Nursing home
Clearstream Rehabilitation and Nursing Center
240 E North St, Hastings, MI 49058 · Map
For profit - Individual · Part of Avon Healthcare (9 facilities) · 98 certified beds
Clearstream Rehabilitation and Nursing Center is a Medicare-certified nursing home in Hastings, Michigan. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.09 hours per resident per day, below the Michigan average of 4.03. Its most recent inspection on Apr 2, 2025 cited 16 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $35,416In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Clearstream Rehabilitation and Nursing Center compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.09 | 4.03 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.93 | 2.38 | 2.34 | below avg |
| Nursing staff turnover | 63.1% | 44.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $35,416, 2 total penalties.
What inspectors found at Clearstream Rehabilitation and Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Protect 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 Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Apr 2, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Provide or arrange emergency care by a doctor 24 hours a day.
Nursing and Physician Services Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 2, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 240 E North St
Hastings, MI 49058 - CMS certification #
- 235281
- Ownership
- For profit - Individual
- Certified beds
- 98
- Avg residents/day
- 87.8
- Provider type
- Medicare and Medicaid
- First certified
- 1976-04-05
- Chain
- Avon Healthcare (9 facilities)
- Setting
- Urban
Part of Avon Healthcare
Avon Healthcare operates 9 nursing facilities across the United States. View all Avon Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Clearstream Rehabilitation and Nursing Center using Google Maps.
Other public records
- Website says Respite stays
Full public records, with dates and sources
Care and services
From the community’s website
What Clearstream Rehabilitation and Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
We chose Clearstream for respite care and couldn't be happier.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Corewell Health Pennock Hospital, Hastings. 1.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Thornapple Manor, Hastings. 4.1 miles away, straight line.
- Nearest home health agency office
- Alpine Care Home Health, Grand Rapids. 21.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hastings Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 49058 as small town (small town high commuting).
- Dialysis within 15 miles
- Fresenius Medical Care - Hastings, Hastings, 1.4 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 49058.
West Michigan Hospice, LLC, office in Caledonia, 19.5 miles away, straight line
Crossbridge Hospice, office in Kentwood, 20.6 miles away, straight line
Faith Hospice At Trillium Woods, office in Byron Center, 22.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Bronson Methodist Hospital, Battle Creek. 19.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Clearstream Rehabilitation and Nursing Center a good nursing home?
CMS gives Clearstream Rehabilitation and Nursing Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Clearstream Rehabilitation and Nursing Center staffed?
Clearstream Rehabilitation and Nursing Center reports 3.09 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has Clearstream Rehabilitation and Nursing Center had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Clearstream Rehabilitation and Nursing Center have?
Clearstream Rehabilitation and Nursing Center is certified for 98 beds.