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★)
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | F · Potential for harm, facility-wide | The 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, 2026 | D · Potential for harm, one-off | The 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, 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. · from a complaint |
| May 13, 2026 | C · Minimal risk, facility-wide | The 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-off | 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. · from a complaint |
| Apr 16, 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. |
| Apr 16, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 16, 2025 | 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. · from a complaint |
| May 16, 2024 | 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. |
| May 16, 2024 | C · Minimal risk, facility-wide | The 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, 2024 | C · Minimal risk, facility-wide | The 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).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | F |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 4 | 0 | F |
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) | 5.04 | 4.32 | 3.95 | top 14% in Michigan; top 13% in the U.S. |
| Registered Nurse hours | 1.01 | 0.84 | 0.69 | top 25% in Michigan; top 15% in the U.S. |
| Weekend total nurse staffing | 4.14 | 3.79 | 3.50 | top 23% in Michigan; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.49 | 0.48 | bottom 44% in Michigan; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 43.5 | 44.1 | 45.8 | top 46% in Michigan; top 46% in the U.S. |
| RN turnover (%) | 40.0 | 39.2 | 42.9 | bottom 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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Organization | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2015 |
| Trinity Continuing Care Services | Organization | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2015 |
| Bowens, Marcus | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Brasser, Bruce | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Cheslek, Ingrid | Individual | Corporate Director | NOT APPLICABLE | 02/01/2023 |
| Cudney, Kiersten | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Guzman, Nathaniel | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Johnson, Stacey | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Johnson, Stacey | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2022 |
| Latovick, Pamela | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Pennington, Leeann | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Treat, Meg | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Wang, Ralph | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Wang, Ralph | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "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?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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 Grand Rapids Hospitals Rehabilitat | 1.6 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Clark Retirement Community | 1.8 mi | Grand Rapids, MI | ★★☆☆☆ | 2/5 | |
| Optalis Health & Rehabilitation at Leonard | 2.2 mi | Grand Rapids, MI | ★★★☆☆ | 3/5 | |
| Medilodge of Grand Rapids | 2.5 mi | Grand Rapids, MI | ★☆☆☆☆ | 1/5 | |
| Edison Christian Health Center | 3.0 mi | Grand Rapids, MI | ★★★★★ | 4/5 | |
| Corewell Health Rehabilitation & Nursing Center - | 3.2 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| St Ann's Home | 3.4 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Covenant Village of the Great Lakes | 3.5 mi | Grand Rapids, MI | ★★★★☆ | 4/5 | |
| Michigan Veteran Homes at Grand Rapids | 3.6 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Porter Hills Health Center | 4.2 mi | Grand Rapids, MI | ★★★★★ | 5/5 | |
| Optalis Health and Rehabilitation of Grand Rapids | 4.5 mi | Grand Rapids, MI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Holland Home - Raybrook Manor | 4.5 mi | Grand Rapids, MI | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235708.