Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Holland Home Breton Rehabilitation & Living Centre during CMS and state inspections, most recent first.
A resident with an indwelling catheter experienced discomfort and a catheter-associated urinary tract infection due to improper handling of the catheter bag, which was often found resting directly on the floor without a barrier. Despite staff awareness of proper protocols, the facility failed to maintain the catheter equipment in a secured and sanitary manner, leading to pain and potential for further infections.
Failure to Maintain Sanitary Catheter Care
Penalty
Summary
The facility failed to maintain urinary catheter equipment in a secured and sanitary manner for Resident #36, who was cognitively intact and had a primary diagnosis of urinary retention with an atonic bladder. The resident had an indwelling urethral catheter, and observations revealed that the urinary catheter bag was often resting directly on the floor without a barrier, contrary to infection control protocols. This improper handling of the catheter bag was confirmed by the resident, who reported that the bag frequently ended up on the floor, causing discomfort and pain at the catheter insertion site. During multiple observations, the catheter bag was seen lying directly on the floor, and staff did not take action to correct this during their visits to the resident's room. Interviews with staff, including a Certified Nurse Aide and the Director of Nursing, confirmed that the catheter bag should not be on the floor and should be placed in a privacy bag or on a barrier to prevent tension and potential infection. The resident reported experiencing pain due to the catheter bag's position, which was exacerbated by the leg strap riding down his leg, causing tension on the catheter. The resident had a recent catheter-associated urinary tract infection (CAUTI), with symptoms including gross hematuria and discomfort at the catheter site. The facility's policy on catheter usage and care, as well as CDC guidelines, emphasize the importance of keeping the catheter bag off the floor to prevent infections. Despite these guidelines, the facility's failure to adhere to proper catheter care protocols resulted in discomfort and the potential for further infections for Resident #36.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Grand Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Corewell Health Rehabilitation & Nursing Center - | 1.3 mi | ★★★★★ | 7 | 0 |
| Optalis Health And Rehabilitation Of Grand Rapids | 1.8 mi | ★★★★★ | 34 | 2 |
| Optalis Health & Rehabilitation At Kent-crossing | 2.8 mi | ★★★★★ | 33 | 0 |
| Holland Home - Raybrook Manor | 2.9 mi | ★★★★★ | 11 | 0 |
| Beacon Hill At Eastgate | 3.7 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.