Saginaw Senior Care and Rehabilitation Center, LLC

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 46 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 32 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 71 beds and averages 68.6 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.16 hrs/resident/day on weekends vs 3.79 on weekdays — 16% thinner on weekends. RN hours go from 0.75 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 13 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2024-10-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to prevent the development of and worsening of pressure ulcers for 3 residents (Resident #15, Resident #25, Resident #33) of five residents reviewed for pressure ulcers resulting in the development of facility-acquired pressure ulcers, including a Stage 3 pressure ulcer, and the worsening of pressure ulcers. Findings include: Resident #25 (R25): R25 is [AGE] years old and admitted to the facility on [DATE] with diagnosis that include encephalopathy, cerebral infarction and pressure ulcer of unspecified buttock, unspecified stage. R25 has a Brief Interview for Mental Status (BIMS) score of 3 as of 09/10/24 indicating severe cognitive impairment. On 10/07/24 at 09:30AM, R25 was observed lying supine in bed, a wedge cushion was noted to be at the end of the bed but not currently in use. R25 had protective boots on both feet. On 10/07/24 at 12:00PM, R25 was observed lying supine in bed, there was a wedge cushion noted on the bed but still not in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-07-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation has two Deficient Practice Statements. Deficient Practice Statement 1: This Citation Pertains to Intake Numbers MI00137515 and MI00141236. Based on interview and record review, the facility failed to ensure that timely and appropriate care was provided, per professional standards of practice and Health Care Provider orders, for one resident (Resident #802) of three residents reviewed for assessment and monitoring, resulting in a lack of accurate infection control surveillance, Resident #802 not receiving medications as ordered for Covid-19, a lack of comprehensive assessment, documentation, and a timely response to an acute change in condition, and death. Findings include: Resident #802: Review of intake documentation dated received [DATE] revealed concerns that Resident #802 had contracted Covid-19 and that the facility did not notify the family, and did not implement appropriate infection control procedures related to Covid-19. The intake detailed, On Wednesday, (Resident #802) complained to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, the facility failed to ensure quality of care for nursing assessment for two residents (Resident #17, Resident #62), resulting in infections for Resident's #17 peritoneal catheter site and Resident #62 being sent to the hospital for septic shock requiring antibiotic therapy and prolonged illness. Findings include: Record review of the facility provided 'Assessment, Nursing, Policy Number: NRS-114 and dated 07/01/2008, revealed that the purpose of the policy was to ensure adequate assessment of resident care needs in order to develop and comprehensive plan of care. Assuring the goals are directed at attaining the highest practical level of wellness based on residents' choices. Record review of the facility-provided 'Dialysis: Peritoneal', Policy Number: NRS-148 and dated 07/01/2008 revealed safe and accurate therapy to osmotically remove fluids Procedure: (#19.) Inspect the catheter site. If dressing is reapplied, apply clear transparent occlusive dressing. (#22.) Documentation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-04 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure 1. Medications were not left at bedside for Residents #24 and #28; 2. Medications was administered with physician order for Resident #28; and 3. Timely assessment, intervention and ongoing monitoring were completed for Resident #9's new skin alternation was completed. Findings Include:Resident #9On 12/2/2025 at approximately 1:15 PM, Resident #9 was observed resting in bed, his left eye appeared reddened with thick colored drainage. Cascading down the left side of his mouth, there were multiple clusters of tan colored circular appearing sores. The resident reported the physician assessed both areas the day prior. Nurse E shared the resident was evaluated by the physician yesterday and prescribed antibiotic eye drops for conjunctivitis and the skin area by his mouth was also assessed.On 12/2/2025 at approximately 4:00 PM, a review was conducted of Resident #9's medical record and it revealed the resident admitted to the facility on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-04 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to identify open dates on multi-dose medications in 3 of 3 medication carts for Resident's #38, #42, #57, #62, #83, and #84, resulting in opened and undated multi-dose medications.Findings include: Observation and interview on 12/03/2025 at 7:35 AM Review med storage of the 3rd drawer of the medication cart 100 hall revealed of Resident #83's ophthalmic drops noted: timolol 5%, and Latanoprost 0.005% both are open and used with no open dates on boxes or bottles. licensed Practical Nurse (LPN) Q stated that she is a float nurse and that she just started her shift and she did not open those medications or use them. Observation of multi-dose medications noted a white sticker with open date and expiration date that the nursing staff are to fill out upon opening the medication. Record review of Resident #83's December 2025 Medication Administration Record revealed Timolol 5% ophthalmic solution install 1 drop in both eyes two times a day for glaucoma was administered upon rising and at bedtime on 11/29/2025, 11/30/25,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-04 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, failed to ensure 1. maintain adequate biohazard receptacle (with lid) on the 300 and 500 halls in 2 of 2 soiled utility rooms reviewed for biohazard receptacles, and 2. proper infection control procedure during toileting and peri care for 1 resident (Resident #72) of 3 resident's reviewed for ADL care, resulting in the potential to affect the health and safety of the facility water for a census of 68, increase the risk of cross contamination of blood borne body fluids and contaminated soiled linen bags. Findings Include: Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing. Findings include: Biohazard Receptacle: Observation was made on 12/2/25 at approximately 9:45 a.m., on Hall 300 in the soiled utility room accompanied by Nurse, RN K revealed a cardboard box sitting on the floor with trash and a tied off red biohazard…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, failed to ensure 1. the water program was maintained properly, 2. maintain adequate biohazard receptacle (with lid) on the 300 and 500 halls in 2 of 2 soiled utility rooms reviewed for biohazard receptacles, and 3. proper infection control procedure during toileting and peri care for 1 resident (Resident #72) of 3 resident's reviewed for ADL care.Findings Include:Resident #18: Review of the Face Sheet, Minimum Data Set, dated 12/25, nursing progress notes dated 12/1/25 through 12/4/25, and orders dated 11/25, revealed Resident #18 was [AGE] years old, readmitted to the facility on [DATE] after a hospital transfer, required assistance with all Activities of Daily Living/ADL's, had a history of urinary tract infections/UTI's, was confused and unable to interview due to decreased cognition. The residents' diagnosis included, Dementia, Diabetes, Vascular Disease, Neuromuscular Dysfunction of Bladder, and had a feeding tube placed with and a suprapubic catheter.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow pharmacal procedure/policy regarding collection of discontinued narcotics, with a double/witness nurse signature when removed from medication carts, resulting in the potential for missing/misappropriation of narcotic medications. Findings include:Observation and interview on 12/2/2025 during the screening process of the annual survey of Resident #19, was observed to be lying in bed watching television. Resident #19 made good eye contact and revealed that the resident was admitted /transferred from another nursing home and that he was on pain medications when he first came to the facility. Record review of Resident #19's November 2025 Medication Administration Record (MAR) revealed that on 11/18/2025 the resident was started on Tramadol 50mg tablet narcotic/opioid by mouth for pain scheduled four times a day at 8:00am, 12:00pm, 4:00pm, 8:00pm. The 11/18/2025 Tramadol pain medication was discontinued on 11/26/2025. Then on 11/26/2025 Resident #19 was ordered Tramadol 50mg tablet oral four times a day scheduled at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure medication error rate was less than 5% when two medication errors were observed from a total of 25 opportunities for two sampled residents (#70 and #83). This deficient practice resulted in a medication error rate of 8% and the potential risk for decreased medication efficacy. Findings include: Resident #70:Observation on 12/3/2025 at 9:37AM of Resident #70's medication administration with Licensed Practical Nurse (LPN) Q of Ammonium Lactate External Cream 12%, was applied to the back area of the resident while seated up in chair at bedside. Voltaren 1% gel was applied to the bilateral knees and oral medications were given at the same time. Record review of Resident #70's 'Medication Admin Audit Report' dated printed 12/3/2025 at 12:52PM revealed that the medications Ammonium Lactate External Cream 12%, to the back was scheduled for 7:00AM and Voltaren arthritis pain external gel 1% was scheduled for 8:00AM administration. The 12/3/2025 administration time was documented as 9:30AM. Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-06 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake Number MI00149908. Based on observation, interview and record review, the facility failed to 1) Ensure that staff were educated on the in-house procedure during a full code while CPR (Cardio Pulmonary Resuscitation) was being performed, (Resident #102 had no pulse or respirations), 2) Ensure proper use of Automated External Defibrillator (AED) equipment during a code, and 3) Ensure only designated and current CPR card holders participated in chest compressions during CPR for 1 resident (Resident #102), resulting in confusion during a code, no documentation taken, improper placement of the AED pads, and uncertified Nursing Assistant/CNA performing chest compressions during a full code while doing CPR. Findings Include: Every minute counts in CPR; the person doing chest compressions should switch out (hand over to another person if available) every 2 minutes or when they get tired. The compressor (person doing compressions) calls for a position change by saying switch and them…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-09 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to treat residents with dignity and respect for 10 of 10 residents in a confidential meeting and R317, resulting in long call light wait times, humiliation from incontinence and fear of reprisal. Findings include: Resident #317 (R317): R317 is [AGE] years old and admitted to the facility on [DATE] with diagnoses that include acute respiratory failure, hypertension, anemia and endocarditis. R317 has a BIMS (Brief Interview for Mental Status) score of 15, indicating R317 is cognitively intact. On 10/07/24 at 12:56 PM an interview was conducted with R317. R317 was asked how their stay has been so far at the facility. R317 stated over the previous weekend (10/5 and 10/6), there were only 4 CNA's (Certified Nursing Aides) for the entire building. R317 stated they had to wait an hour for their call light to be answered and said they had an accident(incontinent of urine). R317 stated they were very humiliated, and they had guests visiting that day. R317 became…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-09 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement and distribute baseline care plans for three residents (Resident #38, Resident #63, Resident #65), resulting in Resident #38 hand contractures with no interventions, Resident #63 had falls, and Resident #65 required hospitalization with the potential for lack of care related to unmet care needs. Finding includes: Record review of the facility 'Baseline Care Plans' policy dated [DATE], revealed the facility must develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered and care of the resident that will meet professional standards of quality care. The baseline care plan must- (i.) be developed within 48 hours of a resident's admission. (ii.) Include the minimum healthcare information necessary to properly care for a resident Resident #63: Record review of Resident #63's admission Minimum Data Set (MDS) dated [DATE] revealed an elderly male…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-09 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to revise and update care plans for four residents (R15, R18, R33, R63) of 20 residents reviewed for care plan revision, resulting in an inaccurate oxygen flow rate, inaccurate wound documentation, the physician not being notified of weight changes in a dialysis resident and no new interventions after a fall. Findings include: Resident #18 (R18): R18 is [AGE] years old and admitted to the facility on [DATE] with diagnoses that include heart failure, dementia, peripheral vascular disease and chronic pain syndrome. R18 has a BIMS (Brief Interview for Mental Status) Score of 0, indicating severe cognitive impairment. On 10/07/24 at 12:32PM, R18 was observed sleeping in their bed, R18 had a nasal cannula in place and was receiving oxygen via a concentrator at a flow rate of 4 liters per minute. The oxygen tubing was dated 10/6/24. On 10/08/24 at 09:57AM, R18 was observed in bed, receiving oxygen via a nasal cannula and concentrator at a flow rate…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$68,083 in federal fines across 2 penalties.

• $51,282 — penalty dated 2024-10-09
• $16,801 — penalty dated 2024-07-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to NEXCARE HEALTH SYSTEMS — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $831K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI