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No fines or payment denials in the published 3-year window.
243 Wiley Road, Douglas, MI 49406 (opens Google Maps) · Allegan County · (269) 857-2141· 51 certified beds · avg 44 residents/day · certified since Mar 18, 1986 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ORCHARDS MICHIGAN (15 facilities, chain avg rating 1.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
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 F-0580
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 F-0684
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 F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Sep 5, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0695 |
| Jul 17, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 17, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jul 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · F-0603 |
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| May 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint · F-0908 |
| Mar 12, 2025 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint · F-0908 |
| Mar 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint · F-0728 |
| Jul 18, 2024 | F · Potential for more than minimal harm, widespread | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Jul 18, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 18, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0609 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Jun 7, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jun 7, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jun 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
Citations from standard inspections decreased between the last two inspection cycles (11 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 11 | 0 | F |
| 2025 | 13 | 0 | F |
| 2026 | 2 | 0 | D |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Michigan avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.00 | 4.32 | 3.95 | bottom 44% in Michigan; top 39% in the U.S. |
| Registered Nurse hours | 0.44 | 0.84 | 0.69 | bottom 12% in Michigan; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.79 | 3.50 | bottom 37% in Michigan; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.49 | 0.48 | bottom 18% in Michigan; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 48.8 | 44.1 | 45.8 | bottom 34% in Michigan; bottom 40% in the U.S. |
| RN turnover (%) | 66.7 | 39.2 | 42.9 | bottom 10% in Michigan; bottom 15% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.58, RN 0.39, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Orchards at Douglas Cove. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gutman, Isaac | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Hoffman, Alexander | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Douglas Cove Mi Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Gutman, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2025 |
| Gutman, Isaac | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Gutman, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Hoffman, Alexander | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2025 |
| Hoffman, Alexander | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Hooker, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Hooker, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Israel, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Israel, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Kornfeld, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2025 |
| Kornfeld, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Kornfeld, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Salyers, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Salyers, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Taub, Jacob | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2025 |
| Taub, Jacob | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/07/2026 |
| White Lake Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain The Orchards Michigan — 15 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 14 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Resthaven Care Center | 9.7 mi | Holland, MI | ★★★☆☆ | 3/5 | |
| The Inn at Freedom Village | 12.1 mi | Holland, MI | ★★★★★ | 5/5 | |
| Medilodge of Holland | 12.7 mi | Holland, MI | ★★★★☆ | 4/5 | |
| Heritage Nursing and Rehabilitation Community | 15.6 mi | Zeeland, MI | ★★★★☆ | 4/5 | |
| Medilodge of Zeeland | 15.7 mi | Zeeland, MI | ★★★☆☆ | 3/5 | |
| South Haven Nursing and Rehabilitation Community | 17.0 mi | South Haven, MI | ★★☆☆☆ | 2/5 | |
| Allegan County Medical Care Facility | 18.7 mi | Allegan, MI | ★★★★★ | 5/5 | |
| Ely Manor | 19.1 mi | Allegan, MI | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
CMS records place this facility in Allegan, MI — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 235447.
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