Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Porter Hills Health Center during CMS and state inspections, most recent first.
A document containing sensitive personal and medical information for multiple residents, including incontinence and hospice status, was left visible and unattended in a resident's room for several days. This allowed unauthorized individuals, including other residents and visitors, to access the information. Staff interviews confirmed lapses in following facility policy regarding the secure handling and disposal of resident information.
The facility failed to adhere to food safety standards, with improper cooling of food items, inadequate separation of raw and ready-to-eat foods, and unclean equipment. Observations included warm leftover breakfast items, improperly cooled corn chowder, and cross-contamination risks in storage. Additionally, a freezer with a loose seal and unclean drink spouts were noted.
The facility failed to accurately complete MDS assessments for two residents, resulting in incorrect documentation of their hospice care status. Both residents, with Alzheimer's and other conditions, were on hospice care, but their assessments incorrectly marked hospice care as 'No'. The errors were identified during interviews with the Nurse Manager responsible for MDS assessments, who confirmed the inaccuracies.
The facility failed to update care plans for three residents after changes in their conditions. One resident's care plan was not revised after a medication change, another's did not reflect the use of prescribed eyeglasses, and a third's lacked a home exercise program post-therapy discharge. These omissions led to inaccuracies in care documentation and potential unmet needs.
A resident with a history of dementia and stroke, resulting in one-sided weakness, experienced multiple falls due to inadequate assessment and prevention measures. Despite initial adjustments to the placement of personal items, the resident fell again from his wheelchair, and the facility failed to conduct a post-fall evaluation, indicating a deficiency in fall prevention protocols.
The facility failed to screen two residents for pneumococcal vaccination eligibility, leading to a deficiency. One resident with type 2 diabetes had not been reviewed for vaccination eligibility since receiving a PCV13 in 2017, and another with Alzheimer's had not been screened since receiving a PPSV23 in 2019. Both were eligible for the PCV20 vaccination, but screenings were missed, contrary to the facility's policy to follow CDC guidelines.
Resident Privacy Breach Due to Unsecured Personal Information
Penalty
Summary
The facility failed to ensure the privacy of personal resident information for 20 out of 37 residents reviewed. Surveyors observed an untitled and undated document containing sensitive information, including residents' last names, room numbers, incontinence brief sizes, types of incontinence products used, and hospice status, left visible on a table in a resident's room over multiple days. This document was accessible to residents, visitors, and unauthorized persons, as confirmed by both direct observation and interviews with residents and staff. One resident and a visiting family member both saw the document and recognized it as containing personal information. Staff interviews revealed that the document was used for incontinence brief inventory rounds and was not properly secured or removed after use, contrary to facility policy. Residents expressed discomfort with their personal information being accessible to others, and staff acknowledged that such exposure would be a dignity issue. The facility's own policy, revised in March 2025, requires that resident identifiable information not be left in open areas and that paper notes with personal or medical information be disposed of securely. Despite this, the document remained unattended and visible for at least two days, and staff admitted to lapses in following proper procedures for handling such information.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to store and prepare food in accordance with professional standards for food service safety, which could potentially lead to foodborne illness among residents. During a tour of the facility, it was observed that leftover breakfast puree items were stored in the walk-in cooler while still warm and covered in saran wrap. Additionally, a container of corn chowder soup was found in the cooler at an unsafe temperature of 107°F, indicating improper cooling practices. Staff members were unable to confirm the time the soup was at 135°F, which is crucial for ensuring safe cooling. Furthermore, cooked shredded beef was improperly stored under thawing raw animal products, and raw hamburger patties were stored next to ready-to-eat foods, increasing the risk of cross-contamination. Additional observations revealed that the single door freezer in the health center pantry had a loose seal and gasket, allowing humid air to accumulate ice inside the freezer. The drink spouts in the pantry also had a heavy black accumulation around the base of the juice dispensers, indicating a lack of cleanliness. These findings highlight the facility's failure to adhere to the 2017 FDA Food Code standards, specifically regarding cooling methods, separation of raw and ready-to-eat foods, and maintaining clean non-food-contact surfaces.
Inaccurate MDS Assessments for Hospice Care
Penalty
Summary
The facility failed to accurately complete Minimum Data Set (MDS) assessments for two residents, resulting in an inaccurate reflection of their hospice care status. Resident #18, a female with diagnoses including Alzheimer's disease, dementia, and other conditions, was admitted to the facility on hospice care. Despite this, her MDS assessment with a reference date of 4/12/24 incorrectly marked hospice care as 'No' in Section O0110. This error was identified during an interview with Nurse Manager E, who confirmed that Resident #18 had been on hospice care since admission and that the MDS assessment should have reflected this. Similarly, Resident #33, a male with Alzheimer's disease and other diagnoses, was also admitted to hospice care on 4/2/24. His MDS assessment, also dated 4/12/24, was a Significant Change assessment due to his enrollment in hospice care. However, it incorrectly marked hospice care as 'No' in the same section. Nurse Manager E, responsible for completing the MDS assessments, acknowledged that the hospice care information is manually entered and should have been marked 'Yes' for both residents, indicating a failure in accurately documenting the residents' care status.
Failure to Update Care Plans After Changes in Resident Conditions
Penalty
Summary
The facility failed to update or revise comprehensive care plans after changes in the condition of three residents, leading to inaccuracies in reflecting their current status. For Resident #18, the care plan was not updated after a medication change from Seroquel to Haldol, despite the resident showing improved stability and reduced anxiety with the new medication. The care plan still indicated the use of Seroquel, which had been discontinued, highlighting a lack of communication and documentation regarding the resident's current treatment. Resident #8's care plan did not reflect the use of eyeglasses, which were prescribed and received after an eye exam. Despite the resident having severe cognitive impairment and a diagnosis of glaucoma, the care plan lacked any mention of the eyeglasses, leading to confusion among staff about the resident's needs. This oversight indicates a failure to update the care plan with essential information that could impact the resident's daily living and care. For Resident #37, the care plan did not include a home exercise program with passive range of motion exercises, which was recommended after discharge from occupational therapy. The resident had a history of stroke and required specific exercises to maintain function in his left upper extremity. The omission of this information from the care plan suggests a breakdown in communication between therapy services and nursing staff, resulting in incomplete care instructions for the resident.
Failure to Prevent and Assess Falls in Resident with Mobility Impairments
Penalty
Summary
The facility failed to thoroughly assess, investigate, and prevent falls for a resident, leading to a likelihood of additional falls and injuries. The resident, who was cognitively intact with a BIMS score of 13, had a history of dementia and a stroke, resulting in weakness and paralysis on one side of his body. On one occasion, the resident fell while reaching for his cell phone, which was placed on the side of his bed where he had limited mobility. Although the facility moved the resident's personal items to his more functional side and instructed CNAs to ensure items were within reach, the resident experienced another fall shortly after. The second fall occurred when the resident slid out of his wheelchair, witnessed by a CNA. Despite the occurrence of this fall, the facility did not complete a post-fall evaluation, which was a critical step in assessing and preventing further incidents. The resident's occupational therapy evaluation indicated impaired range of motion and strength in his left upper extremity, further emphasizing the need for careful placement of personal items and adequate supervision. The lack of a post-fall evaluation after the second incident highlights a deficiency in the facility's fall prevention and assessment protocols.
Failure to Screen Residents for Pneumococcal Vaccination Eligibility
Penalty
Summary
The facility failed to ensure that residents were properly screened for eligibility to receive pneumococcal vaccinations, resulting in a deficiency for two residents. Resident #9, who was admitted with a diagnosis of type 2 diabetes, had received a PCV13 vaccination in 2017. However, the Director of Nursing (DON) was unable to confirm when Resident #9 was last reviewed for pneumococcal vaccination eligibility. It was later discovered that Resident #9 was due for the PCV20 vaccination, and the screening for this vaccination had been missed by the facility. Similarly, Resident #18, admitted with Alzheimer's disease, had received a PPSV23 vaccination in 2019. The DON was also unable to report when Resident #18 was last reviewed for pneumococcal vaccination eligibility. It was found that Resident #18 had not been screened for vaccination eligibility until the day of the survey, despite being eligible for the PCV20 vaccination. The facility's policy, dated January 2021, stated that residents should be offered immunization against pneumococcal disease in accordance with CDC guidelines, which was not adhered to in these cases.
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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) |
|---|---|---|---|---|
| Valley Health Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Corewell Health Rehabilitation & Nursing Center - | 1.7 mi | ★★★★★ | 0 | 0 |
| Mission Point Nursing & Physical Rehabilitation Ce | 1.7 mi | ★★★★★ | 0 | 0 |
| Holland Home - Raybrook Manor | 2.6 mi | ★★★★★ | 11 | 0 |
| Medilodge Of Grand Rapids | 2.6 mi | ★★★★★ | 2 | 1 |
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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.