The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Grand Oaks
Registered name: Grand Oaks Nursing Center
Baldwin, MI · Medicare-certified · 79 beds
In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
Grand Oaks in Baldwin, MI has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and a 3-star quality rating. It reported 4.04 nursing hours per resident per day versus the federal benchmark of 4.1, had $0 in fines in the last 24 months, and recent inspection citations included food handling, following treatment orders, and accommodating resident needs and preferences.
Facility ratings
Health inspections
Staffing
4.0438 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0438.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.73
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 46%
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
14.3%23.1%Worsening
Residents with a fall causing major injury
1.7%3.9%Worsening
Residents with pressure ulcers (bedsores)
4.3%2%Improving
Residents with a urinary tract infection
8.3%0%Improving
Residents who lost too much weight
11.1%4.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.6%9.8%Improving
Residents whose ability to walk got worse
12.7%4.2%Improving
Long-stay residents on antianxiety or sleep medication
16.7%11.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.2%16.8%Improving
Residents with depressive symptoms
0%0%No change
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
—96.3%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to monitor antibiotic use properly. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of THE PEPLINSKI GROUP · 10 homes · 2.2 stars avg
- Occupancy
- 62.2 residents on an average day (79% of 79 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.