Home›Browse›Michigan›Hastings›Clearstream Rehabilitation and Nursing Center

Nursing homeFAID #6109

Clearstream Rehabilitation and Nursing Center

240 E NORTH ST, HASTINGS, MI, 49058

(269) 945-9564

98 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

240 E North St

Hastings, MI 49058

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

235281

Care type

Nursing home

County

Barry

Facility name

Clearstream Rehabilitation and Nursing Center

Street address

240 E NORTH ST

City / state / ZIP

Hastings, MI 49058

Phone

(269) 945-9564

About this facility — Clearstream Rehabilitation and Nursing Center

Clearstream Rehabilitation and Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Hastings, Michigan. It is licensed for 98 beds — close to the median for skilled nursing facilities in Michigan (100 beds).

It is one of 7 senior care facilities in Hastings and 423 skilled nursing facilities across Michigan. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Clearstream Rehabilitation and Nursing Center 68 times across 10 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $35,416 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avon Healthcare

Ownership type

For profit - Individual

Registered owners & officers

Gottlieb, Moshe

Indirect owner · Partner — 45% stake — since 2022

Freund, Eliyahu

Governing body · Officer · Additional disclosable party — since 2022

Koenig, Joshua

Indirect owner · Additional disclosable party — since 2022

Melder, Patrick

Operational control · Additional disclosable party — since 2023

Renewal Healthcare Llc

Direct owner — since 2022

Renewal Mi Managment

Operational control · Additional disclosable party — since 2022

Wingler, Carter

Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1976-04-05

CMS overall rating

1 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$35,416 total

Last standard inspection

2026-05-05

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$324 per day (≈ $9,850/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

70% Medicaid · 6% Medicare · 24% private/other

Occupancy

73% (fiscal year 2023)

Vs. state median

30% below the MI median of $466/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-05Health inspection10 citations

F-0578

D · No harm found

Honor 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 directive.

Corrected 2026-05-22

F-0600

D · No harm found

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-05-22

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-05-22

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-05-22

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-05-22

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-22

F-0744

D · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-05-22

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-05-22

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-22

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-05-22

2026-02-26Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-03-13

7 earlier / fire-safety inspections (57 citations)

2025-04-02Health inspectionComplaint-triggered16 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-30

F-0578

D · No harm found

Honor 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 directive.

Corrected 2025-04-30

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-30

F-0584

E · No harm found

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.

Corrected 2025-04-30

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-30

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-30

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-30

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-04

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-30

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-30

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-30

F-0713

D · No harm found

Provide or arrange emergency care by a doctor 24 hours a day.

Corrected 2025-04-30

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-30

F-0761

D · No harm found

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.

Corrected 2025-06-04

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-04-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-30

2024-09-18Health inspectionComplaint-triggered3 citations

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-10-08

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-08

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-08

2024-06-25Health inspectionComplaint-triggered5 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-15

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-15

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-15

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-15

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-15

2024-03-26Health inspection12 citations

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-12

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-12

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2024-04-12

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-12

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-12

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-12

F-0689

G · Actual harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-12

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-12

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-12

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-04-12

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-12

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-12

2026-05-05Fire-safety inspection9 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-05-22

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2026-05-22

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-05-22

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-05-22

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-05-22

K-0343

D · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2026-05-22

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-05-22

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2026-05-22

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-05-22

2025-04-02Fire-safety inspection7 citations

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2025-04-30

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-30

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-30

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-30

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-30

K-0753

E · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2025-04-30

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-04-30

2024-03-26Fire-safety inspection5 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-04-12

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-04-12

K-0271

E · No harm found

Have exits that are accessible at all times.

Corrected 2024-04-12

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-12

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-04-12

Federal penalties

2024-09-18Fine$19,532

2024-06-25Fine$15,884

Total fines$35,416

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 235281.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 68 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered