| Medilodge of Grand Rapids | |
| 2000 Leonard Ne, Grand Rapids, Michigan 49505 | |
| (616) 458-1133 | |
| Name | Medilodge of Grand Rapids |
|---|---|
| Location | 2000 Leonard Ne, Grand Rapids, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 55 |
| Occupancy Rate | 93.27% |
| Medicare ID (CCN) | 235038 |
| Legal Business Name | Grand Rapids Opco LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Medilodge (53 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1083347660 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Grand Rapids Opco, LLC |
| Doing Business As | Medilodge of Grand Rapids |
| Address | 2000 Leonard St Ne, Grand Rapids, MI 49505 |
| Phone Number | 616-458-1133 |
| NPI Number | 1497645329 |
| Match | Possible same name, address or phone number |
| Address | 2000 Leonard St Nw, Grand Rapids, MI 49504 |
| Phone Number | 616-458-1133 |
| NPI Number | 1255873477 |
| Match | Possible same name, address or phone number |
| Organization Name | United Church Homes, Inc. |
| Doing Business As | Pilgrim Manor |
| Address | 2000 Leonard St Ne, Grand Rapids, MI 49505 |
| Phone Number | 616-458-1133 |
| NPI Number | 1982691564 |
| Match | Possible same name, address or phone number |
| Organization Name | Pilgrim Manor Inc |
| Address | 2000 Leonard St Ne, Grand Rapids, MI 49505 |
| Phone Number | 616-458-1133 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.97 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.77 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.95 | 0.86 |
| Nurse aide hours per resident per day | 2.26 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.46 | 3.42 |
| RN hours per resident per day on the weekend | 0.45 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 64.7% | 45.8% |
| Registered nurse turnover | 63.6% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $82,503 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 4 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 23, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Plan of correction |
| Jan 29, 2026 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jan 29, 2026 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Jun 4, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 23, 2025 |
| Jun 4, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 23, 2025 |
| Jun 4, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jun 23, 2025 |
| Jun 4, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 23, 2025 |
| Jun 4, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 23, 2025 |
| Jun 4, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 23, 2025 |
| Jan 10, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, widespread | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2025 |
| Jan 10, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2025 |
| Jan 6, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 16, 2025 |
| Jan 6, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2025 |
| Jul 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Jul 25, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.24 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.22 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.67 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.22 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.68 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.93 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.36 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.64 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.48 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.08 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.67 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.33 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.93 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.41 | 15.38 |
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