Lake Woods Nursing & Rehabilitation Center
1684 Vulcan Street, Muskegon, MI 49442 · CCN 235116
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 81.9
- Phone
- 2317772511
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 | 2025-05-01 | 7 | 9.9 | 9.5 | -2.9 better |
| 2 | 2024-05-20 | 21 | 11.4 | 9.8 | +9.6 worse |
| 3 | 2023-04-27 | 13 | 12.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.99 | 57.0% |
| RN staffing (reported) | 0.56 | 70.6% |
| Total nurse staffing (adjusted) | 4.69 | — |
Fines & penalties
- Total fines
- $67,541
- Number of fines
- 2
- Number of penalties
- 4
- Payment denials
- 2
Chain
- Chain
- THE PEPLINSKI GROUP
- Facilities in chain
- 10
- Chain avg overall
- 2.50 / 5
Inspection citations (41)1 immediate jeopardy3 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-01 · Health · corrected 2025-05-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-05-26
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-01 · Health · corrected 2025-06-04
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-01 · Health · corrected 2025-05-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-01 · Health · corrected 2025-06-04
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-26
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-01 · Health · corrected 2025-05-26
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-23 · Health · corrected 2024-11-26
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-10-23 · Health · corrected 2024-11-26
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.2024-10-23 · Health · corrected 2024-11-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-23 · Health · corrected 2024-11-26
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.2024-08-19 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-19 · Health · corrected 2024-09-20
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-12 · Health · corrected 2024-07-04
Actual harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-20 · Health · corrected 2024-06-18
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.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-20 · Health · corrected 2024-06-18
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-20 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-20 · Health · corrected 2024-07-24
Potential for more than minimal harm
- DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-05-20 · Health · corrected 2024-06-18
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.2024-02-22 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-22 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-22 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-22 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0761Ensure 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.2024-02-22 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-12 · Health · corrected 2023-10-13
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-12 · Health · corrected 2023-06-26
Immediate jeopardy
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-12 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-27 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-27 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-27 · Health · corrected 2023-05-23
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-04-27 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-27 · Health · corrected 2023-05-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SCHADE, JEFFERY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2010-04-01 |
| THOMPSON, BRIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2010-04-01 |
| VANDAMME, KAREN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2010-04-01 |
| ACKERMAN, RICKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2010-04-01 |
| PEPLINSKI, TODD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2010-04-01 |
| PEPLINSKI, TODD | Individual | CORPORATE DIRECTOR | — | 2010-04-01 |
| SCHADE, JEFFERY | Individual | CORPORATE DIRECTOR | — | 2010-04-01 |
| THOMPSON, BRIAN | Individual | CORPORATE DIRECTOR | — | 2010-04-01 |
| VANDAMME, KAREN | Individual | CORPORATE DIRECTOR | — | 2010-04-01 |
| ACKERMAN, RICKY | Individual | CORPORATE OFFICER | — | 2010-04-01 |
| SCHADE, JEFFERY | Individual | CORPORATE OFFICER | — | 2010-04-01 |
| THOMPSON, BRIAN | Individual | CORPORATE OFFICER | — | 2010-04-01 |
| PEPLINSKI, TODD | Individual | CORPORATE OFFICER | — | 2010-04-01 |
| VANDAMME, KAREN | Individual | CORPORATE OFFICER | — | 2010-04-01 |
| SOLAREWICZ, KRYSTYNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-13 |
| WILDEY, ALICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-12 |
| WINKELS, KATHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-05 |
| ACKERMAN, RICKY | Individual | CORPORATE DIRECTOR | — | 2010-04-01 |
Other facilities in Muskegon
| Name | Overall | Beds |
|---|---|---|
| Roosevelt Park Nursing and Rehabilitation Communit | ★★★☆☆ | 39 |
| Optalis Health & Rehabilitation of Muskegon | ★★☆☆☆ | 107 |
| Christian Care Nursing Center | ★★☆☆☆ | 49 |
| Harbor Terrace Senior Living | — | 58 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.