Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Ann's Home during CMS and state inspections, most recent first.
A facility failed to identify and address PTSD triggers for a resident with multiple diagnoses, including PTSD and Takotsubo Syndrome. The resident was observed to be agitated and expressed concerns about COVID-19 and family losses. Staff interviews revealed a lack of awareness about the resident's PTSD triggers and the absence of a care plan, leading to potential re-traumatization.
The facility failed to manage PRN psychotropic medications appropriately and did not obtain informed consent for two residents. A resident received PRN Lorazepam and Haloperidol without documented behaviors to justify their use, and another resident received PRN Lorazepam for extended periods without documented rationale. The facility did not adhere to its policy requiring PRN psychotropic drugs to be used only when necessary and for a limited duration.
The facility failed to adhere to infection prevention standards, with a housekeeper not using PPE while cleaning a resident's room under enhanced barrier precautions, and multiple staff members not performing hand hygiene during meal service. Despite education and audits, these practices were inconsistently followed, posing a risk of cross-contamination.
Failure to Address PTSD Triggers in Resident Care
Penalty
Summary
The facility failed to identify and address post-traumatic stress disorder (PTSD) triggers for a resident, resulting in a deficiency in providing trauma-informed care. The resident, who was admitted with diagnoses including PTSD, depression, bipolar disorder, chronic respiratory failure, and Takotsubo Syndrome, was observed to be agitated after exercising, expressing concerns about COVID-19 due to her respiratory issues and discussing the loss of family members. Despite these indicators, the resident's chart lacked an assessment for PTSD triggers or a care plan addressing trauma or mood/behavior interventions. Interviews with facility staff, including a CNA, LPN, and the Assistant Director of Nursing, revealed a lack of awareness regarding the resident's PTSD triggers and the absence of a care plan. The Nursing Home Administrator confirmed that the Social Worker acknowledged the missing PTSD care plan. This oversight resulted in the potential for re-traumatization, as staff were not informed or knowledgeable about the resident's past trauma and specific triggers.
Failure to Manage PRN Psychotropic Medications and Obtain Informed Consent
Penalty
Summary
The facility failed to ensure that PRN psychotropic medications did not extend beyond 14 days, that there was a continued indication for the use of psychotropic and antipsychotic medications, and that informed consents for medications were obtained for two residents. This resulted in the risk of serious side effects and adverse reactions from potentially unnecessary medications. The report highlights that the facility did not document behaviors or agitation that would justify the administration of PRN medications for the residents involved. Resident #23 was admitted with diagnoses including dementia, depression, and anxiety. The resident received PRN Lorazepam and Haloperidol without documented behaviors or agitation to justify their use. The facility's records lacked documentation of informed consent for these medications. Additionally, the facility's policy required PRN psychotropic drugs to be used only when necessary to treat a diagnosed condition and for a limited duration, which was not adhered to in this case. Resident #27, who was moderately cognitively impaired and on hospice care, also received PRN Lorazepam for extended periods without documented rationale for continued use beyond 14 days. The facility did not provide documentation for the rationale for the extended use of PRN Lorazepam, and there was no evidence of informed consent for the medication. Interviews with facility staff and hospice personnel revealed a lack of communication and documentation regarding the necessity and consent for the continued use of these medications.
Infection Control Deficiencies in PPE Use and Hand Hygiene
Penalty
Summary
The facility failed to adhere to professional standards of infection prevention, specifically in the use of personal protective equipment (PPE) for enhanced barrier precautions and hand hygiene during dining and meal service. The report highlights two main deficiencies. Firstly, a housekeeper did not don the required PPE, such as a gown and gloves, while cleaning the room of a resident under enhanced barrier precautions due to leg wounds and pressure ulcers. This was observed despite the facility's signage indicating the necessity of PPE for high-contact activities like changing linens. Interviews with the Director of Environmental Services and the Director of Nursing revealed that while education and audits on enhanced barrier precautions were conducted, the facility struggled with consistent implementation. Secondly, multiple instances of inadequate hand hygiene were observed during meal service. A Certified Nursing Assistant (CNA) was seen passing out lunch trays and assisting residents with meals without performing hand hygiene between tasks. This included handling utensils and cups for different residents without sanitizing hands in between. Similar observations were made with another CNA and a Registered Nurse (RN) in the memory care area, where they assisted multiple residents with eating without completing hand hygiene between each resident. Interviews with staff indicated an understanding of the hand hygiene protocol, but it was not consistently followed due to being busy or understaffed. The report also notes that hand sanitizer was available on meal delivery carts, and other staff members were observed using it. However, the failure to perform hand hygiene between resident interactions during meal service was a recurring issue. Staff interviews confirmed that hand hygiene should be performed between each resident interaction, but this was not always feasible due to workload and staffing levels. The facility conducted audits and provided education on hand hygiene, but the observations indicate a gap in adherence to these protocols.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 322 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Grand Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edison Christian Health Center | 0.4 mi | — | 16 | 0 |
| Covenant Village Of The Great Lakes | 1.1 mi | — | 5 | 0 |
| Valley View Care Center | 1.6 mi | — | 12 | 2 |
| Mary Free Bed Sub-acute Rehabilitation | 3.4 mi | — | 1 | 0 |
| Michigan Veteran Homes At Grand Rapids | 3.5 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St Ann's Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.