Clearstream Rehabilitation and Nursing Center
Nursing Home · Hastings, MI
CMS certification number235281
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
240 E North STHastings, MI 49058
Barry County
- Phone
- (269) 945-9564
- ZIP code
- 49058 – all care providers
Facility details
- Certified beds
- 98
- Residents per day
- 88.1 (90% occupied)
- Ownership
- For profit - Individual
- Legal name
- Hastings Mi SNF Management LLC
- Chain
- Avon Healthcare (9 facilities, avg 2.2★)
- Medicare certified since
- April 5, 1976
- 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
- 3.35 (state 3.99 · U.S. 3.86)
- Registered nurses (RN)
- 0.50 (state 0.78 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 0.88 · U.S. 0.86)
- Nurse aides
- 2.10 (state 2.33 · U.S. 2.32)
- Weekend total
- 2.96 (state 3.50 · U.S. 3.42)
- Nursing staff turnover
- 53.8 (state 44.1 · U.S. 45.8)%
- RN turnover
- 75.0 (state 39.2 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 5, 2026
- Health deficiencies (last cycle)
- 11.0 (state 10.1 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 47 health · 21 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | 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 2026-05-22 |
| 2026-05-05 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-05-05 | 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 2026-05-22 |
| 2026-02-26 | 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 2026-03-13 |
| 2025-04-02 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-04-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | 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 2025-04-30 |
| 2025-04-02 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | 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 2025-04-30 |
| 2025-04-02 | Provide or arrange emergency care by a doctor 24 hours a day. F0713 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-02 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-04-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2024-09-18 | 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 2024-10-08 |
| 2024-09-18 | 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 2024-10-08 |
| 2024-09-18 | 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 2024-10-08 |
| 2024-06-25 | 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 |
G Actual harm |
Corrected 2024-07-15 |
| 2024-06-25 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-15 |
| 2024-06-25 | 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 2024-07-15 |
| 2024-06-25 | 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 2024-07-15 |
| 2024-06-25 | 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 2024-07-15 |
| 2024-03-26 | 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 |
G Actual harm |
Corrected 2024-04-12 |
| 2024-03-26 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-26 | 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 2024-04-12 |
| 2024-03-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
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
2 penalties in the last three years, including $35,416 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-18 | Fine | $19,532 |
| 2024-06-25 | Fine | $15,884 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Gottlieb, Moshe (individual) | 5%+ Indirect Ownership Interest · 45% | |
| Freund, Eliyahu (individual) | Administrator · NOT APPLICABLE | |
| Koenig, Joshua (individual) | Administrator · NOT APPLICABLE | |
| Melder, Patrick (individual) | Administrator · NOT APPLICABLE | |
| Renewal Mi Managment (organization) | Administrator · NOT APPLICABLE | |
| Wingler, Carter (individual) | Administrator · NOT APPLICABLE | |
| Freund, Eliyahu (individual) | Corporate Officer · NOT APPLICABLE | |
| Renewal Healthcare LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Koenig, Joshua (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Gottlieb, Moshe (individual) | Limited Partnership Interest · NOT APPLICABLE | |
| Freund, Eliyahu (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Melder, Patrick (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Renewal Mi Managment (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Wingler, Carter (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Clearstream Rehabilitation and Nursing Center?
Clearstream Rehabilitation and Nursing Center has a 1-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 Clearstream Rehabilitation and Nursing Center have?
It has 98 certified beds and cares for about 88 residents per day.
Has Clearstream Rehabilitation and Nursing Center been fined?
Yes. CMS lists 2 penalties totaling $35,416 in the last three years.
Who owns Clearstream Rehabilitation and Nursing Center?
It is part of Avon Healthcare and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Clearstream Rehabilitation and Nursing Center?
(269) 945-9564. The facility is located at 240 E North ST, Hastings, MI 49058.
Other nursing homes in Hastings
-
Thornapple Manor
Nursing Home · Hastings, MI · 161 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.