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Nursing HomeMedicaid Investigative

Plainwell Pines Nursing and Rehabilitation Communi

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3260 East B Avenue, Plainwell, MI 4908039 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 18 Google reviews

5
4
3
2
1
Plainwell Pines Nursing and Rehabilitation Communi Nursing Home in Plainwell, MI — Street View
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6/ 10
high Risk

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

Source: Medicare data

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 details
Food2.0Staff5.0Clean6.0Activities2.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • 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

2343.0'14(1)1.01.0'19(1)2.03.0'23(1)2.34.5'25(8)4.3'26(3)

Distribution · 19 analyzed

5
9
4
2
3
2
2
1
1
5

How They Respond to Reviews

0%response rate

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.

Long-term resident's family · 2024★★★★★

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.

Long-term resident's family · 2025☆☆☆☆

The down thing, let’s just say, have food delivered….

Rehab patient · 2026★★★★
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.81hrs
OK
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
76%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Total 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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
19.4%
MI
20.2%
Kalamazoo
25.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
15.4%
MI
15.0%
Kalamazoo
16.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
19.5%
MI
19.5%
Kalamazoo
22.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
14.4%
MI
11.2%
Kalamazoo
10.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
15.3%
MI
13.1%
Kalamazoo
14.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
MI
95.2%
Kalamazoo
91.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
79.7%
MI
79.5%
Kalamazoo
87.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.9%
Worse than Avg
Here
79.9%
US
81.8%
MI
83.0%
Kalamazoo
87.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
MI
1.2%
Kalamazoo
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
3penalties
Well above state avg (9.8)
17 complaint-triggered
$194,994 in fines

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, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0940Potential for harm · WidespreadCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0755Potential for harm · IsolatedCorrected

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, 2025Complaint
6
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0600Potential for harm · IsolatedCorrected

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.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0657Potential for harm · IsolatedCorrected

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.

0921Potential for harm · IsolatedCorrected

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, 2025Routine
20
0801Potential for harm · WidespreadCorrected

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · PatternCorrected

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0578Potential for harm · IsolatedCorrected

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.

0580Potential for harm · IsolatedCorrected

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.

0605Potential for harm · IsolatedCorrected

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0887Potential for harm · IsolatedCorrected

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.

0727Minimal · WidespreadCorrected

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, 2025Complaint
2
0584Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Sep 4, 2024Complaint
1
0600Potential for harm · IsolatedCorrected

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, 2024Routine
11
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

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.

0725Potential for harm · IsolatedCorrected

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.

0756Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

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

Owner / Operator

Plainwell Pines Nursing and Rehabilitation Communi

Organization Type

for profit

Chain Affiliation

Chain Name

Atrium Centers

Chain Size

26 facilities nationwide

Chain avg rating: 3.1/5 · Rank 22 of 26

Ownership & Management

Owners

Atrium Centers, LLC

Owner · Organization

100%

Bailey, Essel

Owner (parent company)

74%

Finney, Donald

Owner (parent company)

25%

Key personnel

Bailey, EsselOfficer / DirectorFinney, DonaldOfficer / DirectorAlbright Ross, SusanOfficer / DirectorFerkany, JamesOfficer / DirectorAtrium Centers Management LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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