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Nursing HomeMedicaid

The Timbers of Cass County

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

55432 Colby St, Dowagiac, MI 49047108 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 23 Google reviews

5
4
3
2
1
The Timbers of Cass County Nursing Home in Dowagiac, MI — Street View
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What this means for your family

While some families report a positive experience, there are recurring, serious allegations regarding understaffing and hygiene. If you consider this facility, we strongly recommend conducting unannounced visits during weekends or evenings to observe staffing levels and resident care firsthand.

Google Reviews

Google Reviews

23 reviews on Google
The Timbers of Cass County receives highly polarized feedback, with some families praising the facility as a compassionate and professional environment, while others report severe neglect and poor management. Critical concerns center on chronic understaffing, hygiene issues, and poor communication, particularly regarding the care of vulnerable residents.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0ActivitiesN/AMedsN/AMemory2.0Comms3.0ValueN/A

Strengths

  • Attentive and compassionate nursing staff
  • Professional and helpful administrative support
  • Clean and well-maintained facility environment
  • Effective rehabilitation therapy services

Concerns

  • Chronic understaffing leading to neglect (mentioned by 4 reviewers)
  • Poor hygiene and failure to assist with basic needs (mentioned by 2 reviewers)
  • Inadequate food quality and dietary management (mentioned by 2 reviewers)
  • Poor communication and responsiveness to family inquiries (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(1)'22(4)'24(3)'26(4)

Distribution · 26 analyzed

5
12
4
3
3
0
2
2
1
9

How They Respond to Reviews

30%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent feedback regarding staffing levels, could you walk me through how you ensure residents receive timely assistance with daily hygiene and personal care needs?
  • 2I noticed the facility has had some recent health inspection challenges; what specific steps is the leadership team currently taking to improve those CMS ratings and overall compliance?
  • 3Communication is very important to our family; what is the standard protocol for keeping families updated on changes in a resident's health or daily status?
  • 4I see that you occasionally respond to feedback online, which is great to see; how do you incorporate that kind of family input into your daily operations and care planning?
  • 5Could you tell me more about the current dining program and how you accommodate specific dietary preferences or nutritional needs for residents?
  • 6What does a typical day look like for residents in terms of social engagement and activities, and how do you ensure those with higher care needs are included?

Personalized based on this facility's data


Key Review Excerpts

Everyone from nurses to therapy staff are so kind, attentive, and truly cared about making a difference. They kept family informed and supported every step of the way.

Family member · 2025★★★★★

Best facility in Southwest Michigan. We visited so many and nothing comes close to the care, cleanliness and openness in this place.

Visitor · 2024★★★★★

Residence there are left to sit in dirty diapers for extended periods of time and suffer from raw areas around their privates and buttocks. Excuses are made why things are not done and done on the timely basis.

Family member · 2024★★☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
24%
Lower is better (< 30% = good)
RN Turnover
27%
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
5/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

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%
Cass
21.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
15.3%
MI
13.1%
Cass
17.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.4%
Mixed vs Avgs
Here
10.4%
US
12.1%
MI
4.2%
Cass
7.8%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Worse than Avg
Here
90.0%
US
95.5%
MI
95.0%
Cass
95.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
14.4%
MI
11.2%
Cass
16.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.8%
Better than Avg
Here
17.8%
US
19.5%
MI
19.5%
Cass
23.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.7%
Worse than Avg
Here
52.7%
US
79.7%
MI
79.5%
Cass
84.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.1%
Mixed vs Avgs
Here
82.1%
US
81.8%
MI
83.0%
Cass
87.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MI
1.2%
Cass
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Above state avg (9.8)
11 complaint-triggered

Families have filed multiple complaint reports against this facility, with issues persisting across surveys. The most recurring problems involve infection control, care planning and quality, and fire safety deficiencies. While all violations show correction dates, the pattern of repeated deficiencies in core care areas like infection prevention and comprehensive care planning suggests ongoing operational challenges that warrant careful consideration before placement.

Feb 19, 2026Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Jan 8, 2026Routine
18
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.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

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.

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.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 12, 2025Complaint
4
0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 31, 2024Routine
17
0321Potential for harm · Widespread

Smoke Deficiencies

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

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

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.

0806Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

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.

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.

Oct 31, 2024Complaint
1
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.

Jun 21, 2024Complaint
4
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Timbers of Cass County

Organization Type

for profit

Chain Affiliation

Chain Name

Atrium Centers

Chain Size

26 facilities nationwide

Chain avg rating: 3.1/5 · Rank 15 of 26

Ownership & Management

Owners

Orion Operating Services LLC

Owner · Organization

100%

Amicus Capital Holdings INC

Owner (parent company) · Organization

Amicus Capital Holdings, INC. Employee Stock Ownership Trust

Owner (parent company) · Organization

Atrium Centers, LLC

Owner (parent company) · Organization

Paredes, Miguel

Owner (parent company)

Schmidt, Robert

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Lument Real Estate Capital LLC5% or Greater Mortgage InterestHeller, DavidManaging Control - Governing BodyJohnson, CindyManaging Control - Governing BodyAmicus Capital Holdings INCManagerAtrium Centers Management LLCManager
Source: Medicare provider data

Contact

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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.

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