Niles Care Center, LLC

CMS star ratings

Overall★★★★★ 2/5

State avg 3.1

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.6

Quality measures★★★★★ 5/5

State avg 3.9

Long-stay quality★★★★★ 5/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.45 (state 3.99 · U.S. 3.86)
Registered nurses (RN): 0.54 (state 0.78 · U.S. 0.69)
Licensed practical nurses: 0.93 (state 0.88 · U.S. 0.86)
Nurse aides: 1.98 (state 2.33 · U.S. 2.32)
Weekend total: 2.99 (state 3.50 · U.S. 3.42)
Nursing staff turnover: 67.8 (state 44.1 · U.S. 45.8)%
RN turnover: 90.0 (state 39.2 · U.S. 42.9)%
Administrators who left: 3 in the last year

Inspections

Last standard inspection: January 23, 2026
Health deficiencies (last cycle): 15.0 (state 10.1 · U.S. 9.3)
From complaints: 7
Citations on record (3 years): 41 health · 33 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-04-17	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 2026-05-08
2026-04-17	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 2026-05-08
2026-01-23	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	F No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	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 · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	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 2026-02-23
2026-01-23	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 2026-02-23
2026-01-23	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	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	D No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2026-01-23	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	D No actual harm, potential for more than minimal harm	Corrected 2026-02-23
2025-12-10	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-12-22
2025-12-10	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 2025-12-22
2025-08-20	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2025-08-21
2025-08-20	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	J Immediate jeopardy to resident health or safety	Corrected 2025-08-21
2024-12-05	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 2025-03-03
2024-12-05	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-03-03
2024-12-05	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-12-31
2024-12-05	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-01-06
2024-12-05	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-03
2024-12-05	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-31
2024-12-05	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-03
2024-12-05	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-31
2024-12-05	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 2024-12-31
2024-12-05	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-31
2024-12-05	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-02-12
2024-10-24	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 2024-11-12
2024-10-24	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 2024-11-12
2024-10-24	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 2024-11-12
2024-07-03	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-06
2024-07-03	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 2024-09-06
2024-06-20	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. F0585 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-16
2024-06-20	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 2024-07-16
2023-10-25	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-25	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 2023-11-10
2023-10-25	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-25	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 2023-11-10
2023-10-25	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-25	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-10
2023-10-04	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 2023-10-24
2023-10-04	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	G Actual harm	Corrected 2023-10-24

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 $158,405 in fines.

Date	Type	Amount
2025-08-20	Fine	$75,595
2024-12-05	Payment Denial	51 days payment denial
2023-10-04	Payment Denial	28 days payment denial
2023-10-04	Fine	$82,810

Ownership & management

Name	Role	Since
Gottlieb, Moshe (individual)	5%+ Direct Ownership Interest · 48%
Freund, Eliyahu (individual)	Administrator · NOT APPLICABLE
Gottlieb, Moshe (individual)	Administrator · NOT APPLICABLE
Ibekie, Oranu (individual)	Administrator · NOT APPLICABLE
Niles Avon Management (organization)	Administrator · NOT APPLICABLE
Niles Care Center Propco (organization)	Administrator · NOT APPLICABLE
Sears, Monica (individual)	Administrator · NOT APPLICABLE
Freund, Eliyahu (individual)	Managing Control - Governing Body · NOT APPLICABLE
Gottlieb, Moshe (individual)	Managing Control - Governing Body · NOT APPLICABLE
Cain, Cynthia (individual)	Operational/managerial Control · NOT APPLICABLE
Niles Avon Management (organization)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Niles Care Center, LLC?

Niles Care Center, LLC 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 Niles Care Center, LLC have?

It has 100 certified beds and cares for about 53 residents per day.

Has Niles Care Center, LLC been fined?

Yes. CMS lists 4 penalties totaling $158,405 in the last three years.

Who owns Niles Care Center, LLC?

It is part of Avon Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Niles Care Center, LLC?

(269) 684-4320. The facility is located at 911 S 3rd St, Niles, MI 49120.

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Contact & location

Facility details