About Lake Woods Nursing and Rehabilitation Center
Lake Woods Nursing And Rehabilitation Center, located in Muskegon, MI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Lake Woods Nursing and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 3.87 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the THE PEPLINSKI GROUP network. This chain operates 10 facilities.
Chain Performance Overview
For AI Users, Agents, and Developers
Do you use a Generative AI assistant like ChatGPT or Claude or others? If so, you can point your assistant to our MCP server at https://mcp.nursinghomedatabase.com/mcp and have it do the searching for you. Ask your question and use our data to help you find the answers.
- Prefer scripts? Use a public REST API for JSON over HTTPS. Or set up MCP using our setup guide.
- Fair use applies; high-volume or commercial use may need a custom data arrangement.
Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Lake Woods Nursing and Rehabilitation Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 64 | May 01, 2025 |
| Weighted Average | 117 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 11.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 8.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 1.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 71.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 15.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 24.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 98.6% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 79.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 22.4% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 26.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 24 complaints
- 2025: 1 complaint
- 2026: 2 complaints
- Total: 30 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 22, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 06, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| May 26, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 26, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Nov 26, 2024 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. |
| Nov 26, 2024 | 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. |
| Nov 26, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Sep 20, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 24, 2024 | Provide and implement an infection prevention and control program. |
| Jul 04, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 18, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jun 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 18, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jun 18, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 18, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Jun 18, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jun 18, 2024 | Provide or get specialized rehabilitative services as required for a resident. |
| Jun 18, 2024 | 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. |
| Jun 18, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jun 18, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Jun 18, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 29, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 29, 2024 | 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. |
| Mar 29, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 29, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Mar 29, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Oct 13, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 13, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Jun 26, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
TRINITY HEALTH MUSKEGON HOSPITAL
MUSKEGON, MI
TRINITY HEALTH GRAND HAVEN HOSPITAL
GRAND HAVEN, MI
COREWELL HEALTH GERBER HOSPITAL
FREMONT, MI
Owner & Operator Information
Management & Direction
- RICKY ACKERMAN CORPORATE DIRECTOR
- RICKY ACKERMAN CORPORATE OFFICER
- RICKY ACKERMAN ADP OF THE SNF
- TODD PEPLINSKI CORPORATE DIRECTOR
- TODD PEPLINSKI CORPORATE OFFICER
- TODD PEPLINSKI ADP OF THE SNF
- JEFFERY SCHADE CORPORATE DIRECTOR
- JEFFERY SCHADE ADP OF THE SNF
- JEFFERY SCHADE CORPORATE OFFICER
- KRYSTYNA SOLAREWICZ OPERATIONAL/MANAGERIAL CONTROL
- KRYSTYNA SOLAREWICZ ADP OF THE SNF
- THE PEPLINSKI GROUP INC ADP OF THE SNF
- BRIAN THOMPSON CORPORATE OFFICER
- BRIAN THOMPSON CORPORATE DIRECTOR
- BRIAN THOMPSON ADP OF THE SNF
- KAREN VANDAMME CORPORATE OFFICER
- KAREN VANDAMME CORPORATE DIRECTOR
- KAREN VANDAMME ADP OF THE SNF
- ALICIA WILDEY OPERATIONAL/MANAGERIAL CONTROL
- ALICIA WILDEY ADP OF THE SNF
- KATHY WINKELS OPERATIONAL/MANAGERIAL CONTROL
- KATHY WINKELS ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Newaygo Co Medical Care Facility | N/A | 5 |
| St Ann's Home | N/A | 5 |
| Medilodge of Wyoming | N/A | 5 |
| Covenant Village of The Great Lakes | N/A | 4 |
| Harbor Terrace Senior Living | N/A | 5 |
| Hillcrest Nursing and Rehabilitation Community | N/A | 5 |
| Mission Point Nursing and Physical Rehab Center of L | N/A | 4 |
| Medilodge at The Shore | N/A | 2 |
| Allendale Nursing and Rehabilitation Community | N/A | 3 |
| Optalis Health and Rehabilitation of Muskegon | N/A | 2 |
Related Analysis
Best Nursing Homes in Muskegon, MI
Compare Lake Woods Nursing and Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Lake Woods Nursing and Rehabilitation Center directly at 2317772511. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.