Lake Woods Nursing & Rehabilitation Center

CMS abuse icon · Muskegon · MI · For profit - Corporation · THE PEPLINSKI GROUP chain · 90 certified beds · CCN 235116 · DEBOER, INC.


Lake Woods Nursing & Rehabilitation Center operates 90 certified beds in Muskegon, Michigan. Its Medicare and Medicaid certification dates to 2002-10-01. It averages 83.9 residents a day.

What harm was found in the violations cited at Lake Woods Nursing & Rehabilitation Center?

CMS lists 43 health-inspection deficiencies for Lake Woods Nursing & Rehabilitation Center since 2023-04-27, 38 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 2026-04-15.

Survey dateTagDeficiencySeverity
2026-04-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-10F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-05-01F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-05-01F0880Provide and implement an infection prevention and control program.F
2025-05-01F0600, F0684, F0689, F0842, F0921Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-10-23F0623, F0626, F0761, F0842Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-08-19F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-05-20F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-05-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-05-20F0561, F0580, F0609, F0657, F0677, F0689, F0690, F0803, F0825, F0842, F0880, F0882Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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 care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. / Provide or get specialized rehabilitative services as required for a resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D
2024-02-22F0689, F0697, F0755, F0761Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.E
2024-02-22F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2023-09-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-09-12F0684, F0725Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D
2023-04-27F0880Provide and implement an infection prevention and control program.F
2023-04-27F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E
2023-04-27F0677, F0756, F0883Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was Lake Woods Nursing & Rehabilitation Center fined 2 times?

DateTypeAmount
2025-05-01Fine$51,948
2023-09-12Fine$15,593

Has Lake Woods Nursing & Rehabilitation Center had payment denied by Medicare more than once?

Payment denial startLength in days
2025-05-278
2024-06-1935

How is Lake Woods Nursing & Rehabilitation Center staffed relative to the MI average?

MeasureThis facilityMI average
Total nurse staffing hours per resident per day3.865273.99072
Total nursing staff turnover (%)57.744.1
Average number of residents per day83.985.9

Who owns Lake Woods Nursing & Rehabilitation Center, and what chain is it in?

Lake Woods Nursing & Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name DEBOER, INC. and belongs to the THE PEPLINSKI GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTVANDAMME, KARENsince 04/01/2010
CORPORATE DIRECTORACKERMAN, RICKY, PEPLINSKI, TODD, SCHADE, JEFFERY, THOMPSON, BRIAN, VANDAMME, KARENsince 04/01/2010
CORPORATE OFFICERACKERMAN, RICKY, PEPLINSKI, TODD, SCHADE, JEFFERY, THOMPSON, BRIAN, VANDAMME, KARENsince 04/01/2010
OPERATIONAL/MANAGERIAL CONTROLSOLAREWICZ, KRYSTYNA, WILDEY, ALICIA, WINKELS, KATHYsince 01/13/2025
ADP OF THE SNFTHE PEPLINSKI GROUP INC, ACKERMAN, RICKY, PEPLINSKI, TODD, SCHADE, JEFFERY, SOLAREWICZ, KRYSTYNA, THOMPSON, BRIAN, VANDAMME, KAREN, WILDEY, ALICIA, WINKELS, KATHYsince 01/13/2025

Were you or a family member harmed at Lake Woods Nursing & Rehabilitation Center?