Nursing HomeInspections

Clearstream Rehabilitation and Nursing Center

Nursing home in Hastings, MI

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (269) 945-9564Send a messageMap ↗

Public-record details

Address
240 E North St, Hastings, MI 49058
Phone
(269) 945-9564
Listed under
For-profit
Medicare CCN
235281
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
98
Average residents per day
88
Ownership
For-profit, individual
Legal business name
Hastings Mi SNF Management LLC
Chain
Avon Healthcare (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 5, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235281. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 5, 2026. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 26, 2024 to May 5, 2026): 10 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 5, 2026Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
May 5, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 5, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
May 5, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 5, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 5, 2026Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 5, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 5, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 26, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 2, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $35,416 in the last three years.

Sep 18, 2024Fine: $19,532
Jun 25, 2024Fine: $15,884

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.35 hours
Registered nurse (RN) time per resident per day
0.50 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
75%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Hastings

Thornapple Manor2700 Nashville Rd · Hastings, MI 49058 · (269) 838-0025 · Government-owned21 health citations in 3 inspection cycles · last standard inspection Apr 23, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Hastings →