All states › Michigan › Niles › Niles Care Center
911 S 3rd St Niles, MI 49120 · Berrien County
All 3 nursing homes in Niles, MI (3 take Medicaid)
CMS certification number 235361 · See this home on Medicare Care Compare
Is Niles Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Niles Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Michigan average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.52 hours per resident per day at Niles Care Center, below the Michigan median of 3.86 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.04 hours, 14% below its all-week average. 69% of nursing staff left within a year (Michigan median 43.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Niles Care Center: Medicare and Medicaid
Niles Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 23, 2026 and found 8 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 41 citations at Niles Care Center across 10 inspection dates, 16 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 20, 2025 (complaint inspection). The most common areas cited were quality of life and care (9) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, August 20, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 17, 2026 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 23, 2026 · 9 citations · includes complaint inspection
FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
FEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 10, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProvide safe, appropriate pain management for a resident who requires such services.
DEnsure services provided by the nursing facility meet professional standards of quality.
August 20, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 5, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure medication error rates are not 5 percent or greater.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
October 24, 2024 · 3 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 3, 2024 · 2 citations · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure services provided by the nursing facility meet professional standards of quality.
June 20, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 25, 2023 · 6 citations
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor 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.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DProvide and implement an infection prevention and control program.
October 4, 2023 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Questions to ask on a tour of Niles Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 20, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 24, 2024. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 69% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 54% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $118,821 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 10, 2025 | Fine | $41,930 |
| Aug 20, 2025 | Fine | $76,891 |
| Dec 5, 2024 | Payment Denial | 51 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
| August 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
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Location
Hospitals near Niles Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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8.7 mi
Saint Joseph Regional Medical Center MishawakaEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 15m for patients treated and sent home
- 8.9 mi
-
9.3 mi
Memorial Hospital of South Bend South BendEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 25m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Niles Care Center with the 3 closest homes side by side ›
Other Avon Healthcare nursing homes in Michigan
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- Adrian Bay Rehabilitation and Nursing Center · Adrian · 2 stars
- Springcreek Rehabilitation and Nursing Center · Adrian · 2 stars
- The Springs at Rochester Hills Rehab and Nursing Center · Rochester Hills · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 9 Avon Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.