What licensed senior care is in Otsego, Michigan?
Michigan LARA licenses 4 homes serving older adults in Otsego, with 76 beds between them: 1 home for the aged, 0 adult foster care homes of 13 or more residents and 3 smaller adult foster care homes. CMS adds 0 certified nursing homes.
Otsego sits on the Kalamazoo River a couple of miles west of Plainwell, and the two towns function as one market for senior care. Otsego has a home for the aged and a few small adult foster care homes, but no nursing home, so families who need skilled nursing usually look to Plainwell, Allegan or Kalamazoo. ZIP 49078 is in Senior Care Partners PACE's service area.
| 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 Otsego | 1 homes, 56 beds | 3 homes, 20 beds |
| Serves Alzheimer's (LARA flag) | 1 homes | 2 homes |
Which assisted living homes are licensed in Otsego?
Otsego has 1 larger licensed home -- the settings most families mean by assisted living -- led by Woodland Terrace Otsego (56 beds).
| Home | License | Beds | Alzheimer's | Last LARA inspection |
|---|---|---|---|---|
| Woodland Terrace Otsego | Home for the Aged | 56 | Yes | January 23, 2026 |
Which small adult foster care homes in Otsego serve older adults?
3 small adult foster care homes in Otsego are licensed to serve the aged, run by 3 licensees, for 20 residents in total.
| Home | Street | Beds | License |
|---|---|---|---|
| Affinity-Fieldscape | 2035 108th Avenue | 6 | AFC small group home (1-6) |
| River Court AFC | 335 Court Street | 6 | AFC family home (1-6) |
| Woodlea Cottage | 1565 Woodlea Dr | 8 | AFC medium group home (7-12) |
Which homes in Otsego serve residents with Alzheimer's?
LARA lists 3 homes in Otsego as serving residents with Alzheimer's disease: Woodland Terrace Otsego, Woodlea Cottage, and River Court AFC.
Michigan has no separate memory care license; read the dementia disclosure rules before touring.
What have LARA investigations found at Otsego homes since October 2023?
LARA has published 8 special investigation reports on Otsego homes since October 2023; of the 8 we read, 8 established at least one rule violation.
The most recent established findings:
- Woodland Terrace Otsego (August 15, 2026): additional rule findings
- Woodlea Cottage (May 19, 2026): On 02/22/2026, staff failed to follow Resident A seizure protocol and administer her emergency seizure medication.
- Woodlea Cottage (March 13, 2026): Staff got into an accident with residents and residents were incorrectly secured in the vehicle.
How to weigh these: reading a LARA special investigation report.
Is Otsego covered by PACE and the MI Choice Waiver?
Yes. Otsego's ZIP codes appear in the published PACE service area for Senior Care Partners PACE (517-680-4410), and MI Choice is available county-wide.
MI Choice intake for Allegan 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 Otsego?
12 Medicare-certified home health agencies report serving Otsego ZIP codes, and 1 hospice is based in Allegan County.
Highest CMS quality-of-care stars among them: Centerwell Home Health (5.0), Elara Caring (4.5), Pure Home Health Care (4.5), and Seasons Home Health Care (4.5).
Full lists: home health and hospice.
