Starfile

Starfile / Michigan

Harold and Grace Upjohn Community Care Center

2400 Portage St, Kalamazoo, MI 49001 · CCN 235050

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Corporation
Certified beds
87
Avg residents/day
85.3
Phone
2693814290

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMichigan avgNational avgvs state
12025-03-12179.99.5+7.1 worse
22024-05-231511.49.8+3.6 worse
32023-04-192112.09.3+9.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care5
Resident assessment and care planning1
Resident rights4
Nutrition and dietary2
Pharmacy service1
Administration1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5547.3%
RN staffing (reported)0.9835.3%
Total nurse staffing (adjusted)3.78

Fines & penalties

Total fines
$31,186
Number of fines
2
Number of penalties
3
Payment denials
1

Inspection citations (53)2 immediate jeopardy

  1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-17 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-17 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  3. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-17 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-05 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-05 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  6. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  7. DF0583Keep residents' personal and medical records private and confidential.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  8. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  10. DF0685Assist a resident in gaining access to vision and hearing services.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  12. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  13. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  14. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  15. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  16. DF0880Provide and implement an infection prevention and control program.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  17. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-03-12 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2024-12-27 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  19. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  20. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  22. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  23. DF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  25. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  26. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  27. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  28. EF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  29. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  30. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-03-01

    Immediate jeopardy

  31. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-17 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  32. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-17 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  33. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  34. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  36. DF0610Respond appropriately to all alleged violations.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  37. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-20 · Health · corrected 2023-12-19

    Immediate jeopardy

  38. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  39. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  40. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  41. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  42. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  43. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  44. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  45. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  46. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  48. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  49. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  50. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  51. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  52. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  53. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-19 · Health · corrected 2023-05-26

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HERITAGE COMMUNITY OF KALAMAZOOOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1966-01-01
OLMSTED, RACHELIndividualCORPORATE OFFICER2016-04-02
PRINCE, JAYIndividualCORPORATE OFFICER2013-08-12
BARBER, PAULIndividualW-2 MANAGING EMPLOYEE2020-08-06

Other facilities in Kalamazoo

NameOverallBeds
Friendship Village★★★★★57
Medilodge of Kalamazoo★★★★☆39
Villa at Borgess Place★☆☆☆☆101
Alamo Nursing Home Inc★☆☆☆☆100
Medilodge of Westwood★☆☆☆☆97

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.