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
Heartwood Lodge Trinity Health
Spring Lake, MI · Medicare-certified · 84 beds
Needs attention
Non-profitChain member
1 of 5 overall
Heartwood Lodge Trinity Health in Spring Lake, MI has a 1-star overall rating, with a 1-star health inspection rating and a lowest-overall-rating flag. Staffing is 3 stars, with reported nurse staffing at 4.05 hours per resident per day just below the federal benchmark of 4.1; there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0481 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 4.0481.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.69
- Weekend nursing
- 3.80
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27%Worsening
Residents with a fall causing major injury
1.9%Steady
Residents with pressure ulcers (bedsores)
8.4%Improving
Residents with a urinary tract infection
0.5%Worsening
Residents who lost too much weight
1.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.1%Improving
Residents whose ability to walk got worse
13.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14%Improving
Short-stay residents newly given an antipsychotic
0.8%Improving
Residents with a long-term catheter
0.8%Steady
Residents with new or worsening incontinence
14.6%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
77.2%Steady
Long-stay residents given the pneumonia vaccine
91.3%Worsening
Short-stay residents given the seasonal flu vaccine
85.9%Steady
Short-stay residents given the pneumonia vaccine
96.6%Improving
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.
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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
- 76.6 residents on an average day (91% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.