The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Alamo Nursing Home Inc
Kalamazoo, MI · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Alamo Nursing Home Inc has an overall 1-star rating, with a 1-star health inspection rating and 3-star staffing; reported nurse staffing is 3.44 hours per resident per day, below the 4.1-hour federal benchmark. It also has $18,274 in fines in the last 24 months, a recent federal penalty, and recent citations for pressure ulcer care, medication errors, and feeding tube care.
Facility ratings
Health inspections
Staffing
3.4429 hrs/resident/day
Quality measures
Last inspection: February 24, 2026Penalties, last 24 months: $18,274recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4429.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.07
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 42%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
31.8%24.5%Improving
Residents with a fall causing major injury
4.3%3.8%Improving
Residents with pressure ulcers (bedsores)
1.4%3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.4%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.3%16.9%Worsening
Residents whose ability to walk got worse
6.8%10.3%Worsening
Long-stay residents on antianxiety or sleep medication
25.9%29.7%Worsening
Short-stay residents newly given an antipsychotic
2.8%3.1%No change
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
22.7%33.5%Worsening
Residents with depressive symptoms
4.8%2.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.3%—
Short-stay residents given the pneumonia vaccine
99.1%99%No change
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $18,274 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $18,274 in total fines · 1 payment denial.
- 34 days
Medicare/Medicaid payment denial
Sep 22, 2025
- $18,274
Federal fine
Aug 28, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVON HEALTHCARE · 9 homes · 2.3 stars avg
- Occupancy
- 92.1 residents on an average day (92% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.