Berrien Oaks Nursing and Rehab Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 11 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (6 vs median 5.0)
- High staff turnover (72%)
Bottom 25% in GA · Critically understaffed (RN) · Very high staff turnover · Worst in ELIYAHU MIRLIS chain · No penalties on record
What this means for your family
Given the recent reports of medication delays and staff unresponsiveness, we strongly recommend that families conduct unannounced visits to observe care quality firsthand. Please specifically inquire about their medication management protocols and how they ensure timely communication with families regarding resident health changes.
Google Reviews
Google Reviews
11 reviews on Google“Berrien Oaks Nursing and Rehab Center receives inconsistent feedback, with recent reports highlighting significant concerns regarding medication administration, staff responsiveness, and facility accessibility. While some families have expressed satisfaction with the care provided to their loved ones in the past, recent experiences indicate potential lapses in basic nursing duties and professional conduct.”
Quality Themes
Tap a score for detailsStrengths
- Occasional high-quality individual nursing care
- Generally perceived as suitable for long-term care by some families
Concerns
- Medication administration delays (mentioned by 2 reviewers)
- Unprofessional or rude staff behavior (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 12 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols do you have in place to ensure that medication administration remains timely and accurate for residents?
- 2How does your leadership team foster a culture of professionalism and support among the staff to ensure that every interaction with residents and families is respectful?
- 3With the recent focus on improving care quality, what steps are you taking to enhance the communication between the nursing team and family members regarding a resident's daily health status?
- 4What proactive measures are in place to address the health inspection findings and ensure the facility consistently meets high standards of care?
- 5Could you walk me through how your team handles medical emergencies or urgent health changes during evening and weekend hours?
- 6What kind of daily enrichment activities or social opportunities are available to help residents feel engaged and part of a community here at Berrien Oaks?
Personalized based on this facility's data
Key Review Excerpts
“We went every 3 days and had too stay on staff about not taking care of Her and them not giving Her morning medicine till almost noon! She had ine male Nurse that was good but the other staff were Rude and acted like it was a problem for Them too do Their jobs!”
“Every day for my lunch break I go up to visit my mom I have to park a block away because the employees park in all the spots up front this is nonsense then you have to wait for someone to let you in and wait for someone to let you out so I only get about 15 minutes to spend with her”
“They're taking good care of my mother in law!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
8
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing multiple complaints that triggered federal investigations, resulting in findings related to medication safety, resident rights, and care planning. The most recurring problem areas involve fire safety systems, emergency exits, and resident rights protections. While all deficiencies show correction dates, the facility has had repeated issues with fire safety equipment across multiple surveys, and the recent complaint-triggered findings suggest ongoing care quality concerns that families should investigate thoroughly before considering placement.
Nov 18, 2025Complaint1
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Apr 17, 2025Complaint5
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Apr 17, 2025Routine7
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Feb 1, 2024Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Apr 7, 2022Routine1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ownership & Operations
Who Operates This Facility
Berrien Oaks Nursing and Rehab Center
for profit
Chain Affiliation
Eliyahu Mirlis
13 facilities nationwide
Chain avg rating: 2.0/5 · Rank 8 of 13 (Worst)
Ownership & Management
Owners
Inzelbuch, Azriel
Owner
Mirlis, Eliyahu
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
11 reviews from families & visitors
Official Website
Visit berrienoakscenter.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.