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Nursing HomeMedicaid Investigative

Roosevelt Park Nursing and Rehabilitation Communit

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

1300 West Broadway Avenue, Muskegon, MI 4944139 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 27 Google reviews

5
4
3
2
1
Roosevelt Park Nursing and Rehabilitation Communit Nursing Home in Muskegon, MI — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Above-median deficiencies (18 vs median 8.0)

Below average in MI · Meets national RN staffing standard · $78,176 in fines · Abuse citation

Source: Medicare data

What this means for your family

While Roosevelt Park previously held a strong reputation for its home-like environment, recent reviews indicate a sharp decline in care quality and facility hygiene. Families should be highly cautious and conduct an unannounced visit to observe current staffing levels and cleanliness before making a decision.

Google Reviews

Google Reviews

27 reviews on Google
Roosevelt Park Nursing and Rehabilitation Community presents a stark contrast between older, highly positive reviews and recent, concerning feedback. While many families previously praised the facility for its small, home-like atmosphere and attentive staff, recent reports highlight significant issues with cleanliness, staff engagement, and medication management.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean3.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Small, home-like environment
  • Engaged and friendly staff (historically)
  • Effective rehabilitation therapy
  • Responsive admissions process

Concerns

  • Staff distracted by personal cell phone use (mentioned by 2 reviewers)
  • Poor cleanliness and hygiene standards (mentioned by 3 reviewers)
  • Low quality or unappealing food (mentioned by 3 reviewers)
  • Inadequate medication management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02020(1)4.72021(13)5.02022(2)2.32023(3)3.02024(4)2.42025(5)3.02026(2)

Distribution · 30 analyzed

5
20
4
1
3
0
2
0
1
9

How They Respond to Reviews

19%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that Roosevelt Park is a smaller community, how do you ensure that staff remain fully focused on resident care throughout their shifts?
  • 2Could you walk me through your current protocols for medication management and how you ensure accuracy for each resident?
  • 3I noticed the facility has a home-like feel; what specific steps are taken to maintain high standards of cleanliness and hygiene in the resident rooms and common areas?
  • 4How do you incorporate resident feedback to ensure the dining experience and meal quality meet the nutritional and personal preferences of those living here?
  • 5I saw that you engage with family feedback online; what is your preferred method for keeping families updated on their loved one's daily health and well-being?
  • 6Since your rehabilitation therapy is a noted strength, how do you integrate those therapy goals into the daily life and activities of residents who aren't in active sessions?

Personalized based on this facility's data


Key Review Excerpts

The floor in her room was cleaned ONE time in 4 weeks, the food is horrible. This place needs a complete state inspection.

Memory care family member · 2025☆☆☆☆

The staff are always on their phones. The clients are in the hallways hanging out of their wheelchairs and look like zombies. It smells horrible, the food is horrible, the staff are absolutely no help.

Visitor/Family member · 2026☆☆☆☆

I stayed there for a week and Deb was amazing it’s a shame she is so spread thinly she helps feed people does meds ect

Rehab patient · 2025★★★★
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.66hrs
88%
Registered nurses for medical care
Total Nursing
3.85hrs
94%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
19.4%
MI
20.2%
Muskegon
19.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
MI
4.2%
Muskegon
1.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
19.5%
MI
19.5%
Muskegon
16.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.3%
MI
13.1%
Muskegon
15.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.5%
MI
15.0%
Muskegon
17.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
95.5%
MI
95.0%
Muskegon
91.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility66.0%
Worse than Avg
Here
66.0%
US
79.8%
MI
79.5%
Muskegon
66.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.3%
Worse than Avg
Here
78.3%
US
81.8%
MI
83.0%
Muskegon
83.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MI
1.2%
Muskegon
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
2penalties
Well above state avg (9.8)
7 complaint-triggered
$78,176 in fines

This facility shows concerning patterns with recurring issues in infection control, fire safety, and resident protection that families reported through complaints. Problems with infection prevention programs, fire safety equipment, and protecting residents' belongings appear repeatedly across multiple surveys from 2023-2025. While the facility has corrected each cited deficiency, the persistence of similar violations—particularly in critical areas like infection control and safety systems—suggests ongoing management challenges that families should carefully evaluate during visits.

Apr 2, 2026Complaint
2
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Sep 17, 2025Complaint
1
0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 5, 2025Routine
24
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0725Potential for harm · PatternCorrected

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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Feb 27, 2025Complaint
1
0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 25, 2024Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 3, 2024Routine
24
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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0761Potential for harm · PatternCorrected

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.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0917Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0882Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Federal Penalties

Fine

Aug 18, 2023

$78,176

Payment Denial

Aug 18, 2023

26-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Roosevelt Park Nursing and Rehabilitation Communit

Organization Type

for profit

Chain Affiliation

Chain Name

Atrium Centers

Chain Size

26 facilities nationwide

Chain avg rating: 3.1/5 · Rank 18 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 / DirectorFerkany, JamesOfficer / DirectorAtrium Centers Management LLCManagerOrion Operating Services 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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