitation HospitalOrganization5% or Greater Indirect Ownership Interest50%07/01/2015
Trinity Continuing Care ServicesOrganization5% or Greater Indirect Ownership Interest50%07/01/2015
Bowens, MarcusIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Brasser, BruceIndividualCorporate DirectorNOT APPLICABLE01/01/2015
Cheslek, IngridIndividualCorporate DirectorNOT APPLICABLE02/01/2023
Cudney, KierstenIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Guzman, NathanielIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Johnson, StaceyIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Johnson, StaceyIndividualCorporate OfficerNOT APPLICABLE12/01/2022
Latovick, PamelaIndividualCorporate DirectorNOT APPLICABLE07/01/2018
Pennington, LeeannIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Treat, MegIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Wang, RalphIndividualCorporate DirectorNOT APPLICABLE12/01/2022
Wang, RalphIndividualCorporate OfficerNOT APPLICABLE12/01/2022

Questions to ask on your visit

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

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Facility data as of CMS processing date 2026-08-01. CCN 235708.