PlainNursing
CMS Nursing Home Compare · August 2026

Alamo Cove Rehab and Nursing Center

8290 W C Ave, Kalamazoo, MI 49009 · All homes in Kalamazoo

Alamo Cove Rehab and Nursing Center, a 100-bed for profit - individual nursing facility in Kalamazoo, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #355 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2693432587

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1 / 5
Much below average · CMS overall · nat'l 3.0
#355 of 420
In-state rank among rated MI homes
3.44
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 3 serious

The verdict

Alamo Cove Rehab and Nursing Center, a 100-bed for profit - individual nursing facility in Kalamazoo, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #355 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#355 of 420
In-state rank among rated MI homes
3.44
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
235311
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
100
Residents
92
In Hospital
No
County
Kalamazoo
Last Inspection
Apr 30, 2026
Special Focus
SFF Candidate

Staffing Data

How the 3.44 total nursing hours per resident-day are staffed:

RN Hours
0.58 (nat'l avg: 0.69)
LPN Hours
0.79
CNA Hours
2.07
Total Nursing Hours
3.44 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
57.4%
RN Turnover
41.7%

What the CMS Record Reveals About Alamo Cove Rehab and Nursing Center

According to CMS Nursing Home Compare, Alamo Cove Rehab and Nursing Center ranks #355 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Alamo Cove Rehab and Nursing Center operates 100 certified beds in Kalamazoo, MI with approximately 92 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 4★).

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $18K against this provider. Staffing is reported at 3.44 total nursing hours per resident day (national average 3.86), with RN coverage at 0.58 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Alamo Cove Rehab and Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 57.4% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 18, 2026

E - Pattern - Minimal harm Apr 30, 2026 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jun 17, 2026

E - Pattern - Minimal harm Apr 30, 2026 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: May 18, 2026

F - Widespread - Minimal harm Apr 30, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 18, 2026

F - Widespread - Minimal harm Apr 30, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 18, 2026

F - Widespread - Minimal harm Apr 30, 2026 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: May 18, 2026

F - Widespread - Minimal harm Apr 30, 2026 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2026

E - Pattern - Minimal harm Feb 24, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 17, 2026

G - Isolated - Actual harm Feb 24, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2026

G - Isolated - Actual harm Feb 24, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Sep 22, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm Sep 22, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 19, 2025

G - Isolated - Actual harm Sep 22, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 26, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 26, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 26, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: May 15, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 26, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 26, 2025

F - Widespread - Minimal harm Feb 26, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 15, 2025

F - Widespread - Minimal harm Feb 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 15, 2025

D - Isolated - Minimal harm Jan 8, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 29, 2025

D - Isolated - Minimal harm Jan 8, 2025 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 29, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.3% No

Penalty History 1 penalties totaling $18K

Date Type Amount
Sep 22, 2025 Payment Denial -
Aug 28, 2024 Fine $18K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Alamo Cove Rehab and Nursing Center, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Alamo Cove Rehab and Nursing Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Alamo Cove Rehab and Nursing Center?
Alamo Cove Rehab and Nursing Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
Where does Alamo Cove Rehab and Nursing Center rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Alamo Cove Rehab and Nursing Center ranks 355th among 420 rated nursing homes in MI (#355 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Alamo Cove Rehab and Nursing Center?
Alamo Cove Rehab and Nursing Center reports 3.44 total nursing hours per resident day (national average: 3.86). RN hours are 0.58 per resident day (national average: 0.69). Nursing staff turnover is 57.4%.
How many beds does Alamo Cove Rehab and Nursing Center have?
Alamo Cove Rehab and Nursing Center has 100 certified beds with approximately 92 residents. The facility is located at 8290 W C Ave, Kalamazoo, MI 49009.
Does Alamo Cove Rehab and Nursing Center have any deficiencies on record?
Yes, Alamo Cove Rehab and Nursing Center has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Alamo Cove Rehab and Nursing Center received any fines or penalties?
Yes, Alamo Cove Rehab and Nursing Center has received 1 penalties totaling $18K.
Who owns Alamo Cove Rehab and Nursing Center?
Alamo Cove Rehab and Nursing Center is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Alamo Cove Rehab and Nursing Center last inspected?
The most recent health inspection for Alamo Cove Rehab and Nursing Center was on Apr 30, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Alamo Cove Rehab and Nursing Center?
Alamo Cove Rehab and Nursing Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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