Lake Woods Nursing & Rehabilitation Center
Nursing Home · Muskegon, MI
CMS certification number235116
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1684 Vulcan StreetMuskegon, MI 49442
Muskegon County
- Phone
- (231) 777-2511
- ZIP code
- 49442 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 83.9 (93% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Deboer, INC.
- Chain
- The Peplinski Group (10 facilities, avg 2.1★)
- Medicare certified since
- October 1, 2002
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.87 (state 3.99 · U.S. 3.86)
- Registered nurses (RN)
- 0.70 (state 0.78 · U.S. 0.69)
- Licensed practical nurses
- 0.41 (state 0.88 · U.S. 0.86)
- Nurse aides
- 2.76 (state 2.33 · U.S. 2.32)
- Weekend total
- 3.50 (state 3.50 · U.S. 3.42)
- Nursing staff turnover
- 57.7 (state 44.1 · U.S. 45.8)%
- RN turnover
- 36.4 (state 39.2 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 1, 2025
- Health deficiencies (last cycle)
- 9.0 (state 10.1 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 43 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-02-10 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2025-05-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-06-04 |
| 2025-05-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-26 |
| 2025-05-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-26 |
| 2025-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-26 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-26 |
| 2025-05-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-01 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-26 |
| 2024-10-23 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-26 |
| 2024-10-23 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-26 |
| 2024-10-23 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-26 |
| 2024-10-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-26 |
| 2024-08-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-08-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-06-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-04 |
| 2024-05-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-18 |
| 2024-05-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-05-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-24 |
| 2024-05-20 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-02-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-02-22 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-02-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-02-22 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-02-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2023-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-06-26 |
| 2023-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-13 |
| 2023-09-12 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-13 |
| 2023-04-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-23 |
| 2023-04-27 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-23 |
| 2023-04-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-23 |
| 2023-04-27 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-23 |
| 2023-04-27 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-23 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $67,541 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-01 | Payment Denial | 8 days payment denial |
| 2025-05-01 | Fine | $51,948 |
| 2024-05-20 | Payment Denial | 35 days payment denial |
| 2023-09-12 | Fine | $15,593 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Vandamme, Karen (individual) | 5%+ Direct Ownership Interest · 20% | |
| Ackerman, Ricky (individual) | Administrator · NOT APPLICABLE | |
| Peplinski, Todd (individual) | Administrator · NOT APPLICABLE | |
| Schade, Jeffery (individual) | Administrator · NOT APPLICABLE | |
| Solarewicz, Krystyna (individual) | Administrator · NOT APPLICABLE | |
| The Peplinski Group INC (organization) | Administrator · NOT APPLICABLE | |
| Thompson, Brian (individual) | Administrator · NOT APPLICABLE | |
| Vandamme, Karen (individual) | Administrator · NOT APPLICABLE | |
| Wildey, Alicia (individual) | Administrator · NOT APPLICABLE | |
| Winkels, Kathy (individual) | Administrator · NOT APPLICABLE | |
| Ackerman, Ricky (individual) | Corporate Director · NOT APPLICABLE | |
| Peplinski, Todd (individual) | Corporate Director · NOT APPLICABLE | |
| Schade, Jeffery (individual) | Corporate Director · NOT APPLICABLE | |
| Thompson, Brian (individual) | Corporate Director · NOT APPLICABLE | |
| Vandamme, Karen (individual) | Corporate Director · NOT APPLICABLE | |
| Ackerman, Ricky (individual) | Corporate Officer · NOT APPLICABLE | |
| Peplinski, Todd (individual) | Corporate Officer · NOT APPLICABLE | |
| Schade, Jeffery (individual) | Corporate Officer · NOT APPLICABLE | |
| Thompson, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Vandamme, Karen (individual) | Corporate Officer · NOT APPLICABLE | |
| Solarewicz, Krystyna (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wildey, Alicia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Winkels, Kathy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Lake Woods Nursing & Rehabilitation Center?
Lake Woods Nursing & Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Michigan.
How many beds does Lake Woods Nursing & Rehabilitation Center have?
It has 90 certified beds and cares for about 84 residents per day.
Has Lake Woods Nursing & Rehabilitation Center been fined?
Yes. CMS lists 4 penalties totaling $67,541 in the last three years.
Who owns Lake Woods Nursing & Rehabilitation Center?
It is part of The Peplinski Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Lake Woods Nursing & Rehabilitation Center?
(231) 777-2511. The facility is located at 1684 Vulcan Street, Muskegon, MI 49442.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.