Mission Point Nursing & Physical Rehabilitation of
725 West Fuller, Big Rapids, MI 49307 · Mecosta County · 78 certified beds · avg 69 residents/day · certified since May 1, 1978
Part of chain: MISSION POINT HEALTHCARE SERVICES (14 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
All citations in the current public record (25)
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 |
|---|---|---|
| Jul 18, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 18, 2025 | 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. |
| Jul 18, 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. |
| Jul 18, 2025 | 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. |
| Jul 18, 2025 | 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. |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 21, 2024 | 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. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 21, 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. |
| Aug 21, 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. |
| Aug 21, 2024 | 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. |
| Aug 21, 2024 | 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. |
| Aug 21, 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 27, 2024 | 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 |
| Mar 27, 2024 | B · Minimal risk, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · from a complaint |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 10, 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. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 11 | 0 | D |
| 2025 | 11 | 0 | 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) | 4.04 | 4.32 | 3.95 | bottom 47% in Michigan; top 38% in the U.S. |
| Registered Nurse hours | 0.85 | 0.84 | 0.69 | top 41% in Michigan; top 24% in the U.S. |
| Weekend total nurse staffing | 3.26 | 3.79 | 3.50 | bottom 22% in Michigan; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.49 | 0.48 | top 47% in Michigan; top 41% in the U.S. |
| Total nursing staff turnover (%) | 29.0 | 44.1 | 45.8 | top 14% in Michigan; top 13% in the U.S. |
| RN turnover (%) | 18.2 | 39.2 | 42.9 | top 12% in Michigan; top 12% 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 3.73, RN 0.79, weekend 3.01. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mission Point Grand Rapids Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/14/2000 |
| Mitchell Family III Irrevocable GST Trust | Organization | 5% or Greater Indirect Ownership Interest | 21% | 04/14/2023 |
| Gray, Patricia | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/14/2020 |
| Higham, Jennifer | Individual | Trustee of the SNF | NOT APPLICABLE | 04/14/2023 |
| Kostecki, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2024 |
| Mali, Hari | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/14/2023 |
| Mali, Hari | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2023 |
| Mali, Hari | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2023 |
| Mission Point Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/14/2020 |
| Mitchell Family III Irrevocable GST Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2023 |
| Mitchell, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/14/2023 |
| Mitchell, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2023 |
| Mitchell, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2023 |
| MP Big Rapids Property Holding LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2023 |
| Oegema, James | Individual | Trustee of the SNF | NOT APPLICABLE | 04/14/2023 |
| Solarewicz, Maciej | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2025 |
| Williams, Erica | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/14/2020 |
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 keep residents' medical records accurate, complete, and secure?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| The Orchards at Big Rapids | 0.1 mi | Big Rapids, MI | ★★★☆☆ | 3/5 | |
| Corewell Health Reed City Hospital Rehabilitation | 11.5 mi | Reed City, MI | ★★★★★ | 5/5 |
Compare this facility with the 2 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 235312.