Hastings · 49058
Thornapple Manor
2700 Nashville Rd
Hastings, MI 49058
Clearstream Rehabilitation and Nursing Center
⌖ Hastings, MI · Barry County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds98
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (individual)
About Clearstream Rehabilitation and Nursing Center
Clearstream Rehabilitation and Nursing Center is a 98-bed for-profit nursing home in Hastings, MI. Medicare rates it 1 out of 5 stars overall (much below average); the average in Michigan is 3.1. At its last full inspection (May 2026), inspectors found 11 problems, close to the Michigan average of 9.9. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 21 min a day with each resident, less than the Michigan average of 3 hr 59 min. About 54% of its nursing staff left in the past year. Medicare fined it $35,416 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (4 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameClearstream Rehabilitation And Nursing Center
LocationBarry County, Michigan
Phone(269) 945-9564
Address240 E North St, Hastings, MI 49058 · Barry County
CMS provider number235281
Ownership typeFor-profit (individual)
Operating companyAvon Healthcare · 9 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 5, 1976 (50 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 5 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2026.Strength
About average
- Health citations at last inspection11 (May 2026)Michigan average: 9.9. Most citations are minor and corrected within weeks.About average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Fines and penalties2 fines totaling $35,416Federal penalties from the last three years, most recently in Sep 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Nurse staffing per resident3 hr 21 min a dayMichigan average: 3 hr 59 minWorse than state average
- Registered nurse time per resident30 min a dayMichigan average: 47 minWorse than state average
- Nursing staff turnover54% a yearMichigan average: 44%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Michigan average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital15.8%State average: 24.0%Better than average
- Needed an emergency room visit18.3%State average: 11.7%Worse than average
- Newly given antipsychotic drugs0.0%State average: 1.1%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.0%State average: 3.0%Better than average
- Pressure sores (bedsores)2.7%State average: 5.1%Better than average
- Given antipsychotic drugs27.5%State average: 14.8%Worse than average
- Hospital stays per 1,000 resident days1.7State average: 1.8About average
Source: Medicare (CMS) quality measures, compared with the Michigan average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Michigan, Medicaid pays for 62% of resident days at a typical home.
- 55% Medicaid
- 5% Medicare
- 40% Private pay, insurance and other
Beds in use, on average79%Michigan typical: 81%
Cost of care per resident day$328Michigan typical: $381
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 15 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 3 | 4 | 3 | 4.4 |
| Jan 2020 | 2 | 3 | 3 | 1 | 3.7 |
| Jan 2021 | 2 | 2 | 2 | 4 | 3.3 |
| Jan 2022 | 1 | 2 | 1 | 3 | 3.3 |
| Jan 2023 | 3 | 3 | 2 | 2 | 3.3 |
| Jan 2024 | 4 | 4 | 3 | 3 | 3.7 |
| Feb 2025 | 2 | 2 | 3 | 3 | 3.8 |
| Feb 2026 | 2 | 1 | 1 | 5 | 3.1 |
| Sep 2026 | 1 | 1 | 3 | 4 | 3.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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