Grand Oaks Nursing Center
Grand Oaks Nursing Center
4.7 (37 reviews)
Skilled Nursing Facility • 79 Licensed Beds
600 Denmark St, Baldwin, MI
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Grand Oaks Nursing Center

Skilled Nursing Facility • 79 Licensed Beds
600 Denmark St,
Baldwin, MI
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Grand Oaks Nursing Center – Medicare Certified Since 1990

Grand Oaks Nursing Center is a Medicare and Medicaid certified skilled nursing facility located in Baldwin, Michigan. This is a for profit - corporation facility that has been serving the community for 36 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 79 certified beds with a current occupancy rate of 76% (averaging 60 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.94 hours of total nursing care per resident per day (2.71 hours from CNAs, 0.66 hours from LPNs, 0.57 hours from RNs). Physical therapy staffing is 0.02 hours per resident per day.

Medicare Quality Ratings: According to CMS, Grand Oaks Nursing Center has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Grand Oaks Nursing Center compares to 120 facilities in Rural MI

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
3.4
Quality Measures
Clinical outcomes & safety
4
3.8
Health Inspections
State survey results
3
2.9
Staffing
Nurse-to-resident ratio
3
3.9
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.57 hrs
0.94 hrs
LPN/LVN Hours
Licensed practical nurses
0.66 hrs
0.59 hrs
CNA Hours
Certified nursing assistants
2.71 hrs
2.49 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.93 hrs
4.02 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
23.9 %
2.4 %
LPN/LVN Agency Use
% of LPN hours from contractors
2.6 %
6.7 %
CNA Agency Use
% of CNA hours from contractors
0 %
3.3 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
62 %
40 %
Occupancy Rate
Percentage of beds filled
76 %
80 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$336
$457
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 120 facilities in Rural MI.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of March 2026

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
4/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 120 other nursing homes in Rural MI

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Grand Oaks Nursing Center
Rural MI Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Grand Oaks Nursing Center
Rural MI Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Grand Oaks Nursing Center
Rural MI Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Grand Oaks Nursing Center
Rural MI Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of March 2026

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
162
minutes/day
CNAs
Certified Nursing Assistants
39
minutes/day
LPNs
Licensed Practical Nurses
34
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Grand Oaks Nursing Center
Rural MI Average (80.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of March 2026

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$336
per resident per day
Compared to 120 facilities in your area
Below local median ($457)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
0% -8% Above
Net Income
Annual profit or loss
$400,710 $-56,890 Above
Staff Cost per Resident
Daily salary expense per resident
$148/day $166/day Lower
Occupancy Rate
Bed utilization percentage
76% 74% Higher
Est. Daily Rate
Average revenue per patient day
$336/day $457/day Lower
Total Beds
Licensed bed capacity
79 85 Smaller

Local comparisons based on 120 skilled nursing facilities in the Michigan (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$8,439,363
Operating Expenses
Total operating costs
$8,444,236
Total Salaries
Staff compensation
$3,774,619

Payer Mix

Medicare
5%
Medicaid
77%
Private Pay & Other
18%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
25,582
Medicare
Short-term skilled nursing
5%
Medicaid
Long-term care residents
77%
Private Pay / Other
Self-pay, insurance, VA
18%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
253.29
days
Medicare Stays
44.52
days
Medicaid Stays
304.37
days
Total Admissions
162
Total Discharges
101
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in BALDWIN

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Reviews

4.7 (37 reviews)
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Grand Oaks Nurse's profile photo
Grand Oaks Nurse in the last week

When my grandmother was admitted to Grand Oaks for end-of-life care, the compassion and support we experienced were truly remarkable. The staff went above and beyond to meet her every need and honor her wishes, always with kindness and patience. Their dedication to advocating for residents and making sure they feel safe and cared for is evident in every interaction. The relationships the team builds with residents and families show just how much they genuinely care. Whether someone is here for long-term care or a short stay, the staff work tirelessly to make sure each resident’s needs and goals are met. I am so proud to be part of the Grand Oaks family, where love, dedication, and compassion are at the heart of everything we do. It’s the people—the staff—who make Grand Oaks such a warm, caring, and special place. I would happily bring other family members in need of nursing care to Grand Oaks, knowing they would receive the same exceptional care and support.

Kiarie Williams's profile photo

Would put 0 stars if I could. My experience with Grand Oaks has been nothing short of awful. The way this facility treats its employees is completely unacceptable. Staff are routinely pushed into multiple, inhumane 16-hour shifts a week, and if you refuse, you're written up. They act as if they own you. They do absolutely nothing for staff retention and the turn over rate is awful (this has a HUGE effect on the residents overall psych and experience) I could write a book about the administrator. She behaves as if she's above everyone else, employees and residents included, speaking to people in a rude and unprofessional manner that I have never seen before in my CNA career. She is genuinely the most evil person I have ever met in my life. If it's not about her or benefits her she does not care. Employees or residents cannot even write grievances about the administrator or the facility to corporate because they land on her desk, which she laughs at and nothing is done about the issues. (the DON openly admitted this. Every complaint WILL end up on her desk and nothing will be done). The administrator will actually go out of her way to make people's lives hell. She has ran staff out of the facility with 10+ years in the building and has even gone as far as to call other work places they have applied to, to make things up and slander their name so they do not get the job. As far as I know, this is illegal. Truthfully pitiful. She screams at management and staff for minor issues that can very well be discussed in a calmly manner (most the times they aren't even in the wrong, she just picks people to bully). The DON acts friendly to your face but makes decisions that benefit her friends - mainly the administrator and a select few employees - rather than what's actually best for the staff or the residents. She also claims she agrees with complaints regarding the administration and some staff members but does nothing to change things. Both DON and administrator are on an insanely high power trip. It is completely unacceptable and embarrassing on the facility and themselves. This facility is run completely backwards. I've never worked in a building that felt this mismanaged or chaotic. Honestly, I don't understand how this place is still operating. I would never recommend anyone work here or entrust their family to this facility. And the "good" reviews are mainly from employees that are bribed to write 5 star reviews for a possible chance to win a tv...nothing about that reflects the real environment inside this building. Grand Oaks needs serious changes - or to be shut down entirely. I guarantee many, many people agree. ps: They already deleted this once if that says anything Kiarie Williams

Tamie Lloyd's profile photo
Tamie Lloyd 4 months ago

Management and Rehab are fantastic, top notch nurses. Staff are lazy, do crap care on cognitive residents. Makes me wonder if any residents who cannot advocate for themselves ever get washed, or their teeth brushed. Basic care is a big issue. Concerned resident I must rescind my first post about Grand Oaks. I was angry with the world at the time. Anyway after being part of the Grand Oaks family it is a wonderful place to be placed. All staff have been wonderful, the nurses aides are very good at their jobs. Rehab is fanamonal, in a short period of time I will be able to return home. I feel safe in this facility, it is a place I would recommend to anyone.

Brianna Lewis's profile photo
Brianna Lewis a week ago

The staff is compassionate, attentive, and truly dedicated to the well-being of every resident. The facility is clean, well-maintained, and feels like a warm, welcoming community. Residents here are left in such caring hands!

Kathy Tremlin's profile photo
Kathy Tremlin a week ago

I feel like most of the time, when we get a good group, things go well. Like any job, you have good and bad days. I love the residents. There is always a couple i fall for. I think it is a safe place and clean place to work.

View All 37 Google Reviews

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