Niles Care Center, LLC in Niles, MI has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating despite a 5-star quality measures rating. It reports 3.07 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $116,300 in fines in the last 24 months with a recent federal penalty.
Last inspection: January 23, 2026Penalties, last 24 months: $116,300recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0661.
Staffing detail
Registered nurses
0.52
Licensed practical nurses
0.77
Nurse aides
1.78
Weekend nursing
2.71
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.7%18.2%Worsening
Residents with a fall causing major injury
5%8.5%Worsening
Residents with pressure ulcers (bedsores)
0%6.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.5%13.2%No change
Residents whose ability to walk got worse
—8%—
Long-stay residents on antianxiety or sleep medication
20.5%18.6%Improving
Short-stay residents newly given an antipsychotic
5%0%Improving
Residents with a long-term catheter
0%1.2%Worsening
Residents with new or worsening incontinence
21.3%10.2%Improving
Residents with depressive symptoms
2.5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
87%100%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2025 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — 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 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $116,300 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $199,110 in total fines · 2 payment denials.
Federal fine
Aug 20, 2025
$116,300
Medicare/Medicaid payment denial
Dec 5, 2024
51 days
Medicare/Medicaid payment denial
Oct 4, 2023
28 days
Federal fine
Oct 4, 2023
$82,810
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AVON HEALTHCARE · 9 homes · 2.6 stars avg
Occupancy
54 residents on an average day (54% of 100 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.