Clearstream Rehabilitation And Nursing Center
240 E North St, Hastings, MI, 49058
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Avon Healthcare
- Certified beds
- 98 · avg 83 residents/day
- Total nursing staff turnover
- 59.8% — higher than most Michigan nursing homesMichigan avg: 44.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 62.5% — higher than most Michigan nursing homesMichigan avg: 39.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Michigan averageMichigan avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $35,416 total
Medicare certification
- CMS Certification Number
- 235281
- Certified beds
- 98 beds · avg 83 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hastings Mi Snf Management Llc
- Chain affiliation
- Avon Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avon Healthcare chain — 9 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (13 on record)
- Patrick Melder
Adp of The Snf · since 2025
- Carter Wingler
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2023
- Eliyahu Freund
Adp of The Snf · since 2022
- Joshua Koenig
5% or Greater Indirect Ownership Interest · 8% · since 2022
- Moshe Gottlieb
5% or Greater Indirect Ownership Interest · 45% · since 2022
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0600·Feb 26, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0602·Apr 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0880·Apr 2, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0806·Apr 2, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D0761·Apr 2, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0759·Apr 2, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0713·Apr 2, 2025
Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
- D0689·Apr 2, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20242 fines · $35K
Most recent events
- Sep 18, 2024Fine · $20K
- Jun 25, 2024Fine · $16K
Largest single fine on record: $20K.
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Apr 2, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Clearstream Rehabilitation And Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.