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Mary Free Bed Sub-Acute Rehabilitation

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Mary Free Bed Sub-Acute Rehabilitation is a for profit - partnership facility in Grand Rapids, MI with 48 certified beds and a 4-star overall CMS rating. The facility has 12 deficiency records on file.

235 Wealthy Street SE, 5th Floor, Grand Rapids, MI 49503

Phone: 6168408931

Overall Rating

4/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

N/A

Facility Information

Provider Number
235708
Ownership
For profit - Partnership
Provider Type
Medicare
Beds
48
Residents
45
In Hospital
No
County
Kent
Last Inspection
Apr 16, 2025

Staffing Data

RN Hours
1.40 (nat'l avg: 0.68)
LPN Hours
1.27
CNA Hours
2.79
Total Nursing Hours
5.46 (nat'l avg: 3.89)
PT Hours
0.68
Nursing Turnover
44.1%
RN Turnover
44.4%

What the CMS Record Reveals About Mary Free Bed Sub-Acute Rehabilitation

Mary Free Bed Sub-Acute Rehabilitation operates 48 certified beds in Grand Rapids, MI with approximately 45 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (4★). 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.

The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.46 total nursing hours per resident day (national average 3.89), with RN coverage at 1.40 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare" provider, Mary Free Bed Sub-Acute Rehabilitation falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 44.1%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

G — Isolated - Actual harm Oct 21, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 17, 2025

D — Isolated - Minimal harm Apr 16, 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: Mar 27, 2025

F — Widespread - Minimal harm Apr 16, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 26, 2025

F — Widespread - Minimal harm Apr 16, 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 26, 2025

C — Widespread - No harm May 16, 2024 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: Jun 10, 2024

F — Widespread - Minimal harm May 16, 2024 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: Jun 10, 2024

C — Widespread - No harm May 16, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 10, 2024

D — Isolated - Minimal harm Mar 22, 2023 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 12, 2022

F — Widespread - Minimal harm Mar 22, 2023 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: Apr 28, 2023

D — Isolated - Minimal harm Mar 22, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 28, 2023

B — Pattern - No harm Mar 22, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Mar 22, 2023 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: Apr 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.5% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Mary Free Bed Sub-Acute Rehabilitation?
Mary Free Bed Sub-Acute Rehabilitation has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Mary Free Bed Sub-Acute Rehabilitation?
Mary Free Bed Sub-Acute Rehabilitation reports 5.46 total nursing hours per resident day (national average: 3.89). RN hours are 1.40 per resident day (national average: 0.68). Nursing staff turnover is 44.1%.
How many beds does Mary Free Bed Sub-Acute Rehabilitation have?
Mary Free Bed Sub-Acute Rehabilitation has 48 certified beds with approximately 45 residents. The facility is located at 235 Wealthy Street SE, 5th Floor, Grand Rapids, MI 49503.
Does Mary Free Bed Sub-Acute Rehabilitation have any deficiencies on record?
Yes, Mary Free Bed Sub-Acute Rehabilitation has 12 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Mary Free Bed Sub-Acute Rehabilitation received any fines or penalties?
No, Mary Free Bed Sub-Acute Rehabilitation has no fines or penalties on record.
Who owns Mary Free Bed Sub-Acute Rehabilitation?
Mary Free Bed Sub-Acute Rehabilitation is classified as "For profit - Partnership" ownership. The facility type is "Medicare".
When was Mary Free Bed Sub-Acute Rehabilitation last inspected?
The most recent health inspection for Mary Free Bed Sub-Acute Rehabilitation was on Apr 16, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Mary Free Bed Sub-Acute Rehabilitation?
Mary Free Bed Sub-Acute Rehabilitation 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial