Nursing homeActive
Lake Woods Nursing & Rehabilitation Center
1684 Vulcan Street, Muskegon, MI 49442231777251190 certified beds · 84 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
43
● 0● 39● 4
Penalties · 3 yrs
$67,541
2 fines · 2 actions
Last survey
2026-04-15
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-01 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-10-23 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-08-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-20 | Standard | 0131 | CMS-2567 (Care Compare) | — |
| 2024-02-22 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2023-09-12 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-04-27 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 235116-20260415-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 235116-20260210-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-04Record 235116-20250501-F686
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-26Record 235116-20250501-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-26Record 235116-20250501-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-26Record 235116-20250501-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-04Record 235116-20250501-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-26Record 235116-20250501-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-26Record 235116-20250501-F921
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-26Record 235116-20241023-F623
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-26Record 235116-20241023-F626
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-26Record 235116-20241023-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-26Record 235116-20241023-F842
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-20Record 235116-20240819-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-20Record 235116-20240819-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-04Record 235116-20240612-F600
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-06-18Record 235116-20240520-F686
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F561
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F690
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F803
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F825
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 235116-20240520-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 235116-20240520-F882
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 235116-20240222-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 235116-20240222-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 235116-20240222-F697
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 235116-20240222-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 235116-20240222-F761
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-06-26Record 235116-20230912-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235116-20230912-F684
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 235116-20230912-F725
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-23Record 235116-20230427-F677
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-23Record 235116-20230427-F698
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-23Record 235116-20230427-F756
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-23Record 235116-20230427-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-23Record 235116-20230427-F883
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-01 | Civil money penalty | $51,948 | CMS · Penalties |
| 2025-05-01 | Denial of payment for new admissions Payment denial for 8 days, from 2025-05-27 | — | CMS · Penalties |
| 2024-05-20 | Denial of payment for new admissions Payment denial for 35 days, from 2024-06-19 | — | CMS · Penalties |
| 2023-09-12 | Civil money penalty | $15,593 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.70
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day3.87
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.50
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover58%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover36%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.5% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.9% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.3% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.9% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.6% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Vandamme, Karen Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | — | — |
| Solarewicz, Krystyna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wildey, Alicia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Winkels, Kathy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ackerman, Ricky Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ackerman, Ricky Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ackerman, Ricky Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Peplinski, Todd Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Peplinski, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peplinski, Todd Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schade, Jeffery Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schade, Jeffery Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schade, Jeffery Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Solarewicz, Krystyna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Peplinski Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Thompson, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vandamme, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vandamme, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vandamme, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wildey, Alicia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Winkels, Kathy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
The Peplinski Group — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Muskegon.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Christian Care Nursing Center Muskegon | 1.6 mi | 2026-04-29 | 0342 |
| Harbor Terrace Senior Living Muskegon | 1.9 mi | 2026-03-11 | 070 |
| Optalis Health & Rehabilitation of Muskegon Muskegon | 2.8 mi | 2026-05-28 | 1431 |
| Hillcrest Nursing and Rehabilitation Community North Muskegon | 3.8 mi | 2025-12-04 | 0162 |
| Roosevelt Park Nursing and Rehabilitation Communit Muskegon | 3.2 mi | 2026-04-02 | 1490 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |