The Timbers of Cass County
55432 Colby St, Dowagiac, MI 49047
The Timbers of Cass County, a 108-bed for profit - limited liability company nursing facility in Dowagiac, MI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #275 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 2697827828
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #275 of 420
- In-state rank among rated MI homes
- 3.46
- Below average · nurse hrs/day · nat'l 3.86
- 42
- Inspection findings
The verdict
The Timbers of Cass County, a 108-bed for profit - limited liability company nursing facility in Dowagiac, MI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #275 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 2 / 5
- CMS overall · national 3.0
- #275 of 420
- In-state rank among rated MI homes
- 3.46
- Nurse hrs/resident-day · national 3.86
- 42
- Inspection findings on file
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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 235652
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 108
- Residents
- 100
- In Hospital
- No
- County
- Cass
- Last Inspection
- Jan 8, 2026
Staffing Data
How the 3.46 total nursing hours per resident-day are staffed:
- RN Hours
- 0.69 (nat'l avg: 0.69)
- LPN Hours
- 0.66
- CNA Hours
- 2.11
- Total Nursing Hours
- 3.46 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 28.9%
- RN Turnover
- 38.1%
What the CMS Record Reveals About The Timbers of Cass County
According to CMS Nursing Home Compare, The Timbers of Cass County ranks #275 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Timbers of Cass County operates 108 certified beds in Dowagiac, MI with approximately 100 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 4★).
The inspection file contains 42 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.46 total hours per resident day (national average 3.86); RN hours specifically are 0.69 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Timbers of Cass County falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 28.9% (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 (42 most recent)
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: Jun 12, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Category: Resident Rights Deficiencies
Corrected: Mar 12, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Feb 9, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 9, 2026
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: Feb 9, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 9, 2026
Provide appropriate foot care.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 9, 2026
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 9, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Feb 9, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 9, 2026
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: Feb 9, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 11, 2025
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: Apr 11, 2025
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2025
Ensure the activities program is directed by a qualified professional.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2025
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: Dec 4, 2024
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.
Category: Infection Control Deficiencies
Corrected: Dec 4, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Dec 4, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 4, 2024
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: Dec 4, 2024
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: Dec 4, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 4, 2024
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: Dec 4, 2024
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 4, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 4, 2024
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: Dec 4, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Dec 4, 2024
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: Dec 4, 2024
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: Dec 4, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 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.
Category: Pharmacy Service Deficiencies
Corrected: Jul 29, 2024
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: Jul 29, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 29, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 15, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 15, 2023
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: Nov 15, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 15, 2023
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Nov 15, 2023
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: Nov 15, 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 | 10.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.9% | 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 | 99.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 16.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 90.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 5.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 52.7% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Timbers of Cass County, both outside MI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MI (108 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MI (4.14 here).
Nearby Nursing Homes in MI
421 other nursing homes are on record in MI; 6 are shown here.
Aberdeen Rehabilitation and Skilled Nursing Center
Trenton, MI
Adira Nursing and Rehabilitation
Saginaw, MI
Adrian Bay Rehabilitation and Nursing Center
Adrian, MI
Aerius Health Center
Riverview, MI
Alamo Cove Rehab and Nursing Center
Kalamazoo, MI
Allegan County Medical Care Facility
Allegan, MI
Understanding Nursing Home Data
What the CMS records show for The Timbers of Cass County
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 108 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 The Timbers of Cass County?
Where does The Timbers of Cass County rank among nursing homes in MI?
What are the staffing levels at The Timbers of Cass County?
How many beds does The Timbers of Cass County have?
Does The Timbers of Cass County have any deficiencies on record?
Has The Timbers of Cass County received any fines or penalties?
Who owns The Timbers of Cass County?
When was The Timbers of Cass County last inspected?
What quality measures are tracked for The Timbers of Cass County?
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.
Read our methodology - how this data is sourced, computed, and verified.
