What licensed senior care is in Cascade, Michigan?
Michigan LARA licenses 15 homes serving older adults in Cascade, with 913 beds between them: 7 homes for the aged, 4 adult foster care homes of 13 or more residents and 4 smaller adult foster care homes. CMS adds 4 certified nursing homes.
Cascade Charter Township, east of Grand Rapids along the Thornapple River, is home to Gerald R. Ford International Airport and some of the region's larger continuing-care and senior living campuses. Most homes in this part of Kent County use Grand Rapids mailing addresses in ZIP 49546, which covers Cascade Township and the southeast edge of the city along East Beltline and East Paris Avenue; this page groups everything licensed in 49546. Families here tend to compare large homes for the aged with the certified nursing and rehab units attached to several of the same campuses.
| Home for the Aged (HFA) | Adult foster care (AFC) | |
|---|---|---|
| Michigan law | Public Health Code Part 213 | Adult Foster Care Facility Licensing Act (1979 PA 218) |
| Who it is for | 21+ residents age 55 and older | Adults needing supervision but not continuous nursing care |
| Licensed in Cascade | 7 homes, 809 beds | 8 homes, 104 beds |
| Serves Alzheimer's (LARA flag) | 6 homes | 5 homes |
Which assisted living homes are licensed in Cascade?
Cascade has 11 larger licensed homes -- the settings most families mean by assisted living -- led by Holland Home Raybrook Manor (236 beds) and Sunrise of Cascade (125 beds).
| Home | License | Beds | Alzheimer's | Last LARA inspection |
|---|---|---|---|---|
| Holland Home Raybrook Manor | Home for the Aged | 236 | Yes | December 31, 2023 |
| Sunrise of Cascade | Home for the Aged | 125 | Yes | May 12, 2024 |
| StoryPoint Forest Hills | Home for the Aged | 116 | Yes | June 29, 2024 |
| Porter Hills Presbyterian Village | Home for the Aged | 100 | Yes | July 19, 2024 |
| Commonwealth Senior Living at East Paris | Home for the Aged | 90 | Yes | March 2, 2024 |
| Cascade Trails Senior Living | Home for the Aged | 71 | Yes | December 25, 2023 |
| Valley Pines Senior Living | Home for the Aged | 71 | No | June 8, 2025 |
| Oxford Manor East | AFC large group home (13-20) | 20 | Yes | April 5, 2026 |
| Oxford Manor West | AFC large group home (13-20) | 20 | Yes | April 5, 2026 |
| Windsor Manor North | AFC large group home (13-20) | 20 | Yes | April 5, 2026 |
| Windsor Manor South | AFC large group home (13-20) | 20 | No | April 5, 2026 |
Which small adult foster care homes in Cascade serve older adults?
4 small adult foster care homes in Cascade are licensed to serve the aged, run by 4 licensees, for 24 residents in total.
| Home | Street | Beds | License |
|---|---|---|---|
| Ample Residential | 1164 Forest Hill Ave SE | 6 | AFC small group home (1-6) |
| Cascading Grace | 5563 Cascade Rd SE | 6 | AFC small group home (1-6) |
| Heathcliff | 2611 Heathcliff St SE | 6 | AFC small group home (1-6) |
| Optimal Care AFC | Grand Rapids, MI 43546 | 6 | AFC small group home (1-6) |
Which homes in Cascade serve residents with Alzheimer's?
LARA lists 11 homes in Cascade as serving residents with Alzheimer's disease: Holland Home Raybrook Manor, Sunrise of Cascade, StoryPoint Forest Hills, and Porter Hills Presbyterian Village and 7 more.
Which nursing homes are in Cascade, and how do they rate?
Cascade has 4 Medicare-certified nursing homes; the highest rated on Care Compare is Porter Hills Health Center at 5 of 5 stars overall.
| Nursing home | Beds | Overall | Staffing | Last inspection |
|---|---|---|---|---|
| Holland Home - Raybrook Manor | 101 | ★★★★☆ | ★★★★★ | March 12, 2026 |
| Optalis Health & Rehabilitation at Kent-Crossing | 182 | ★☆☆☆☆ | ★★★☆☆ | March 19, 2026 |
| Porter Hills Health Center | 39 | ★★★★★ | ★★★★★ | July 24, 2025 |
| Valley Health Center | 20 | ★★★★★ | ★★★★★ | July 31, 2025 |
What have LARA investigations found at Cascade homes since October 2023?
LARA has published 18 special investigation reports on Cascade homes since October 2023; of the 18 we read, 18 established at least one rule violation.
The most recent established findings:
- Cascading Grace (October 2, 2026): Staff failed to provide Resident A with adequate personal care.
- Cascade Trails Senior Living (August 15, 2026): On 12/11/2025 during third shift, Resident A was not provided with medication in accordance with physician orders.
- Valley Pines Senior Living (July 24, 2026): Resident A was not provided with medications.
How to weigh these: reading a LARA special investigation report.
Is Cascade covered by PACE and the MI Choice Waiver?
Yes. Cascade's ZIP codes appear in the published PACE service area for Care Resources (616-913-2006 or 800-610-6299), and MI Choice is available county-wide.
MI Choice intake for Kent County goes through Area Agency on Aging of Western Michigan, Inc. (616-456-5664) and Reliance Community Care Partners (616-956-9440 or 800-447-3007). Details: MI Choice and PACE in West Michigan.
Which home health agencies and hospices serve Cascade?
23 Medicare-certified home health agencies report serving Cascade ZIP codes, and 11 hospices are based in Kent County.
Highest CMS quality-of-care stars among them: Care One Home Health Services (5.0), Centerwell Home Health (4.5), Elara Caring (4.5), and Pure Home Health Care (4.5).
Full lists: home health and hospice.
