Holland Home - Raybrook Manor
Grand Rapids, Kent County, Michigan · CCN 235440 · Non-profit (Corporation) · not part of a chain
CMS rates Holland Home - Raybrook Manor 5 of 5 overall as of August 2026. 101 certified beds, 91 residents a day on average. 24 citations on record from the current inspection cycles, 1 at immediate jeopardy; no fines on record and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 4.77208 hours per resident per day |
|---|---|
| Registered nurses | 0.93432 hours per resident per day |
| Weekend total | 4.2266 hours per resident per day |
| Nursing staff turnover | 31.3% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-24 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has plan of correction 2026-07-28 |
| 2026-06-24 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-28 |
| 2026-06-24 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-28 |
| 2026-03-12 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-14 |
| 2025-12-23 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-27 |
| 2025-12-23 complaint survey |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-27 |
| 2025-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2025-02-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2024-01-26 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-01-02 |
| 2024-01-26 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-27 |
| 2024-01-26 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-27 |
| 2024-01-26 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-27 |
| 2024-01-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-27 |
| 2024-01-26 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-02-27 |
| 2023-11-29 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-02 |
| 2023-11-29 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-02 |
| 2023-11-29 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-05 | Payment denial for 10 days from 2025-03-01 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Christian Living Services Organization | 5% or greater direct ownership interest | 100% | 2009-01-01 |
| Authenticity Marketing Group Organization | adp of the snf | — | 2014-01-01 |
| Huntington Organization | adp of the snf | — | 2009-01-01 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2003-01-01 |
| Raymond James Organization | adp of the snf | — | 2011-01-01 |
| Saint Mary's Health Services Organization | adp of the snf | — | 2000-01-01 |
| Concept Rehab, Inc. Organization | operational/managerial control | — | 2025-10-01 |
| Deckinga, Brandyn Individual | adp of the snf | — | 2019-08-08 |
| Duemler, Ronald Individual | adp of the snf | — | 2000-06-26 |
| Himmelein, Douglas Individual | adp of the snf | — | 2021-11-01 |
| Matro, Philip Individual | adp of the snf | — | 2021-04-14 |
| Myers, Timothy Individual | adp of the snf | — | 2016-06-30 |
| Schaab, Scott Individual | adp of the snf | — | 2006-01-01 |
| Tatreau, Anne Individual | adp of the snf | — | 2011-09-06 |
| Demaagd, Scott Individual | corporate director | — | 2025-07-01 |
| Hidalgo, Carlos Individual | corporate director | — | 2022-07-01 |
| Johnson, Mark Individual | corporate director | — | 2021-07-21 |
| Knibbe, David Individual | corporate director | — | 2016-12-01 |
| Malburg, Gary Individual | corporate director | — | 2012-07-01 |
| Nagelkerk, Jean Individual | corporate director | — | 2015-07-01 |
| Sanchez, Nelson Individual | corporate director | — | 2017-07-01 |
| Segovia, Gilbert Individual | corporate director | — | 2022-07-01 |
| Smith, David Individual | corporate director | — | 2022-07-01 |
| Thole, Nick Individual | corporate director | — | 2016-12-01 |
| Ursul, Mary Individual | corporate director | — | 2012-07-01 |
| Vanderkooi, Marie Individual | corporate director | — | 2025-07-01 |
| Vogel-Vanderson, Susan Individual | corporate director | — | 2011-07-01 |
| Vugteveen, Troy Individual | corporate director | — | 2022-01-01 |
| Watson, Sam Individual | corporate director | — | 2017-07-01 |
| Johnson, Mark Individual | corporate officer | — | 2025-07-01 |
| Kinder, Adam Individual | corporate officer | — | 2021-04-04 |
| Malburg, Gary Individual | corporate officer | — | 2012-07-01 |
| Sanchez, Nelson Individual | corporate officer | — | 2025-07-01 |
| Vugteveen, Troy Individual | corporate officer | — | 2022-01-01 |
| Deckinga, Brandyn Individual | operational/managerial control | — | 2019-08-08 |
| Duemler, Ronald Individual | operational/managerial control | — | 2000-06-26 |
| Himmelein, Douglas Individual | operational/managerial control | — | 2021-11-01 |
| Kinder, Adam Individual | operational/managerial control | — | 2021-04-04 |
| Matro, Philip Individual | operational/managerial control | — | 2021-04-14 |
| Myers, Timothy Individual | operational/managerial control | — | 2016-06-30 |
| Schaab, Scott Individual | operational/managerial control | — | 2006-01-01 |
| Tatreau, Anne Individual | operational/managerial control | — | 2011-09-06 |
| Vugteveen, Troy Individual | operational/managerial control | — | 2022-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Holland Home - Raybrook Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kent County.