Nursing Homes · Hastings, MI
Thornapple Manor
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Clearstream Rehabilitation and Nursing Center
240 E North St · Hastings, MI 49058 · 98 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1912486085. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Clearstream Rehabilitation and Nursing Center
Clearstream Rehabilitation and Nursing Center is a nursing home in Hastings, Michigan. Public records list 98 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Avon Healthcare. We hold 55 inspection citations for this listing, the most recent dated 5 May 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.35 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
35
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
37
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
35
Inspection history (55)
Records from April 2023 to May 2026.
May 5, 2026 · D
Citation F0842Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0600Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0578Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0657Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0686Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · F
Citation F0812Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0628Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · D
Citation F0744Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVMay 5, 2026 · F
Citation F0804Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0804 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2026-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOVFebruary 26, 2026 · D
Citation F0600Federal surveyors cited this nursing home on 2026-02-26 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-26.GOVApril 2, 2025 · D
Citation F0602Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · E
Citation F0584Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0759Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0713Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0713 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or arrange emergency care by a doctor 24 hours a day. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0578Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · E
Citation F0677Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · E
Citation F0658Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-06-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOV
Penalties (2)
Total fines on file: $35,416
September 18, 2024 · Fine
Citation FINE-59045CMS recorded a civil money penalty of $19,532 against this nursing home on 2024-09-18 (Fine ID: 59045). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-18.GOVJune 25, 2024 · Fine
Citation FINE-59010CMS recorded a civil money penalty of $15,884 against this nursing home on 2024-06-25 (Fine ID: 59010). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-25.GOV
Staffing
Latest: 3.35 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.34 hrs/resident/day
- 2026-06-013.34 hrs/resident/day
- 2026-07-013.35 hrs/resident/day
- 2026-08-013.35 hrs/resident/day
- 2026Q13.35 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Avon Healthcare
Chain ID 840 · 9 facilities in chain (CMS)
- Chain average overall rating: 2.2
- Chain average health inspection rating: 2
- Chain average staffing rating: 3
- Chain average quality measure rating: 3.7
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MI range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MI$11,254/moSee full MI cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Hastings, with their own public records.
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Clearstream Rehabilitation and Nursing Center
Request info and we'll pass it directly to Clearstream Rehabilitation and Nursing Center, or call them at 2699459564 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.