D

Lake Woods Nursing & Rehabilitation Center

1684 Vulcan Street, Muskegon, MI 49442
Score: 45 / 100

Lake Woods Nursing & Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 33th percentile among Michigan nursing homes, suggesting significant room for improvement.

Staffing at Lake Woods Nursing & Rehabilitation Center is near the national average, with 3.99 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 41 deficiencies at Lake Woods Nursing & Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.99 3.8 Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.47 0.7 Below Average
Certified Nursing Assistants (CNA) 2.96 2.4 Above Average
Weekend Total Nursing 3.63 3.8 Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

41
Total Deficiencies
Apr 30, 2025
Most Recent Inspection
🟠 40 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Apr 30, 2025 · Infection Control Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Apr 30, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.5% 4.5% Average
Falls with major injury 2.0% 3.0% Better
On antipsychotic medication 27.1% 14.5% Worse
Urinary tract infections 0.7% 2.5% Better
ADL decline (daily activities) 11.0% 14.0% Better
Excessive weight loss 9.9% 7.5% Worse
New/worsened incontinence 22.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $67,541

How This Grade Was Calculated

This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2025
Deficiencies (Cycle 1)
7