The Orchards at Douglas Cove

Name: The Orchards at Douglas Cove
Address: 243 Wiley Road, Douglas, MI, 49406, US
Telephone: 2698572141

243 Wiley Road, Douglas, MI 49406 · Allegan County · 51 certified beds · avg 44 residents/day · certified since Mar 18, 1986

Part of chain: THE ORCHARDS MICHIGAN (15 facilities, chain avg rating 1.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.00

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (29)

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
Mar 5, 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
Mar 5, 2026	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
Sep 5, 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. · from a complaint
Sep 5, 2025	D · Potential for harm, one-off	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
Sep 5, 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. · from a complaint
Jul 17, 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.
Jul 17, 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.
Jul 17, 2025	E · Potential for harm, repeated	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.
Jul 17, 2025	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.
Jul 17, 2025	D · Potential for harm, one-off	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.
Jul 17, 2025	D · Potential for harm, one-off	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.
Jul 17, 2025	D · Potential for harm, one-off	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.
May 21, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Mar 12, 2025	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	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
Jul 18, 2024	F · Potential for harm, facility-wide	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
Jul 18, 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.
Jul 18, 2024	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.
Jul 18, 2024	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.
Jul 18, 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. · from a complaint
Jul 18, 2024	D · Potential for harm, one-off	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.
Jul 18, 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.
Jul 18, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 18, 2024	D · Potential for harm, one-off	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.
Jul 18, 2024	D · Potential for harm, one-off	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.
Jul 18, 2024	D · Potential for harm, one-off	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.
Jun 7, 2023	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.
Jun 7, 2023	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.
Jun 7, 2023	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 7).

Year	Citations	Worst severity that year
2023	3	D
2024	11	F
2025	13	F
2026	2	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.

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)	4.00	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, 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. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

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

Questions to ask on your visit

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

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
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 →

All facilities in Douglas →

Facility data as of CMS processing date 2026-08-01. CCN 235447.

The Care File

Visit checklist — The Orchards at Douglas Cove

243 Wiley Road, Douglas, MI 49406 · 2698572141

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235447 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)