Holland Home - Raybrook Manor
2121 Raybrook SE, Grand Rapids, MI, 49546 · CCN 235440
Holland Home - Raybrook Manor is a CMS-certified skilled nursing facility located in Grand Rapids, Michigan. This facility-specific record brings together official CMS provider, inspection, rating, and enforcement data while identifying what is missing or uncertain.
What stands out in the available record
The available records contain 23 cited deficiencies across 5 surveys. 1 were coded at G or above; 0 were coded at immediate-jeopardy levels J through L.
4 of the most frequently cited tags appear more than once in the available history: F0689 (3), F0600 (2), F0812 (2), F0761 (2). Repetition can indicate a recurring compliance area, but it is not proof that the same underlying problem remained uncorrected.
Survey history
- December 2025 — Health: 2 cited deficiencies
- February 2025 — Health: 9 cited deficiencies
- January 2024 — Health: 6 cited deficiencies
- November 2023 — Health: 3 cited deficiencies
- January 2023 — Health: 3 cited deficiencies
Scope and severity distribution
- Scope/severity B: 1 citation
- Scope/severity D: 15 citations
- Scope/severity E: 3 citations
- Scope/severity F: 3 citations
- Scope/severity G: 1 citation
1 available citations were coded at G or above, indicating actual harm or immediate jeopardy; 0 were coded J or above.
Top Deficiency Citations
- F0689 — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (3 citations)
- F0600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2 citations)
- F0812 — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2 citations)
- F0761 — 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. (2 citations)
- F0880 — Provide and implement an infection prevention and control program. (1 citation)
Deficiency categories
- Freedom from Abuse, Neglect, and Exploitation Deficiencies: 4 citations
- Nutrition and Dietary Deficiencies: 4 citations
- Quality of Life and Care Deficiencies: 4 citations
- Resident Rights Deficiencies: 3 citations
- Resident Assessment and Care Planning Deficiencies: 3 citations
- Infection Control Deficiencies: 2 citations
Official CMS Five-Star context
- Overall: 5 of 5 stars
- Health inspection: 4 of 5 stars
- Staffing: 5 of 5 stars
- Quality measure: 5 of 5 stars
CMS reports 4.77 total nurse staffing hours per resident day.
Five-Star values above are official CMS fields. POCDesk does not calculate or predict the official CMS rating.
Enforcement and penalties
The available CMS enforcement dataset contains 1 penalty action, most recently dated February 2025. Monetary fines in these records total $0.
Sources, freshness, and limitations
Source: official CMS datasets, including Provider Information, Health Deficiencies, and Penalties. View the CMS data source. The available rating record has a CMS processing date of August 2026. POCDesk last refreshed that rating record on September 2026.
POCDesk groups citations by survey date, counts recurring F-Tags across the available history, and summarizes CMS scope/severity codes. Those summaries are POCDesk organization and interpretation of public records, not official ratings or survey findings of our own. Read the governing 42 CFR Part 483 and our editorial standards and methodology.
Counts alone do not explain the residents affected, corrective work completed, current conditions, appeals, or whether a finding was later changed. Data can be delayed, suppressed, incomplete, or revised by CMS. Verify important decisions with Medicare Care Compare, state survey records, the facility, and an in-person visit.
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