West Woods of Niles
Niles, Michigan · CCN 235594
29 surveys since 2011, 9 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
- 110
- Surveys
- 29
- Harm or worse
- 9
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 121
- Ownership
- For profit - Corporation
- Chain
- THE PEPLINSKI GROUP
- County
- Berrien
- Medicare-certified since
- 2000
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer 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
Jul 16, 2026
116 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.92 | 3.66 |
| Registered-nurse hours per resident day | 0.57 | — |
| Annual nurse turnover | 38.1% | 47.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,800 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.3% | K— | L— |
| Actual harm | G49.3% | H— | I— |
| No harm, potential for more than minimal | D2967.4% | E511.6% | F49.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8804×
Provide and implement an infection prevention and control program.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at West Woods of Niles, in the surveyor’s own words.
- Immediate jeopardy, isolatedF686Feb 10, 2026
This citation pertains to intake # 2715364.Based on interview and record review, the facility failed to provide quality wound care to promote healing and prevent the deterioration of a pressure ulcer for 1 (Resident #121) of 3 residents reviewed for wound care resulting in an Immediate Jeopardy when on 1/8/26, Resident #121 was hospitalized with altered mental status and septic shock (life-threatening condition caused by a severe infection) from a necrotic (death of cells in tissue) sacral ulcer (pressure ulcer at the base of the spine) with osteomyelitis (infection in a bone) requiring surgical intervention and bone debridement. […]
- Actual harm, isolatedF760Nov 19, 2025
This citation pertains to intakes: 2659614 & 2661255Based on interview and record review, the facility failed to prevent significant medication errors for 1 resident (Resident #100) of 7 residents reviewed for medication errors, resulting in a change in condition, emergent transfer, and hospitalization for Resident #100. Findings include: Resident #100: Review of an admission Record revealed Resident #100 was a female with pertinent diagnoses which included dementia, dysarthria (a motor speech disorder that causes slurred or slow speech due to weak or uncoordinated speech muscles), memory deficit following a stroke, Alzheimer's disease, diabetes, metabolic encephalopathy (a brain disfunction caused by systemic metabolic problem such as liver or kidney failure, diabetes, sepsis), cognitive… […]
- Actual harm, isolatedF684Jul 3, 2024
This citation pertains to intake MI00143902 Based on interview and record review the facility failed to ensure a timely assessment for a change in condition in 1 (Resident #100) of 1 resident reviewed for timely assessment for a change in condition resulting in the delay of communication with a provider, delay of transfer to acute care setting for evaluation and a delay of treatment. Findings include: Resident #100 Review of an Admission Record revealed Resident #100 had pertinent diagnoses which included: rhabdomyolysis (muscle breakdown that causes toxins to leak into the bloodstream), abnormalities of gait (walking) and mobility, and acidosis (blood becomes too acidic due to problems related to kidneys or lungs). […]
- Actual harm, isolatedF686Jul 3, 2024
This citation pertains to Intake MI00144494 Based on interview and record review the facility failed to prevent the worsening of a pressure ulcer in 1 (Resident #101) of 2 residents reviewed for pressure ulcers resulting in Resident #101 being sent to the hospital for evaluation and/or treatment. Findings include: Resident #101 Review of an Admission Record revealed Resident #101 had pertinent diagnoses which included: pressure ulcer of the sacral region stage 4, osteomyelitis of the vertebra, sacral and sacrococcygeal region (infection of the vertebra bone in the sacral region), and functional quadriplegia (the complete inability to move). […]
- Actual harm, isolatedF689Mar 14, 2024
This citation pertains to intake numbers MI00143061 and MI00143279. Based on interview and record review the facility failed to ensure that staff followed care planned interventions and professional standards of care for 2 residents (Resident #1 & #3) out of 5 residents reviewed for accidents and hazards, resulting in major injuries (fractures) after avoidable falls. Findings: Resident #1 (R1) Review of an admission record reflected R1 admitted to the facility with the following pertinent diagnoses: muscle weakness, abnormalities of gait and mobility, erosive osteoarthritis, difficulty walking and a need for assistance with personal care. […]
Read 28 findings in full →The most serious and the most recent: 28 of 110 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 16, 2026Complaint2 findings
- Feb 10, 2026Standard and complaint18 findings · 1 harm
- Dec 10, 2025Complaint2 findings
- Nov 19, 2025Complaint1 finding · 1 harm
- Jan 9, 2025Standard and complaint7 findings
- Jul 3, 2024Complaint4 findings · 2 harm
- Mar 14, 2024Complaint2 findings · 1 harm
- Feb 1, 2024Complaint1 finding
Show the 21 earlier surveys
- Nov 29, 2023Standard6 findings
- Feb 1, 2023Complaint1 finding · 1 harm
- Nov 17, 2022Standard5 findings
- Oct 12, 2022Complaint2 findings
- Mar 3, 2022Complaint3 findings
- Nov 23, 2021Complaint1 finding
- Aug 11, 2021Standard2 findings
- Feb 18, 2021Complaint1 finding
- Sep 4, 2020Infection control3 findings
- Sep 18, 2019Standard5 findings · 1 harm
- Sep 6, 2018Complaint2 findings · 1 harm
- Jul 12, 2018Standard2 findings
- May 23, 2017Standard6 findings
- Feb 1, 2017Complaint1 finding
- Apr 14, 2016Standard5 findings
- Feb 26, 2015Standard7 findings
- Jul 2, 2014Complaint2 findings
- Feb 6, 2014—2 findings
- Mar 21, 2013—5 findings · 1 harm
- Apr 20, 2012—9 findings
- Mar 25, 2011—3 findings
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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