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
1 of 5 overall
Alamo Nursing Home Inc has an overall 1-star rating, with a 1-star health inspection rating and a recent federal penalty; staffing is 3 stars but reported nurse staffing is 3.51 hours per resident day, below the federal benchmark of 4.1. It was cited recently for pressure ulcer care, medication errors, and feeding tube care, and has had $18,274 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.5068 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 3.5068.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.15
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 64%
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
29.7%26.1%Improving
Residents with a fall causing major injury
8.5%0%Improving
Residents with pressure ulcers (bedsores)
3.9%7.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.5%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%4.9%Improving
Residents whose ability to walk got worse
16.7%8.5%Improving
Long-stay residents on antianxiety or sleep medication
28.3%27.7%Improving
Short-stay residents newly given an antipsychotic
3.2%1.7%Improving
Residents with a long-term catheter
1.2%2.4%Worsening
Residents with new or worsening incontinence
28.6%20.5%Improving
Residents with depressive symptoms
5.1%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
96.4%100%Improving
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 · 2.6 stars avg
- Occupancy
- 89.9 residents on an average day (90% 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.