HomeMichiganBarry CountyClearstream Rehabilitation and Nursing Center
D
Poor

Clearstream Rehabilitation and Nursing Center

240 E NORTH ST · HASTINGS, MI 49058

2699459564 · For profit - Individual

98 beds87.8 residents160 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Clearstream Rehabilitation and Nursing Center receives an overall staffing grade of D (Poor). With 3.0925 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3217 HPRD, below the recommended 0.75. It is 0.80 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.28% compared to weekdays. The facility uses a moderate level of agency staff (10.31% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0925 HPRD — needs 0.39 more hours per resident per day.
⚠️RN staffing (0.3217 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.0925hrs/resident/day 0.80
CMS benchmark: 3.48
RN HPRD
0.3217hrs/resident/day 0.36
Recommended: 0.75
Weekend Drop-off
15.28%
3.2321 weekday → 2.7382 weekend
Agency Staff
10.31%
5.98% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.8671hrs/resident/day
Direct care aides
LPN HPRD
0.8369hrs/resident/day
Licensed practical nurses
Consistency
0.308std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Barry County Average-0.92 HPRD
4.01
03.09 HPRD
vs. Michigan State Average-0.93 HPRD
4.03
03.09 HPRD
vs. National Average-0.80 HPRD
3.90
03.09 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Clearstream Rehabilitation and Nursing Center
HASTINGS · This facility
D
3.09250.3217★★☆☆☆
Thornapple Manor
Hastings
4.1 mi
A
4.92680.8711★★★★★
The Laurels of Sandy Creek
Wayland
17.9 mi
C
3.34070.8333★★★☆☆
The Laurels of Kent
Lowell
18.9 mi
D
2.95510.4339★★☆☆☆
The Laurels of Bedford
Battle Creek
21.8 mi
D
2.97730.6468★★★☆☆
Majestic Care of Battle Creek
Battle Creek
22.8 mi
C
3.26340.7107★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
44
Total Deficiencies
$35,416
Fines Assessed
Apr 2, 2025Health
16 deficiencies cited
Sep 18, 2024Health
3 deficiencies cited· Includes actual harm
Jun 25, 2024Health
5 deficiencies cited· Includes actual harm
Mar 26, 2024Health
12 deficiencies cited· Includes actual harm
Apr 26, 2023Health
8 deficiencies cited

Penalty History

Sep 18, 2024Fine
$19,532
Jun 25, 2024Fine
$15,884
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.