Holland Home - Raybrook Manor

Continuing care retirement community · Kent · MI · Non profit - Corporation · 101 certified beds · CCN 235440 · HOLLAND HOME


Holland Home - Raybrook Manor operates 101 certified beds in Grand Rapids, Michigan. Its Medicare and Medicaid certification dates to 1985-09-01. It averages 90.7 residents a day.

What harm was found in the violations cited at Holland Home - Raybrook Manor?

CMS lists 24 health-inspection deficiencies for Holland Home - Raybrook Manor, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-24.

Survey dateTagDeficiencySeverity
2026-06-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2026-06-24F0580, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-12F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2025-12-23F0600, F0761Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure 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.D
2025-02-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-02-05F0583, F0812Keep residents' personal and medical records private and confidential. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-02-05F0550, F0585, F0609, F0657, F0810, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program.D
2024-01-26F0600, F0644, F0658, F0761, F0883Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-01-26F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.B
2023-11-29F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-11-29F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D

Has Holland Home - Raybrook Manor had payment denied by Medicare?

Payment denial startLength in days
2025-03-0110

How is Holland Home - Raybrook Manor staffed?

MeasureThis facilityMI average
Total nurse staffing hours per resident per day4.772083.99072
Total nursing staff turnover (%)31.344.1
Average number of residents per day90.785.9

Who owns Holland Home - Raybrook Manor?

Holland Home - Raybrook Manor is registered with CMS as Non profit - Corporation, operates under the legal business name HOLLAND HOME.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCHRISTIAN LIVING SERVICESsince 01/01/2009
CORPORATE DIRECTORDEMAAGD, SCOTT, HIDALGO, CARLOS, JOHNSON, MARK, KNIBBE, DAVID, MALBURG, GARY, NAGELKERK, JEAN, SANCHEZ, NELSON, SEGOVIA, GILBERT, SMITH, DAVID, THOLE, NICK, URSUL, MARY, VANDERKOOI, MARIE, VOGEL-VANDERSON, SUSAN, VUGTEVEEN, TROY, WATSON, SAMsince 01/01/2022
CORPORATE OFFICERJOHNSON, MARK, KINDER, ADAM, MALBURG, GARY, SANCHEZ, NELSON, VUGTEVEEN, TROYsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLCONCEPT REHAB, INC., DECKINGA, BRANDYN, DUEMLER, RONALD, HIMMELEIN, DOUGLAS, KINDER, ADAM, MATRO, PHILIP, MYERS, TIMOTHY, SCHAAB, SCOTT, TATREAU, ANNE, VUGTEVEEN, TROYsince 01/01/2006
ADP OF THE SNFAUTHENTICITY MARKETING GROUP, HUNTINGTON, PLANTE & MORAN PLLC, RAYMOND JAMES, SAINT MARY'S HEALTH SERVICES, DECKINGA, BRANDYN, DUEMLER, RONALD, HIMMELEIN, DOUGLAS, MATRO, PHILIP, MYERS, TIMOTHY, SCHAAB, SCOTT, TATREAU, ANNEsince 01/01/2000

Were you or a family member harmed at Holland Home - Raybrook Manor?