Plainwell Pines Nursing and Rehabilitation Communi
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 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.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (27 vs median 8.0)
- High staff turnover (73%)
Below average in MI · Meets national RN staffing standard · Very high staff turnover · Below chain average · $194,994 in fines · Abuse citation
What this means for your family
This facility appears to provide effective physical rehabilitation, but families requiring full-time nursing care should be extremely cautious. Given the reports of hygiene neglect and medication errors, we strongly recommend conducting unannounced visits and speaking directly with current residents' families to verify staffing levels and quality of care.
Google Reviews
Google Reviews
18 reviews on Google“Plainwell Pines Nursing and Rehabilitation Community receives highly polarized feedback, with some families praising the compassionate, attentive staff and clean environment, while others report severe neglect and staffing shortages. Critical concerns include poor hygiene, medication management errors, and significant weight loss among residents requiring full care. Prospective families should weigh the positive experiences of rehab patients against the alarming reports of inadequate daily assistance.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Friendly and compassionate nursing staff
- Effective physical rehabilitation services
- Helpful social work and administrative support
Concerns
- Understaffing leading to neglect of basic needs like hygiene and feeding (mentioned by 3 reviewers)
- Medication management and clinical care errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Since the facility is known for being very clean and well-maintained, how do you ensure that personal hygiene and daily grooming needs are consistently met for every resident?
- 2With the positive feedback regarding your compassionate nursing staff, what specific protocols are in place to ensure medication is administered accurately and on schedule?
- 3We've heard great things about your physical rehabilitation services; how do you coordinate therapy sessions with the rest of the resident's daily care routine?
- 4How do you ensure that communication between the clinical staff and family members remains frequent and clear, especially regarding changes in health status?
- 5What kind of daily activities or social events are planned to keep residents engaged and connected with one another?
- 6Could you tell me more about the dining experience and how you ensure meal times are both nutritious and enjoyable for the residents?
Personalized based on this facility's data
Key Review Excerpts
“Our family is blessed to have 'fallen' into this facility and their very caring staff. After a serious fall requiring surgery and more intense rehabilitation, we found this place.”
“The nurse staff is terrible. I found my mom's meds on the floor, they doped her up.on Ativan, left her sitting in piss and poop.”
“The down thing, let’s just say, have food delivered….”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a troubling pattern of repeated violations triggered by family complaints, with significant concerns around resident safety, medication management, and abuse protection. The most recurring issues involve accident hazards and safety violations, medication errors and pharmacy services, and resident rights violations. While the facility corrects deficiencies when cited, the persistence of similar problems across multiple surveys and the high number of complaint-driven investigations (17 out of 59 total deficiencies) suggest ongoing care quality concerns that families should carefully evaluate before placement.
Dec 17, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 17, 2025Complaint6
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 8, 2025Routine20
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
May 8, 2025Complaint2
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.
Sep 4, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 27, 2024Routine11
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Federal Penalties
Fine
Jun 27, 2024
$33,638
Payment Denial
Jun 27, 2024
22-day denial
Fine
May 16, 2024
$161,356
Ownership & Operations
Who Operates This Facility
Plainwell Pines Nursing and Rehabilitation Communi
for profit
Chain Affiliation
Atrium Centers
26 facilities nationwide
Chain avg rating: 3.1/5 · Rank 22 of 26
Ownership & Management
Owners
Atrium Centers, LLC
Owner · Organization
Bailey, Essel
Owner (parent company)
Finney, Donald
Owner (parent company)
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
18 reviews from families & visitors
Official Website
Visit atriumlivingcenters.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Beacon Home at the Oaks
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Life Care Center of Plainwell
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Beacon Home at Bridge Street
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Beacon Home at River Run
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Medilodge of Westwood
7.9 miNursing Home · Kalamazoo, MI