Nursing homes › Michigan › Holland Home - Raybrook Manor
2121 Raybrook Se, Grand Rapids, MI 49546 · 6162355702 · 101 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 4.77 (Michigan median: 3.80). RN hours: 0.93. Weekend total: 4.23. Nursing staff turnover: 31%.
All-time on record: 21 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-12 | 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 2026-04-14 |
| 2025-12-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-01-27 |
| 2025-12-23 | 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 | complaint | corrected 2026-01-27 |
| 2025-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-03-11 |
| 2025-02-05 | Keep residents' personal and medical records private and confidential. | F | Health | corrected 2025-03-11 |
| 2025-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-11 |
| 2025-02-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-11 |
| 2025-02-05 | 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. | D | Health | corrected 2025-03-11 |
| 2025-02-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-03-11 |
| 2025-02-05 | 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 2025-03-11 |
| 2025-02-05 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2025-03-11 |
| 2025-02-05 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-03-11 |
| 2024-01-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-01-02 |
| 2024-01-26 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-02-27 |
| 2024-01-26 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-02-27 |
| 2024-01-26 | 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 2024-02-27 |
| 2024-01-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-02-27 |
| 2024-01-26 | Ensure 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 | Health | corrected 2024-02-27 |
| 2023-11-29 | Respond appropriately to all alleged violations. | E | complaint | corrected 2024-01-02 |
| 2023-11-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-01-02 |
| 2023-11-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-01-18 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-05 | Payment Denial | 10 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CHRISTIAN LIVING SERVICES | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2009 |
| DEMAAGD, SCOTT | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2025 |
| HIDALGO, CARLOS | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| JOHNSON, MARK | Corporate Director | Individual | NOT APPLICABLE | since 07/21/2021 |
| KNIBBE, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 12/01/2016 |
| MALBURG, GARY | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2012 |
| NAGELKERK, JEAN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2015 |
| SANCHEZ, NELSON | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2017 |
| SEGOVIA, GILBERT | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| SMITH, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| THOLE, NICK | Corporate Director | Individual | NOT APPLICABLE | since 12/01/2016 |
| URSUL, MARY | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2012 |
| VANDERKOOI, MARIE | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2025 |
| VOGEL-VANDERSON, SUSAN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2011 |
| VUGTEVEEN, TROY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| WATSON, SAM | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2017 |
| JOHNSON, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| KINDER, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 04/04/2021 |
| MALBURG, GARY | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2012 |
| SANCHEZ, NELSON | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| VUGTEVEEN, TROY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| CONCEPT REHAB, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2025 |
| DECKINGA, BRANDYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/08/2019 |
| DUEMLER, RONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2000 |
| HIMMELEIN, DOUGLAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235440. Corrections: data@carerecords.org.