Nursing homes › Michigan › Clearstream Rehabilitation and Nursing Center
240 E North St, Hastings, MI 49058 · (269) 945-9564 · 98 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 420 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Avon Healthcare, a group operating 9 facilities in 1 state. Group record: average rating 2.2/5, 2 abuse citation icons, 1 facility on the Special Focus list, $671,780 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.35 (Michigan median: 3.81). RN hours: 0.50. Weekend total: 2.96. Nursing staff turnover: 54%.
In the downloaded CMS dataset: 47 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2026-05-22 |
| 2026-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-05-22 |
| 2026-05-05 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2026-05-22 |
| 2026-05-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-05-22 |
| 2026-02-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-03-13 |
| 2025-04-02 | Honor 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 | Health | corrected 2025-04-30 |
| 2025-04-02 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-06-04 |
| 2025-04-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-04-30 |
| 2025-04-02 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Health | corrected 2025-04-30 |
| 2025-04-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-04-30 |
| 2025-04-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-04-30 |
| 2025-04-02 | 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 | Health | corrected 2025-06-04 |
| 2025-04-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-30 |
| 2024-09-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-10-08 |
| 2024-09-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-10-08 |
| 2024-09-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-10-08 |
| 2024-06-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-15 |
| 2024-06-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-07-15 |
| 2024-06-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-07-15 |
| 2024-06-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-15 |
| 2024-06-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-07-15 |
| 2024-03-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-04-12 |
| 2024-03-26 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2024-04-12 |
| 2024-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-12 |
| 2024-03-26 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-04-12 |
| 2024-03-26 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-04-12 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-18 | Fine | $19,532 |
| 2024-06-25 | Fine | $15,884 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RENEWAL HEALTHCARE LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 05/10/2022 |
| GOTTLIEB, MOSHE | 5% Or Greater Indirect Ownership Interest | Individual | 45% | since 05/10/2022 |
| KOENIG, JOSHUA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 05/10/2022 |
| FREUND, ELIYAHU | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/10/2022 |
| FREUND, ELIYAHU | Corporate Officer | Individual | NOT APPLICABLE | since 05/10/2022 |
| RENEWAL MI MANAGMENT | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/10/2022 |
| MELDER, PATRICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
| WINGLER, CARTER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/09/2025 |
How to cite this page: CareRecords, “Clearstream Rehabilitation and Nursing Center — compliance, penalty and ownership record” (CCN 235281), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/clearstream-rehabilitation-and-nursing-center-hastings-mi/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235281. Corrections: data@carerecords.org.