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West Woods of Bridgman

Bridgman, MI · Berrien County · For profit - Limited Liability company · 92 certified beds

📍 9935 Red Arrow Hwy, Bridgman, MI 49106  ·  📞 (269) 465-3017

Medicare ID: 235625  ·  Last Medicare inspection: Jan 16, 2026

Overall Safety Score
51
out of 100
Serious Concerns
Component Scores
5
Inspection
42
Staffing
96
Enforcement
55
Complaints
66
Quality
📋 Last inspected: January 16, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
5
Staffing
42
Enforcement
96
Complaints
55
Quality Outcomes
66

What the numbers mean

West Woods of Bridgman scored 51 out of 100 — 16 points below the state average of 67.

📋 Inspections: 72 citations over the last 36 months — 32 more than the state average (40). 5 were rated serious (G+) — inspectors found actual or potential harm to residents. 10 findings recurred across inspection cycles — indicating a problem that was not fixed.

🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

🔍 Most cited areas: The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks., The facility did not fully protect higher-risk rooms or equipment areas, such as storage, laundry, kitchens, or other spaces where fire could start or spread faster.. The full report provides the complete citation record with dates, severity levels, and plain-English descriptions.

What inspectors found (last 3 surveys)

72
Total citations
State avg: 40.2
5
Serious (G+)
State avg: 1.8
10
Repeat findings

Top concern areas

53
7
Electrical & Utility Safety
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
3
Hazardous Areas & Fire Risks
The facility did not fully protect higher-risk rooms or equipment areas, such as storage, laundry, kitchens, or other spaces where fire could start or spread faster.

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
Clean enforcement record — No significant federal enforcement actions or fines on record for this facility. This is a positive indicator.
✅ No enforcement actions on record. This facility's enforcement score of 96/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
3.6% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
11.6% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.

Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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What to know about West Woods of Bridgman

West Woods of Bridgman is a Medicare-certified nursing home in Bridgman, MI with 92 certified beds. Its current Senior Care Report Card score is 51/100, placing it in the Serious Concerns range. The latest CMS survey date in our data is Jan 16, 2026. Over the last 36 months, our CMS citation data shows 72 citations, including 5 serious findings and 10 repeat findings. Families comparing this facility should pay close attention to inspection history, staffing, complaint activity before scheduling a tour or accepting placement. Ownership type on file: For profit - Limited Liability company.

⚠️
Overall Assessment — Serious Concerns  ·  51/100
This facility has notable issues in the federal inspection record that require careful evaluation.
What to do next: Do not choose without thoroughly reviewing all citations below and getting answers in writing from management.
👥
Staffing Below Federal Minimum Standards
This facility provides 0.46 RN hours per resident per day — below the CMS minimum of 0.75 hours. Total nurse staffing is 3.64 hours per resident per day. Understaffing is the strongest predictor of poor inspection outcomes. Ask specifically about RN coverage on evenings, nights, and weekends.

What this facility's data shows

📋 Inspections
Inspection record is well below average. Multiple or serious deficiencies found.
👥 Staffing
Staffing is below recommended levels. Ask about RN coverage on nights and weekends.
⚖ Penalties
No significant federal enforcement actions or fines in the record.
💬 Complaints
Higher-than-average complaint volume. Complaint surveys are often triggered by serious resident concerns.
Quality outcomes are acceptable overall but some measures are below benchmarks. See the How Are Residents Doing section.
⚠ Serious Findings on Record: 5 citation(s) where inspectors found actual harm or immediate jeopardy to residents. See Section D for the full details and ask management how each was resolved.
Score breakdown — the numbers behind this assessment
👥 Staffing 42
What it measures RN hours per resident per day, total nurse hours, and RN turnover rate.
💡 Understaffing is the strongest single predictor of poor inspection outcomes.
📋 Inspection 5
What it measures Number, severity (A–L), and scope of deficiencies found. Repeat findings carry extra weight.
💡 Every citation in Section D feeds directly into this score.
⚖ Penalties 96
What it measures Whether CMS escalated from a deficiency citation to actual financial or operational sanctions.
💡 A penalty means the facility already failed a second level of regulatory review.
💬 Complaints 55
What it measures Volume of complaint-triggered inspections and the share that were substantiated.
💡 Complaint surveys are unannounced — they often surface issues annual surveys miss.
🎯 Quality outcomes 66
What it measures Resident outcome measures: falls, pressure ulcers, antipsychotic use, weight loss, hospitalizations.
💡 Reflects the lived experience of residents beyond what inspectors observe.

Each pillar scores 0–100 and is combined into the overall score. A strong overall can mask a weak pillar — compare all four and see how they stack against the state average in Section B.

🏗 How This Facility Compares to MI State Averages

Comparing a facility to others in the same state puts its score in context. A facility might have 8 citations and that could be above average in one state and below in another. Green means this facility is doing better than its peers; red means it's falling short.

Metric This facility MI avg vs. State
Overall score
The combined Senior Care Report Card score out of 100.
51 67 ▼ Worse than state avg
Inspection score
How well the facility performs on standard health surveys.
5 50 ▼ Worse than state avg
Staffing score
RN hours, total nurse hours, and staff turnover from CMS payroll data.
42 63 ▼ Worse than state avg
Penalty score
Fines, payment denials, and enforcement actions on file.
96 71 ▲ Better than state avg
Complaint score
Volume of complaint surveys and substantiated complaints.
55 83 ▼ Worse than state avg
Quality score
Resident clinical outcomes vs national benchmarks: falls, antipsychotics, pain, vaccination, hospitalizations.
66 72 ▼ Worse than state avg
Citations (3 yrs)
Total number of deficiencies cited in the last 36 months.
72 40.2 ▼ Worse than state avg
Serious citations
Citations rated severity G or higher (actual harm or immediate jeopardy).
5 1.8 ▼ Worse than state avg

📅 Inspection Timeline

State health inspectors visit nursing homes on a regular cycle — typically every 12 to 15 months — and document every deficiency they find. The timeline below shows the date and scale of each inspection visit over the past several years. A pattern of worsening surveys is a red flag even if the most recent visit looks clean.

2026-01-16
7 citations  (3 serious)
2025-08-20
30 citations  (1 serious)
2025-05-13
1 citations
2024-08-22
13 citations
2024-05-30
2 citations
2023-06-28
19 citations  (1 serious)

Bar length proportional to citation count. Red = serious findings (severity G+). Orange = elevated. Green = low.

📄 Full Citation Record

Every time state inspectors visit a nursing home, they write up anything that doesn’t meet federal standards. Each write-up is called a citation.

Each citation shows what the problem was and how serious it was, using a color-coded badge:

Confused by codes like F0732 or K0363? Use the free inspection report decoder to understand F-tags, fire-safety K-tags, severity letters, and repeat findings. Get the decoder →
Green — No residents harmed Yellow — Risk of harm, no injury Orange — A resident was harmed Red — Life or safety in danger

A Repeat tag means the same problem appeared in a previous inspection — it was not fully corrected the first time. Citations shown cover the last two years.

Survey: 2026-01-16 7 citation(s) — 3 serious
F0684 Immediate danger
Quality of care
F0725 Resident was harmed
Adequate & competent nursing staff
F0940 Resident was harmed
F0940
F0656 No harm, could worsen
Comprehensive care plan
F0760 No harm, could worsen
Medication error — no significant harm
F0730 No harm
Specialist consultant services
F0947 No harm
Nurse aide training program
Survey: 2025-08-20 30 citation(s) — 1 serious
F0689 Resident was harmed
Accident & hazard prevention
E0024 No harm, could worsen
E0024
K0341 No harm, could worsen
Fire safety: fire alarm system installation
The facility had a problem with fire alarms, smoke detectors, alarm testing, or alarm outage procedures. These systems warn staff and residents when fire or smoke is detected.
E0022 No harm, could worsen
E0022
E0015 No harm, could worsen
E0015
E0004 No harm, could worsen
E0004
E0039 No harm, could worsen
E0039
K0353 No harm, could worsen
Fire safety: sprinkler system maintenance and testing
The facility had a problem with sprinkler coverage, maintenance, testing, or outage procedures. Sprinklers are a key fire-protection system that help control fires before residents are in danger.
E0006 No harm, could worsen
E0006
E0007 No harm, could worsen
E0007
E0018 No harm, could worsen
E0018
K0920 No harm, could worsen
Electrical safety: power strips and extension cords
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
F0550 No harm, could worsen
Resident rights & dignity
F0880 No harm, could worsen
Infection prevention & control
F0921 No harm, could worsen
F0921
K0211 No harm, could worsen
Fire safety: safe exit routes
The facility had a problem with exits, stairways, emergency lighting, or evacuation routes that residents and staff may need during a fire or emergency.
K0324 No harm, could worsen
Fire safety: cooking equipment and kitchen protection
The facility did not fully protect higher-risk rooms or equipment areas, such as storage, laundry, kitchens, or other spaces where fire could start or spread faster.
K0753 No harm, could worsen
K0753
Fire and life safety requirement. This is a building, fire protection, emergency preparedness, or electrical-safety issue found during a CMS life-safety inspection. Families should ask what was repaired, when it was corrected, and whether staff were retrained.
K0293 No harm, could worsen
Fire safety: hazardous area doors
The facility did not fully protect higher-risk rooms or equipment areas, such as storage, laundry, kitchens, or other spaces where fire could start or spread faster.
F0680 No harm, could worsen
F0680
K0372 No harm, could worsen
Fire safety: smoke barriers must be maintained
The facility had a problem with corridor doors, smoke doors, or hallway barriers that are supposed to slow smoke and fire spread so residents have time to evacuate or shelter safely.
F0677 No harm, could worsen
Personal hygiene & grooming assistance
F0645 No harm, could worsen
BHP referral requirements
F0761 No harm, could worsen
Medication storage & labeling
F0684 No harm, could worsen
Quality of care
F0842 No harm, could worsen
Medical records accuracy & security
F0695 No harm, could worsen
Respiratory care
F0679 No harm, could worsen
Activities program
F0686 No harm, could worsen
Pressure ulcer prevention & treatment
F0628 No harm
F0628
Survey: 2025-05-13 1 citation(s)
F0825 No harm, could worsen
F0825
Survey: 2024-08-22 13 citation(s)
K0324 No harm, could worsen
Fire safety: cooking equipment and kitchen protection
The facility did not fully protect higher-risk rooms or equipment areas, such as storage, laundry, kitchens, or other spaces where fire could start or spread faster.
K0918 No harm, could worsen
Electrical safety: essential electrical system maintenance
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
K0521 No harm, could worsen
Fire safety: fire pump inspection and testing
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
K0511 No harm, could worsen
Fire safety: gas, electric and utility systems
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
K0923 No harm, could worsen
Gas safety: medical gas storage and handling
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
K0920 No harm, could worsen
Electrical safety: power strips and extension cords
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
F0657 No harm, could worsen
Care plan timing & review
F0677 No harm, could worsen
Personal hygiene & grooming assistance
F0880 No harm, could worsen
Infection prevention & control
F0699 No harm, could worsen
F0699
F0689 No harm, could worsen
Accident & hazard prevention
F0656 No harm, could worsen
Comprehensive care plan
F0868 No harm, could worsen
Facility assessment
🩹

How Are Residents Doing?

Inspections tell you whether a facility followed the rules. These measures tell you how residents actually fared — whether they fell, experienced pain, lost weight, or were over-medicated. CMS collects this data through regular clinical assessments that nurses complete for every resident. Unlike inspections, which happen once a year, these assessments happen continuously.

✓ Positive signal: Most star-rated quality measures for this facility are within a good range, suggesting residents\' day-to-day wellbeing compares favorably to typical nursing homes.

How to read these cards: Each card shows one measure. Lower percentages are better for most (e.g. fewer falls), but higher is better for vaccination rates and community return. ★ Star rating marks measures CMS uses in its official quality star rating.

Long Stay Residents — 2025Q1-2025Q4
★ Star rating
Daily activity decline
9.3% lower is better
Share of long-stay residents who lost the ability to dress, eat, or move around independently over the past year. Rising rates can signal that residents aren't receiving enough physical therapy or that staffing is too thin to support mobility.
★ Star rating
Urinary tract infections
0.0% lower is better
Share of long-stay residents who had a urinary tract infection. While some UTIs are unavoidable, high rates can point to poor hydration practices, catheter hygiene, or rushed care routines.
★ Star rating
Antipsychotic medication use
3.6% lower is better
Share of long-stay residents given antipsychotic drugs. These medications carry serious risks for older adults. High use often signals that a facility is medicating residents to manage behavior instead of addressing needs through attentive, person-centered care.
★ Star rating
Percentage of long-stay residents experiencing on…
2.0% lower is better
Percentage of long-stay residents experiencing one or more falls with major injury
★ Star rating
Flu vaccination rate
11.6% higher is better
Share of long-stay residents vaccinated against the flu. Nursing homes are high-risk environments for flu outbreaks. Anything below 90% warrants a question about the facility's vaccination policy.
★ Star rating
Percentage of long-stay residents with pressure u…
2.0% lower is better
Percentage of long-stay residents with pressure ulcers
★ Star rating
Percentage of long-stay residents who received an…
20.4% lower is better
Percentage of long-stay residents who received an antipsychotic medication
Physical restraints used
9.4% lower is better
Share of long-stay residents physically restrained (lap belts, side rails). Federal regulations require restraints to be a last resort. High use is a red flag for understaffed facilities cutting corners on behavioral care.
Signs of depression
0.0% lower is better
Share of long-stay residents showing symptoms of depression. Social isolation, lack of meaningful activities, and poor staffing all contribute. This measure reflects the emotional quality of life inside the facility.
Unexplained weight loss
0.0% lower is better
Share of long-stay residents who lost 5% or more of body weight unexpectedly. This can indicate inadequate nutrition, difficulty eating without assistance, or unaddressed medical issues.
Percentage of long-stay residents assessed and ap…
97.6% lower is better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Pneumonia vaccination rate
21.8% higher is better
Share of long-stay residents vaccinated against pneumococcal pneumonia — one of the leading causes of death in older adults. Higher is better.
Percentage of long-stay residents assessed and ap…
100.0% lower is better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Percentage of long-stay residents with new or wor…
17.7% lower is better
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Short Stay Residents — 2025Q1-2025Q4
★ Star rating
Worsening depression symptoms
1.0% lower is better
Share of long-stay residents whose depression got measurably worse over the past year — despite being in a care facility.
Percentage of short-stay residents assessed and a…
88.0% lower is better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Emergency room visits (short-stay)
89.8% lower is better
Share of short-stay residents sent to the ER during their recovery stay. ER visits are disruptive for recovering patients and sometimes avoidable with better on-site clinical management.

Source: CMS MDS Quality Measures (2025Q1-2025Q4). Collected via standardized clinical assessments — not inspector visits.

🏥

Hospitalization & ER Visits

These numbers come directly from Medicare claims — real billing records of every time a resident was hospitalized or sent to the emergency room. They\'re among the most objective measures of care quality because they can\'t be influenced by how a facility writes up an assessment. The adjusted score is the most meaningful number — it\'s been corrected to account for how sick residents were, so a facility treating frailer patients isn\'t unfairly penalized.

What to look for: An adjusted score significantly above the expected score means this facility hospitalizes residents more often than peer facilities with similar patient populations — that gap is worth asking about directly.

Long Stay Residents — 20241001-20250930
★ Star rating
Number of hospitalizations per 1000 long-stay res…
2.6% risk-adjusted rate
Actual: 2.0% Expected: 1.4%
About the same as similar facilities
Number of hospitalizations per 1000 long-stay resident days
★ Star rating
Number of outpatient emergency department visits …
1.0% risk-adjusted rate
Actual: 0.7% Expected: 1.2%
About the same as similar facilities
Number of outpatient emergency department visits per 1000 long-stay resident days

Source: CMS Medicare claims data. Scores are risk-adjusted — they account for how ill residents were when admitted so facilities treating sicker populations aren\'t penalized for it.

💬 Questions to Ask Before Touring

These questions are generated specifically from this facility's score profile and citation history — not a generic checklist. A facility's willingness to answer them openly, and the quality of their answers, is itself an important signal. Bring this list when you tour or call.

  1. Federal inspectors found 5 citations rated as causing actual harm or immediate jeopardy in the public record. Walk us through each incident: what happened, who was affected, and what specific policy or staffing changes have been put in place since?
  2. CMS data shows this facility is significantly below the state average for total nurse hours and RN-specific hours per resident day. What is the actual RN coverage on evenings, nights, and weekends — not the regulatory minimum, but what residents consistently receive?
  3. What is your 90-day CNA and nurse turnover rate? How do you ensure a resident sees the same familiar caregivers across a given week?
  4. How do you handle formal complaints from residents or families, and what is your typical time to resolution?
  5. 5 citations in the public record were rated as causing actual harm to a resident. Can you describe what occurred in each case and what specific safeguards are now in place?
  6. Can we speak privately with two or three current residents or their families?

👪 Family Decision Guide

This guide translates this facility's data into practical next steps for families. It is not a recommendation for or against placement — it is a structured framework for the conversations you need to have before making a decision.

✓ Positives to confirm

  • No significant penalty history — a positive indicator of consistent compliance
  • No pattern of repeat violations detected

⚠ Areas to probe

  • Inspection score is low — ask for the most recent state survey results
  • Staffing concerns — request staffing schedules and ask about agency nurse use
  • Elevated complaint activity — ask how resident concerns are investigated
  • Serious-harm citations on record — require a written explanation of corrective action
  • Always speak with at least two current residents or family members independently

📈 Score History

The score is recalculated every time CMS releases updated data (typically monthly). A consistent downward trend is more concerning than a single low score. An improving trend after a period of poor performance may indicate management changes are taking effect. Use the free facility-watch form above to get email alerts when this facility's record changes materially.

2026-05-27
51 — Concerning

🏢 Ownership & Operators

Ownership matters because large corporate chains sometimes prioritize cost controls over care quality. CMS requires every nursing home to disclose its owners, operators, and managing employees. Frequent ownership changes can disrupt staffing and operations — which is why we flag facilities that changed ownership in the past 12 months.

🔗 P&M HOLDING GROUP LLP operates 8 facilities across MI, WI, CA, IA. A mid-size operator; compare scores across their other facilities if evaluating multiple options.
Owner / Operator Role Ownership % Effective
P&M HOLDING GROUP LLP Organization 1970-01-01
SCHADE, JEFFERY Individual 1970-01-01
THE PEPLINSKI GROUP INC Organization 1970-01-01
ACKERMAN, AMY Individual 1970-01-01
SCHADE, TAMARA Individual 1970-01-01
THOMPSON, BRIAN Individual 1970-01-01
TORREY, WENDELL Individual 1970-01-01
THOMPSON, SHELLY Individual 1970-01-01
ACKERMAN, RICKY Individual 1970-01-01
WINKELS, KATHY Individual 1970-01-01
PEPLINSKI, SHELI Individual 1970-01-01
PEPLINSKI, TODD Individual 1970-01-01
BAUMGARTEN, MICHAEL Individual 1970-01-01
BAUMGARTEN, THERESE Individual 1970-01-01
SOLAREWICZ, MACIEJ Individual 1970-01-01
RED ARROW PROPERTY HOLDINGS, LLC Organization 1970-01-01
PEPLINKSI HOLDINGS, INC. Organization 1970-01-01
PLANTE & MORAN Organization 1970-01-01

🔔 Monthly tracking is now free

We check CMS data monthly. Use the tracking form above and we will email you when new citations appear, scores change, or enforcement actions are added.

📋
Monthly report update
New citation alerts
📈
Score trend tracking
🏠 Verify this data on Medicare.gov
All data in this report comes from the CMS Care Compare database. You can review the official public record directly on Medicare.gov — including the full inspection narrative, star ratings, and any recent enforcement actions.
View on Medicare.gov ↗

This report reflects publicly available CMS data only and is updated monthly. Severity codes and narratives are reproduced directly from the CMS health inspection database. Senior Care Report Card scores are independently computed and are not affiliated with or endorsed by CMS or Medicare.gov.

Frequently asked questions

What is the Senior Care Report Card safety score for West Woods Of Bridgman?
West Woods Of Bridgman has an independently computed Safety Score of 51 out of 100, based on CMS inspection findings, staffing levels, penalty history, complaint volume, and quality measures.
Where is West Woods Of Bridgman located?
West Woods Of Bridgman is located in Bridgman, MI. View the full address, phone number, and a map at the top of this report.
How many beds does West Woods Of Bridgman have?
West Woods Of Bridgman is certified for 92 beds in the CMS Care Compare dataset.
When was the most recent CMS health inspection at West Woods Of Bridgman?
The most recent CMS health inspection summarized in this report was completed on January 16, 2026. CMS publishes a new inspection cycle approximately every 12 months.
What does the Senior Care Report Card Safety Score measure?
The Safety Score (0-100) combines five public-data signals: CMS health inspection severity, nursing staffing hours per resident, civil monetary penalties, complaint counts, and quality measures. Methodology and weightings are documented at /how-it-works/.
Is the report on West Woods Of Bridgman affiliated with the facility?
No. This report is independently computed from public CMS Care Compare data and is not affiliated with West Woods Of Bridgman, CMS, or Medicare.gov. It is provided as a research aid for families.

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 27, 2026.