Deficiency Index

The Timbers of Cass County

Dowagiac, Michigan · CCN 235652

40 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
188
Surveys
40
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file33/40

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
108
Ownership
For profit - Limited Liability company
Chain
ATRIUM CENTERS
County
Cass
Medicare-certified since
2010

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 89 for-profit facilities of 100–127 beds in Michigan.

Last survey on record

May 14, 2026

179 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.463.66
Registered-nurse hours per resident day0.69—
Annual nurse turnover28.9%47.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3378.6%E511.9%F49.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 42 of the 188 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6793×

    Provide activities to meet all resident's needs.

  • F8123×

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

  • F6582×

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

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at The Timbers of Cass County, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jan 8, 2026

    Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings include: On 1/6/26 at 10:42AM, three boxes of nutritional supplements (chocolate, vanilla, strawberry) were found in the walk-in cooler with each box containing 24 to 36 cartons. Further review of the boxes found the strawberry box with a facility date of 11/18/25 and the chocolate and vanilla boxes with a facility date of 12/17/25. An interview at this time with Dietary Supervisor (DS) Q found that the dates on the boxes are usually the date the boxes are pulled from the freezer. […]

  • No harm, potential for more than minimal, widespreadF880Jan 8, 2026

    Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.Findings include:On 1/6/26 at 1:25 PM, an interview with Maintenance Supervisor C, regarding the facilities Water Management Plan, found that the facility flushes water fixtures weekly to help remove stagnant water. When asked if the facility measures disinfection levels in the water, MS C stated he has a water strip test he does monthly that indicates levels of free chlorine and other factors within the water. […]

  • No harm, potential for more than minimal, widespreadF812Oct 31, 2024

    Based on observation and interview, the facility failed to: 1. Properly label/date and securely store food product once opened or prepared; 2. Discard expired food items; and 3. ensure cleanliness of food and non-food contact surfaces. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected all residents who consume food/supplement from the kitchen and from nourishment room refrigerators/freezers. Findings include: An initial kitchen/food service tour was conducted on [DATE] beginning at 9:35 AM with Dietary Supervisor (DS) Z. […]

  • No harm, potential for more than minimal, widespreadF812Oct 11, 2023

    Based on observation, interview, and record review the facility failed to: 1. Ensure general cleaning and general repair of the kitchen; 2. Clean food and non-food contact surfaces to sight and touch; 3. Maintain an environment free from pests; 4. Properly store food product; and 5. Ensure a convenient number of hand sinks in the kitchen. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 93 residents who consume food from the kitchen. Findings include: 1. During the initial tour of the kitchen, at 9:55 AM on 10/9/23, it was observed that the perimeter floor juncture of the walk-in cooler, as well as the area around the wheels of the storage racks, were found with an accumulation of crumb and black spotted debris. […]

  • No harm, potential for more than minimal, widespreadF880Oct 12, 2022

    This deficiency has Three (3) Deficiency Practice Statements Deficient Practice Statement #1 Based on observation, interview, and record review, the facility failed to effectively maintain clean laundry transportation cart covers effecting 93 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and reduced infection control. Findings include: On 10/05/22 at 08:56 A.M., Laundry Aide E was observed transporting a clean linen laundry transportation cart, within the Evergreen Way corridor. […]

Read 25 findings in full →The most serious and the most recent: 25 of 188 on record.

Every survey on record

FindingsAt actual harm or above

  • May 14, 2026Complaint1 finding
  • Feb 19, 2026Complaint1 finding
  • Jan 8, 2026Standard10 findings
  • Mar 12, 2025Complaint4 findings
  • Oct 31, 2024Standard and complaint14 findings
  • Jun 21, 2024Complaint4 findings
  • Oct 11, 2023Standard and complaint8 findings
  • Feb 22, 2023Complaint2 findings
Show the 32 earlier surveys
  • Dec 21, 2022Complaint5 findings
  • Oct 12, 2022Standard13 findings
  • Mar 31, 2022Complaint2 findings
  • Mar 4, 2022Complaint1 finding
  • Aug 18, 2021Infection control1 finding
  • Jul 12, 2021Standard22 findings
  • Apr 14, 2021Complaint3 findings
  • Feb 24, 2021Complaint2 findings
  • Oct 29, 2020Complaint1 finding
  • May 28, 2020Infection control1 finding
  • Mar 17, 2020Standard and complaint7 findings · 1 harm
  • Oct 3, 2019Complaint2 findings
  • May 16, 2019Complaint6 findings
  • Feb 13, 2019Standard13 findings
  • Nov 30, 2018Complaint2 findings
  • Jun 7, 2018Complaint2 findings
  • Jan 26, 2018Standard4 findings
  • Jan 9, 2018Complaint2 findings
  • Apr 20, 2017Complaint2 findings
  • Nov 3, 2016Standard1 finding
  • Oct 27, 2016Complaint2 findings · 1 harm
  • Oct 22, 2015Standard13 findings · 1 harm
  • Oct 6, 2015Complaint1 finding
  • Jul 22, 2015Complaint2 findings
  • Nov 21, 2014Standard and complaint7 findings · 1 harm
  • Nov 7, 2013—3 findings
  • Oct 24, 2013—2 findings
  • Feb 26, 2013—4 findings
  • Nov 9, 2012—7 findings
  • Jan 20, 2012—9 findings
  • Dec 6, 2011—1 finding · 1 harm
  • Apr 26, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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