The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
North Ottawa Care Center
Registered name: Heartwood Lodge Trinity Health
Spring Lake, MI · Medicare-certified · 84 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 of 5 stars overall. North Ottawa Care Center has a lowest-overall-rating flag, a 1 of 5 health inspection rating, and reported nurse staffing of 3.97 hours per resident per day, slightly below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9669 hrs/resident/day
Quality measures
Last inspection: August 26, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9669.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.62
- Weekend nursing
- 3.59
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 75%
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
26.8%25%Improving
Residents with a fall causing major injury
1.9%1.9%No change
Residents with pressure ulcers (bedsores)
9.1%6%Improving
Residents with a urinary tract infection
0%3.8%Worsening
Residents who lost too much weight
0%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.6%26.1%Worsening
Residents whose ability to walk got worse
—18.8%—
Long-stay residents on antianxiety or sleep medication
13%13%No change
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
15%22.8%Worsening
Residents with depressive symptoms
0%2%Worsening
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
—77.2%—
Long-stay residents given the pneumonia vaccine
90.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—85.9%—
Short-stay residents given the pneumonia vaccine
99.1%97.8%Worsening
What the inspectors found
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to monitor antibiotic use properly. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 19 days
Medicare/Medicaid payment denial
Apr 23, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of TRINITY HEALTH · 19 homes · 3.3 stars avg
- Occupancy
- 76.2 residents on an average day (91% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.