Holland Home - Raybrook Manor
2121 Raybrook SE, Grand Rapids, MI 49546 · CCN 235440
Abuse icon
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 101
- Avg residents/day
- 88.1
- Phone
- 6162355702
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-05 | 11 | 9.9 | 9.5 | +1.1 worse |
| 2 | 2024-01-26 | 6 | 11.4 | 9.8 | -5.4 better |
| 3 | 2023-01-11 | 6 | 12.0 | 9.3 | -6.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.79 | 31.5% |
| RN staffing (reported) | 0.94 | 15.8% |
| Total nurse staffing (adjusted) | 4.97 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Inspection citations (23)1 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-23 · Health · corrected 2026-01-27
Potential for more than minimal harm
- DF0761Ensure 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.2025-12-23 · Health · corrected 2026-01-27
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- FF0583Keep residents' personal and medical records private and confidential.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0585Honor 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.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-05 · Health · corrected 2025-03-11
Actual harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-26 · Health · corrected 2024-01-02
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-26 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-26 · Health · corrected 2024-02-27
Potential for more than minimal harm
- BF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-01-26 · Health · corrected 2024-02-27
Potential for minimal harm
- DF0761Ensure 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.2024-01-26 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-26 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-11-29 · Health · corrected 2024-01-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-29 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-29 · Health · corrected 2024-01-02
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-11 · Health · corrected 2023-02-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-11 · Health · corrected 2023-02-15
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-01-11 · Health · corrected 2023-02-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHRISTIAN LIVING SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-01-01 |
| FARR, PAUL | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| HIDALGO, CARLOS | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| JOHNSON, MARK | Individual | CORPORATE DIRECTOR | — | 2021-07-21 |
| KNIBBE, DAVID | Individual | CORPORATE DIRECTOR | — | 2016-12-01 |
| MALBURG, GARY | Individual | CORPORATE DIRECTOR | — | 2012-07-01 |
| NAGELKERK, JEAN | Individual | CORPORATE DIRECTOR | — | 2015-07-01 |
| SANCHEZ, NELSON | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| SEGOVIA, GILBERT | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| SMITH, DAVID | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| THOLE, NICK | Individual | CORPORATE DIRECTOR | — | 2016-12-01 |
| URSUL, MARY | Individual | CORPORATE DIRECTOR | — | 2012-07-01 |
| VOGEL-VANDERSON, SUSAN | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| VUGTEVEEN, TROY | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| WATSON, SAM | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| KINDER, ADAM | Individual | CORPORATE OFFICER | — | 2021-04-04 |
| VUGTEVEEN, TROY | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| DUEMLER, RONALD | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2000-06-26 |
| MATRO, PHILIP | Individual | W-2 MANAGING EMPLOYEE | — | 2021-04-04 |
| MYERS, TIMOTHY | Individual | W-2 MANAGING EMPLOYEE | — | 2016-06-30 |
Other facilities in Grand Rapids
| Name | Overall | Beds |
|---|---|---|
| Porter Hills Health Center | ★★★★★ | 39 |
| Corewell Health Grand Rapids Hospitals Rehabilitat | ★★★★★ | 120 |
| Corewell Health Rehabilitation & Nursing Center - | ★★★★★ | 165 |
| Edison Christian Health Center | ★★★★★ | 136 |
| Holland Home Breton Rehabilitation & Living Centre | ★★★★★ | 58 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.