Skip to main content

Establishment profile

ALAMO NURSING HOME INC

8290 W C AVE, KALAMAZOO, MI, 49009
Operated by AVON HEALTHCARE · 1 of 9 establishments
623311Continuing Care Retirement Communities

Download as PDF →

OSHA inspections
1
over 14 years
Violations
6
$1,250 in penalties
Penalties
$1,250
$208 avg
Violations across 3 federal agencies
Enforcement actions from multiple agencies may indicate systemic compliance issues across functions.

Summary

ALAMO NURSING HOME INC has accumulated 6 OSHA violations across 1 inspection over 14 years of recorded history, with $1,250 in total assessed penalties.

The establishment sits in the 77th percentile for violations within its industry-state peer group of 170 employers. The most recent enforcement activity was recorded 14 years ago.

Federal records were found in 3 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

ALAMO NURSING HOME INC appears in OSHA workplace safety, EPA environmental compliance, NLRB labor relations, and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
1
0.1 / yr · last 14 yrs
Violations
6
0.4 / yr
Penalties
$1,250
$208 avg / violation
100% serious0% other
Inspection trigger · planned
1 of 1

100% of inspections at this establishment produced violations,

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 6 distinct standards shown · 6 citations in this view · $1,250 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 3256.00050111$875Apr 2012Apr 2012
29 CFR 1910.1001 J02 I11$375Apr 2012Apr 2012
29 CFR 1910.1001 J02 III11Apr 2012Apr 2012
29 CFR 3254.72010311Apr 2012Apr 2012
29 CFR 3256.00060111Apr 2012Apr 2012
29 CFR 3256.00080111Apr 2012Apr 2012

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

77th

Above average violations in NAICS 6233 within MI. Peer group: 170 employers. This establishment has 6 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
75th
peer median: $225
Inspection frequency
0th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
7.7
vs industry
+4.3
TRIR
9.6
vs industry
+4.1

Reported for 150 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
5.5
BLS SOII 2024
Industry avg DART
3.4
BLS SOII 2024
Self-reported TRIR
9.6
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for ALAMO NURSING HOME INC. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
14 years ago

No federal enforcement activity has been recorded against this establishment in 14+ years. Most recent activity: 14 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for ALAMO NURSING HOME INC. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for ALAMO NURSING HOME INC. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

Company-level in MI — for AVON HEALTHCARE, not this location alone

Total cases
1
Unfair labor practice
1

National Labor Relations Board — unfair labor practice charges and union representation cases. The NLRB records cases at the company/regional level (no worksite address), so these are matched by company name and state and may span other AVON HEALTHCARE locations in the same state.

NLRB cases

National Labor Relations Board cases involving this employer. Includes unfair labor practice (ULP) filings and representation election proceedings. NLRB enforcement is process-driven; no per-case monetary penalty is assessed (remedies are case-by-case backpay orders, posting requirements, election re-runs, etc.). 1 case · 1 ULP

Case numberTypeFiledClosedStatusRegion
07-CA-311201Unfair labor practiceJan 2023Sep 2023ClosedRegion 07, Detroit, Michigan

Source: NLRB case files. Rows shown are those the agency has published. Region numbers (1–31) correspond to NLRB's geographic offices.

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for ALAMO NURSING HOME INC. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

EPA inspections
0
Quarters non-compliant
1

EPA Enforcement and Compliance History — Clean Air Act, Clean Water Act, RCRA, Safe Drinking Water Act. Status: No Violation Identified.

EPA-registered facilities

Every EPA ECHO facility associated with this employer, sorted most-significant first. Each row links to EPA’s Detailed Facility Report for the source-of-truth record. Permits column lists active programs (Air = Clean Air Act, Water = Clean Water Act, RCRA = hazardous waste, TRI = Toxics Release Inventory reporting). 1 facility.

FacilityPermitsStatusInspectionsFormal actionsPenaltiesLast inspectedECHO
ALAMO NURSING HOME
8290 W C AVE · KALAMAZOO, MI, 49009
No Violation Identified
QNCR 1
00View →

Source: EPA ECHO (Enforcement and Compliance History Online). Compliance status follows EPA’s own labels (“Sig Violation” = significant noncompliance; QNCR = quarters of noncompliance over the recent reporting window). Inactive facilities (struck through) retain historical enforcement records even after operations ceased.

CMS nursing-home record

CCN 235311 · Chain: AVON HEALTHCARE

CMS abuse icon
Overall rating
1 of 5 stars
Certified beds
100
Deficiencies (3y)
63
CMS fines
$18,274

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 68 citations across 8 surveys · 7 actual-harm · 34 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Feb 20260686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Feb 20260760G (harm)
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint
Feb 20260677E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint
Feb 20260645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Complaint
Feb 20260656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint
Feb 20260690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint
Feb 20260693D
Ensure 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.
Quality of Life and Care Deficiencies
Complaint
Feb 20260842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint
Sep 20250686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Sep 20250658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Complaint
Sep 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
Feb 20250812F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Feb 20250921F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard
Feb 20250656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Feb 20250804E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard
Feb 20250806E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Standard
Feb 20250880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Feb 20250550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Feb 20250554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Standard
Feb 20250600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Feb 20250610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Feb 20250625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Feb 20250658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Feb 20250677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
Feb 20250686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
Feb 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Feb 20250690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard
Feb 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Feb 20250758D
Implement 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.
Pharmacy Service Deficiencies
Standard
Feb 20250761D
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.
Pharmacy Service Deficiencies
Standard
Feb 20250813D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Standard
Jan 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jan 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Jan 20250725D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
Jan 20250809D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Complaint
Jan 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
Aug 20240686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Aug 20240689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Aug 20240693G (harm)
Ensure 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.
Quality of Life and Care Deficiencies
Complaint
Aug 20240585D
Honor 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.
Resident Rights Deficiencies
Complaint
Aug 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Aug 20240726D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Complaint
May 20240919F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard
May 20240725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
May 20240730E
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Standard
May 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
May 20240883E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Standard
May 20240887E
Educate 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.
Infection Control Deficiencies
Standard
May 20240921E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard
May 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
May 20240582D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Standard
May 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
May 20240690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint
May 20240699D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies
Standard
May 20240756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Dec 20230600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Dec 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
Dec 20230558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint
Dec 20230609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Dec 20230610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Dec 20230684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Dec 20230686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Dec 20230687D
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Complaint
Mar 20230580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard
Mar 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20230658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20230686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
Mar 20230761D
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.
Pharmacy Service Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for ALAMO NURSING HOME INC. Verify directly with UVA Corporate Prosecution Registry

Inspection history

DateTriggerViolationsSeriousPenalty
2012-02-21Planned66$1,250

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

ALAMO NURSING HOME INC is one of 9 establishments rolled up under the parent organization AVON HEALTHCARE.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of AVON HEALTHCARE across all 9 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in continuing care retirement communities within MI, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on ALAMO NURSING HOME INC from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup AVON HEALTHCARE, which operates 9 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

Need API access, bulk download, or licensed redistribution? The website is free. Programmatic and licensed access is handled separately.

Contact sales →

Frequently asked

What is ALAMO NURSING HOME INC's OSHA violation history?
ALAMO NURSING HOME INC has 1 OSHA inspection on record with 6 violations and $1,250 in total penalties.
How does ALAMO NURSING HOME INC's safety record compare to its industry?
ALAMO NURSING HOME INC operates in the continuing care retirement communities industry. The industry average Total Recordable Incident Rate (TRIR) is 5.5. ALAMO NURSING HOME INC's self-reported DART rate is 7.66 compared to an industry average of 3.4.