Senior Care Records.

Grand Oaks Nursing Center

600 Denmark Street, Baldwin, MI, 49304

Nursing home79 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 12 deficiencies against Grand Oaks Nursing Center in Baldwin, Michigan at its most recent standard inspection on 2025-03-20, 3 of them arising from complaints. 2 findings have been recorded at the actual-harm level. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
79certified beds
12deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.31
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm

D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

E

Implement a program that monitors antibiotic use.

Infection Control Deficiencies · F0881 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0550 · 2025-03-20 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0657 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0690 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies · F0710 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2024-11-20 · from a complaint · No actual harm, potential for more than minimal harm

E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-10-07 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0842 · 2024-05-23 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Nutrition and Dietary Deficiencies · F0812 · 2024-03-20 · standard survey · No actual harm, potential for more than minimal harm

F

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2024-03-20 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-03-20 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2023-04-05 · standard survey · Actual harm to a resident

G

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.

Quality of Life and Care Deficiencies · F0693 · 2023-04-05 · standard survey · Actual harm to a resident

G
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS4.04375
Nursing staff turnoverShare of nursing staff who left in a year56%
Ownership

Who owns Grand Oaks Nursing Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
ACKERMAN, AMYIndividual10%since 01/01/2012
ACKERMAN, RICKYIndividual10%since 01/01/2012
BAUMGARTEN, MICHAELIndividual10%since 01/01/2012
BAUMGARTEN, THERESEIndividual10%since 01/01/2012
PEPLINSKI, SHELIIndividual10%since 01/01/2012
PEPLINSKI, TODDIndividual10%since 01/01/2012
SCHADE, JEFFERYIndividual10%since 01/01/2012
SCHADE, TAMARAIndividual10%since 01/01/2012
THOMPSON, BRIANIndividual10%since 01/01/2012
THOMPSON, SHELLYIndividual10%since 01/01/2012
PEPLINSKI, TODDIndividualNOT APPLICABLEsince 01/01/2012
SCHADE, JEFFERYIndividualNOT APPLICABLEsince 01/01/2012

Part of the THE PEPLINSKI GROUP group.

Contact

Ask Grand Oaks Nursing Center a question

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What is needed

Grand Oaks Nursing Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 2317454648 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 235499.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction