Holland Home - Raybrook Manor

2121 Raybrook SE
Grand Rapids, MI, 49546
6162355702
CCN: 235440
4
Overall
2
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
DUEMLER, RONALDCONTRACTED MANAGING EMPLOYEENOT APPLICABLE
FARR, PAULCORPORATE DIRECTORNOT APPLICABLE
HIDALGO, CARLOSCORPORATE DIRECTORNOT APPLICABLE
JOHNSON, MARKCORPORATE DIRECTORNOT APPLICABLE
KNIBBE, DAVIDCORPORATE DIRECTORNOT APPLICABLE
MALBURG, GARYCORPORATE DIRECTORNOT APPLICABLE
NAGELKERK, JEANCORPORATE DIRECTORNOT APPLICABLE
SANCHEZ, NELSONCORPORATE DIRECTORNOT APPLICABLE
SEGOVIA, GILBERTCORPORATE DIRECTORNOT APPLICABLE
SMITH, DAVIDCORPORATE DIRECTORNOT APPLICABLE
THOLE, NICKCORPORATE DIRECTORNOT APPLICABLE
URSUL, MARYCORPORATE DIRECTORNOT APPLICABLE
VOGEL-VANDERSON, SUSANCORPORATE DIRECTORNOT APPLICABLE
VUGTEVEEN, TROYCORPORATE DIRECTORNOT APPLICABLE
WATSON, SAMCORPORATE DIRECTORNOT APPLICABLE
KINDER, ADAMCORPORATE OFFICERNOT APPLICABLE
VUGTEVEEN, TROYCORPORATE OFFICERNOT APPLICABLE
CHRISTIAN LIVING SERVICESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MATRO, PHILIPW-2 MANAGING EMPLOYEENOT APPLICABLE
MYERS, TIMOTHYW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-02-05Payment Denial10 days
Health Deficiencies (23)
2025-12-23 · Health
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-02-05 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F810 · Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-01-26 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
B
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-29 · Health
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2023-01-11 · Health
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.79
3.68
RN Hrs/Resident/Day
0.94
0.54
LPN Hrs/Resident/Day
0.78
0.81
CNA Hrs/Resident/Day
3.07
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01