nursing home in Hastings, MI

Clearstream Rehabilitation and Nursing Center

240 E North St, Hastings, MI 49058 · (269) 945-9564

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★4
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Clearstream Rehabilitation and Nursing Center at a glance

Clearstream Rehabilitation and Nursing Center is a 98-bed for-profit nursing home in Hastings, Michigan (Barry County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Michigan average of 3.1.

Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4 hours.

Its most recent standard health inspection (May 5, 2026) found 11 health citations. The Michigan average is 9.9.

Federal regulators fined it 2 times in the past three years, totaling $35,416.

Nursing staff turnover is 53.8% per year (state average 44.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Individual
Beds
98
Certified for
Medicare and Medicaid
Chain / affiliated entity
Avon Healthcare
Medicare-certified since
April 5, 1976
Resident/family council
Resident
County
Barry County
CMS Certification Number
235281

Ratings

MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.6 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)4 / 53.9 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 53.5 / 53.3 / 5Average

Staffing

This facility3.35 hrsMichigan average3.99 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Michigan and U.S. averages
MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.35 hrs3.99 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.50 hrs0.78 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.10 hrs2.33 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.96 hrs3.50 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)53.8%44.1%45.8%Worse
Registered nurse turnover (yearly) (lower is better)75%39.2%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility11Michigan average10U.S. average9
Health citations in the most recent inspection: this facility vs. Michigan and U.S. averages
MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)11109Worse
Citations from complaint investigations (latest cycle) (lower is better)133Better
Weighted health inspection score ⓘ (lower is better)131.889.480.6Worse

Penalties

This facility2Michigan average1U.S. average1
Fines in the past 3 years: this facility vs. Michigan and U.S. averages
MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$35,416$29,376$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Certified beds98104107
Average residents per day888686
Occupancy89.9%83.4%80.9%

Long-stay residents

This facility2%Michigan average3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Michigan and U.S. averages
MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2%3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.7%5.1%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)27.5%14.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)1.7%1.5%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.3%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)7.6%10.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)8%12%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.6%5.4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)3.3%4.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)16.7%19.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)25.4%20%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%95%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98%95.3%93.6%Average

Short-stay residents

This facility0%Michigan average1.1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Michigan and U.S. averages
MeasureThis facilityMichigan avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.1%1.6%Better
Short-stay residents given a flu vaccine (higher is better)93.9%79.5%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)83.5%83.3%82%Average

Inspection citations

State inspectors cited this home for 47 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
May 5, 2026
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected May 22, 2026
May 5, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected May 22, 2026
May 5, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Fire safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies · Tag K0343
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 22, 2026
May 5, 2026
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
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 · Tag F0842
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
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 · Tag F0600
D
Potential harm, isolated
Corrected May 22, 2026
May 5, 2026
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected May 22, 2026
February 26, 2026
Complaint
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 · Tag F0600
D
Potential harm, isolated
Corrected March 13, 2026
April 2, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 30, 2025
April 2, 2025
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
F
Potential harm, widespread
Corrected April 30, 2025
April 2, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected June 4, 2025
April 2, 2025
Standard
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 · Tag F0806
E
Potential harm, pattern
Corrected April 30, 2025
April 2, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected June 4, 2025
April 2, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
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 · Tag F0580
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 30, 2025
April 2, 2025
Standard
Provide or arrange emergency care by a doctor 24 hours a day.
Nursing and Physician Services Deficiencies · Tag F0713
D
Potential harm, isolated
Corrected April 30, 2025
September 18, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected October 8, 2024
September 18, 2024
Complaint
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 · Tag F0600
G
Actual harm, isolated
Corrected October 8, 2024
September 18, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 8, 2024
June 25, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected July 15, 2024
June 25, 2024
Complaint
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 · Tag F0842
D
Potential harm, isolated
Corrected July 15, 2024
June 25, 2024
Complaint
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 · Tag F0600
D
Potential harm, isolated
Corrected July 15, 2024
June 25, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 15, 2024
June 25, 2024
Complaint
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 · Tag F0580
D
Potential harm, isolated
Corrected July 15, 2024
March 26, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected April 12, 2024
March 26, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected April 12, 2024
March 26, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected April 12, 2024
March 26, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 12, 2024
March 26, 2024
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected April 12, 2024
March 26, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected April 12, 2024
March 26, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected April 12, 2024
March 26, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 12, 2024
March 26, 2024
Standard
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 · Tag F0725
E
Potential harm, pattern
Corrected April 12, 2024
March 26, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected April 12, 2024
March 26, 2024
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 12, 2024
March 26, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 12, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $35,416 in fines.

DatePenaltyAmount / length
September 18, 2024Fine$19,532
June 25, 2024Fine$15,884

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
GOTTLIEB, MOSHE
Individual
5% or greater indirect ownership interest45%05/10/2022
FREUND, ELIYAHU
Individual
adp of the snfNOT APPLICABLE05/10/2022
KOENIG, JOSHUA
Individual
adp of the snfNOT APPLICABLE05/10/2022
MELDER, PATRICK
Individual
adp of the snfNOT APPLICABLE08/15/2025
RENEWAL MI MANAGMENT
Organization
adp of the snfNOT APPLICABLE05/10/2022
WINGLER, CARTER
Individual
adp of the snfNOT APPLICABLE06/09/2025
FREUND, ELIYAHU
Individual
corporate officerNOT APPLICABLE05/10/2022
RENEWAL HEALTHCARE LLC
Organization
direct ownership interestNOT APPLICABLE05/10/2022
KOENIG, JOSHUA
Individual
indirect ownership interestNOT APPLICABLE05/10/2022
GOTTLIEB, MOSHE
Individual
limited partnership interestNOT APPLICABLE05/10/2022
FREUND, ELIYAHU
Individual
managing control - governing bodyNOT APPLICABLE05/10/2022
MELDER, PATRICK
Individual
operational/managerial controlNOT APPLICABLE09/01/2023
RENEWAL MI MANAGMENT
Organization
operational/managerial controlNOT APPLICABLE05/10/2022
WINGLER, CARTER
Individual
operational/managerial controlNOT APPLICABLE06/09/2025

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Frequently asked questions

What is Clearstream Rehabilitation and Nursing Center's rating?

Clearstream Rehabilitation and Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for Michigan nursing homes is 3.1 stars.

How many inspection citations did Clearstream Rehabilitation and Nursing Center receive?

Its most recent standard health inspection found 11 citations, compared with a Michigan average of 9.9. Every citation is listed on this page with its severity.

Does Clearstream Rehabilitation and Nursing Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Clearstream Rehabilitation and Nursing Center?

It is for profit - individual and part of Avon Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Clearstream Rehabilitation and Nursing Center and how do I contact it?

Clearstream Rehabilitation and Nursing Center is at 240 E North St, Hastings, MI 49058. Phone: (269) 945-9564.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.