Alamo Cove Rehab and Nursing Center: Staffing, Turnover, and Inspection Record
Alamo Cove Rehab and Nursing Center is a 100-bed for-profit nursing home in Kalamazoo, Michigan, part of Avon Healthcare. In the CMS August 2026 release it reported 2.07 nurse aide hours per resident per day, 11% below the Michigan average of 2.33, and 57.4% nursing staff turnover (Michigan average 44.1%).
Alamo Cove Rehab and Nursing Center
8290 W C AveKalamazoo, MI 49009
Kalamazoo County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Alamo Cove Rehab and Nursing Center, nurse aides logged 2.07 hours per resident per day, 11% below the Michigan average. With about 92 residents a day, that works out to roughly 191 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Michigan avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.07 | 2.33 | 2.32 |
| Licensed practical nurses | 0.79 | 0.88 | 0.86 |
| Registered nurses | 0.58 | 0.78 | 0.69 |
| All nursing staff | 3.44 | 3.99 | 3.86 |
| All nursing staff, weekends | 3.00 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.4% of nursing staff at Alamo Cove Rehab and Nursing Center left over the year CMS measured, against a Michigan average of 44.1% and a US average of 45.8%. Registered nurse turnover was 41.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 28 health deficiencies (Michigan average 10.1). CMS lists 1 fine totaling $18,274 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 22, 2025 | Payment Denial | 34 days from Oct 16, 2025 |
| Aug 28, 2024 | Fine | $18,274 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Alamo Cove Rehab and Nursing Center holds 1 of 5 overall; the Michigan average is 3.1.
About Alamo Cove Rehab and Nursing Center
- Ownership: For profit - Individual
- Chain: Avon Healthcare, 9 homes
- Legal name: Alamo Nursing Home, Inc.
- Medicare and Medicaid certified since: Jun 17, 1976
- Councils: resident council
- Area: urban
Nursing homes near Alamo Cove Rehab and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Life Care Center of Plainwell Plainwell | 4.8 | 119 | 2.00 | 3.50 | 40.2% | 1 | $171,837 |
| Medilodge of Westwood Kalamazoo | 6.0 | 97 | 2.07 | 3.64 | 52.3% | 1 | $65,535 |
| Friendship Village Kalamazoo | 6.7 | 57 | 3.39 | 5.91 | 20.0% | 5 | None |
| Plainwell Pines Nursing and Rehabilitation Communi Plainwell · abuse citation | 8.3 | 39 | 1.79 | 3.24 | 62.8% | 2 | $194,994 |
| Medilodge of Kalamazoo Kalamazoo | 8.5 | 39 | 1.94 | 3.64 | 39.0% | 2 | None |
| Villa at Borgess Place Kalamazoo | 10.2 | 101 | 2.72 | 4.40 | 63.6% | 2 | $45,130 |
| Bronson Commons Mattawan | 11.0 | 100 | 2.54 | 4.43 | 40.3% | 3 | None |
| Harold and Grace Upjohn Community Care Center Kalamazoo | 11.2 | 87 | 2.10 | 3.76 | 40.7% | 1 | $31,186 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.