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VISTA GRANDE VILLA
NPI 1477537397
Skilled Nursing Facility in Jackson, MI

Active since December 05, 2005CLIA 23D0378496 · Waiver
5/5
Overall Rating
2251 SPRINGPORT RD, JACKSON, MI 49202(517) 787-0222(517) 787-6909 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vista Grande Villa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA GRANDE VILLA (NPI 1477537397) is a healthcare organization registered as a skilled nursing facility in Jackson, Michigan and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ellen A. Keatley, President, as its authorized official.

NPPES Registry Identity

NPI1477537397
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVISTA GRANDE VILLA
Location Address2251 SPRINGPORT RDJackson, MI 49202-1496
Mailing Address2251 Springport RdJackson, MI 49202-1496 · (517) 787-0222 · Fax (517) 787-6909
Phone(517) 787-0222
Fax(517) 787-6909
Organization SubpartNo
Authorized OfficialEllen A. KeatleyPresident · (517) 787-0222
Enumeration DateDecember 5, 2005
Last NPPES UpdateNovember 29, 2011
✔ NPI 1477537397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MI · 384210
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2251 SPRINGPORT RD, Jackson, MI 49202
Open in Google Maps ↗

Other Identifiers 3

Medicaid2081106MI
Other09716MI · Blue Cross Blue Sh. Of Mi
Medicare OSCAR/certification235254MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0378496

Vista Grande Villa · Jackson, MI
Active · expires Aug 31, 2026
CLIA Number23D0378496
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPolly Chesser
Laboratory Phone(517) 787-0226
Laboratory LocationVista Grande Villa2251 Springport Rd, Jackson, MI 49202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Vista Grande Villa (CMS certification number 235254), from CMS Care Compare.

Vista Grande Villa

Nursing home · Jackson, MI
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number235254
Certified Beds60 beds40 residents per day on average
Medicare & Medicaid Participant SinceJanuary 15, 1976
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.57 · LPN 0.76 · RN 0.88
4.2 hrs per resident per day
Weekend Nurse Staffing
3.84 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.5%
Registered Nurse Turnover
12.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
5
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELCOME PHARMACIES, INC.
Durable Medical Equipment & Medical Supplies
2251 SPRINGPORT RD
JACKSON, MI 49202
Jackson County (517) 768-7492
MS. DEBORAH KAY HARSHBARGER
Pharmacist
2251 SPRINGPORT RD
JACKSON, MI 49202
Jackson County (517) 768-1492
LAURA ROWLEY
Physical Therapy Assistant
2251 SPRINGPORT RD
JACKSON, MI 49202
Jackson County (517) 783-9023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vista Grande Villa's NPI number?

The NPI number for Vista Grande Villa is 1477537397. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Vista Grande Villa located?

Vista Grande Villa is located at 2251 Springport Rd, Jackson, MI 49202. The listed phone number is (517) 787-0222.

What is Vista Grande Villa's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Vista Grande Villa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0378496) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Vista Grande Villa a Medicare-certified nursing home?

Yes. Vista Grande Villa is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Vista Grande Villa have?

CMS rates Vista Grande Villa 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Vista Grande Villa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Vista Grande Villa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vista Grande Villa was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.