{"schema_version":"1.0.0","facility":{"id":"cms-235249","ccn":"235249","name":"Optalis Health and Rehabilitation at St. Francis","source_name":"Optalis Health and Rehabilitation at St. Francis","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MI","address":{"line1":"915 North River Road","city":"Saginaw","state":"MI","zip":"48609","county_name":"Saginaw County","county_fips":"26145","county_method":"name_match","ssa_county_code":"720","urban":true},"location":{"lat":43.4219,"lon":-84.052,"method":"cms_published_coordinates"},"phone":"9897813150","certification":{"authority":"CMS","ccn":"235249","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1975-09-01","certified_beds":94,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/235249"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":94,"avg_residents_per_day":72.6},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"OPTALIS SAGINAW OPCO LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":1},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.76319,"lpn_hprd":0.92993,"rn_hprd":0.3396,"licensed_hprd":1.26953,"total_nurse_hprd":3.03273,"weekend_total_nurse_hprd":2.78155,"weekend_rn_hprd":0.26038,"pt_hprd":0.02105,"nursing_turnover_pct":61.8,"rn_turnover_pct":57.1,"administrators_left":0,"case_mix_index":1.29721,"case_mix_index_ratio":0.91984,"case_mix_total_nurse_hprd":3.58817,"adjusted_total_nurse_hprd":3.27114,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-02-12","cycle1_deficiencies":14,"cycle1_score":171,"cycle2_date":"2025-01-23","cycle23_deficiencies":22,"cycle23_score":176,"total_weighted_score":172.25},"cms_penalty_counts":{"fines":2,"fine_total":131073,"payment_denials":1,"total":3},"chain":{"id":"cms-chain-601","cms_chain_id":"601","name":"OPTALIS HEALTH & REHABILITATION"},"operator_id":"op-optalis-saginaw-opco-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/235249","provenance":[{"source_id":"cms_provider_info","source_record_id":"235249","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"235249","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":16,"health_count":12,"fire_count":4,"complaint_count":13,"latest_date":"2026-06-09","latest_standard_health":"2026-02-12","earliest_date":"2024-01-31","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":72,"health_count":41,"fire_count":31,"open_count":0,"actual_harm_count":3,"immediate_jeopardy_count":1,"serious_count":4,"complaint_count":24,"by_severity":{"immediate_jeopardy":1,"potential":68,"actual_harm":3},"by_scope_severity":{"J":1,"D":26,"F":26,"E":16,"G":3},"by_concept":{"clinical_care":17,"resident_rights":6,"emergency_preparedness":7,"environment_life_safety":26,"food_nutrition":4,"infection_prevention":3,"medication":7,"staffing":2},"type_ids":["cms-f0684","cms-f0558","cms-f0577","cms-e0006","cms-e0015","cms-e0024","cms-e0025","cms-e0026","cms-e0039","cms-k0324","cms-k0345","cms-k0712","cms-k0918","cms-k0232","cms-k0321","cms-k0355","cms-f0812","cms-f0880","cms-f0921","cms-f0600","cms-f0761","cms-f0561","cms-f0698","cms-f0725","cms-f0757","cms-f0569","cms-f0689","cms-f0760","cms-f0692","cms-k0291","cms-k0761","cms-k0921","cms-k0211","cms-k0222","cms-k0920","cms-k0923","cms-f0686","cms-f0730","cms-f0677","cms-f0694","cms-f0740","cms-f0550","cms-f0697","cms-f0690","cms-k0353","cms-f0641","cms-f0759","cms-f0804"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":2,"fine_total":131073,"payment_denials":1,"latest_date":"2025-07-17"},"ownership_summary":{"disclosures":22,"organizations":8,"individuals":7,"not_available":false}},"row":{"id":"cms-235249","ccn":"235249","name":"Optalis Health and Rehabilitation at St. Francis","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MI","city":"Saginaw","zip":"48609","county_fips":"26145","county_name":"Saginaw County","address":"915 North River Road","beds":94,"residents":72.6,"ownership":"for_profit","operator_id":"op-optalis-saginaw-opco-llc","operator_name":"Optalis Saginaw Opco LLC","chain_id":"cms-chain-601","chain_name":"Optalis Health & Rehabilitation","lat":43.4219,"lon":-84.052,"overall":2,"health_rating":1,"staffing_rating":1,"qm_rating":5,"nurse_hprd":3.03,"turnover":61.8,"inspections":16,"last_inspection":"2026-06-09","deficiencies":72,"serious":4,"ij":1,"open":0,"penalties":3,"fines_total":131073,"deficiency_type_ids":["cms-f0684","cms-f0558","cms-f0577","cms-e0006","cms-e0015","cms-e0024","cms-e0025","cms-e0026","cms-e0039","cms-k0324","cms-k0345","cms-k0712","cms-k0918","cms-k0232","cms-k0321","cms-k0355","cms-f0812","cms-f0880","cms-f0921","cms-f0600","cms-f0761","cms-f0561","cms-f0698","cms-f0725","cms-f0757","cms-f0569","cms-f0689","cms-f0760","cms-f0692","cms-k0291","cms-k0761","cms-k0921","cms-k0211","cms-k0222","cms-k0920","cms-k0923","cms-f0686","cms-f0730","cms-f0677","cms-f0694","cms-f0740","cms-f0550","cms-f0697","cms-f0690","cms-k0353","cms-f0641","cms-f0759","cms-f0804"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-optalis-saginaw-opco-llc","name":"Optalis Saginaw Opco LLC","legal_name":"OPTALIS SAGINAW OPCO LLC","facility_count":1,"states":["MI"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-601","name":"Optalis Health & Rehabilitation","cms_chain_id":"601","facility_count":36,"states":["MI","OH"],"cms_reported":{"facility_count":36,"avg_overall_rating":2.5,"avg_health_inspection_rating":2,"avg_staffing_rating":2.4,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-om-holdco-6-llc","owner_type":"organization","owner_name":"Om Holdco 6 LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2024-08-01"},{"owner_id":"org-paar-108-llc","owner_type":"organization","owner_name":"Paar 108 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-08-01"},{"owner_id":"org-paar-108-gr-llc","owner_type":"organization","owner_name":"Paar 108-Gr LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-08-01"},{"owner_id":"org-pinal-r-patel-2017-irrv-tr-uad-6-14-17","owner_type":"organization","owner_name":"Pinal R Patel 2017 Irrv Tr Uad 6-14-17","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-08-01"},{"owner_id":"org-pinal-r-patel-revocable-trust","owner_type":"organization","owner_name":"Pinal R Patel Revocable Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-08-01"},{"owner_id":"org-rajan-g-patel-revocable-trust","owner_type":"organization","owner_name":"Rajan G Patel Revocable Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-08-01"},{"owner_type":"individual","owner_name":"Rajan Patel","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"PATEL, RAJAN"},{"owner_id":"org-optum-management-solutions-inc","owner_type":"organization","owner_name":"Optum Management Solutions. Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-05"},{"owner_type":"individual","owner_name":"Akua Addo","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12","owner_name_raw":"ADDO, AKUA"},{"owner_type":"individual","owner_name":"Muhammad Khan","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12","owner_name_raw":"KHAN, MUHAMMAD"},{"owner_type":"individual","owner_name":"Gretchen Ricklefs","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"RICKLEFS, GRETCHEN"},{"owner_type":"individual","owner_name":"Rajan Patel","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"PATEL, RAJAN"},{"owner_id":"org-om-holdco-6-llc","owner_type":"organization","owner_name":"Om Holdco 6 LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_id":"org-optalis-saginaw-propco-llc","owner_type":"organization","owner_name":"Optalis Saginaw Propco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-04"},{"owner_id":"org-optum-management-solutions-inc","owner_type":"organization","owner_name":"Optum Management Solutions. Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-05"},{"owner_id":"org-paar-108-llc","owner_type":"organization","owner_name":"Paar 108 LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_id":"org-paar-108-gr-llc","owner_type":"organization","owner_name":"Paar 108-Gr LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_id":"org-pinal-r-patel-2017-irrv-tr-uad-6-14-17","owner_type":"organization","owner_name":"Pinal R Patel 2017 Irrv Tr Uad 6-14-17","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_id":"org-pinal-r-patel-revocable-trust","owner_type":"organization","owner_name":"Pinal R Patel Revocable Trust","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_id":"org-rajan-g-patel-revocable-trust","owner_type":"organization","owner_name":"Rajan G Patel Revocable Trust","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-12"},{"owner_type":"individual","owner_name":"Akua Addo","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-04","owner_name_raw":"ADDO, AKUA"},{"owner_type":"individual","owner_name":"Muhammad Khan","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-04","owner_name_raw":"KHAN, MUHAMMAD"}],"inspections":[{"id":"cms-235249-20260609-health","ccn":"235249","date":"2026-06-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"J","sl":4,"cs":"corrected","cd":"2026-06-30","cmp":1}]},{"id":"cms-235249-20260507-health","ccn":"235249","date":"2026-05-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-27","cmp":1},{"t":"cms-f0577","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-27","cmp":1}]},{"id":"cms-235249-20260212-fire","ccn":"235249","date":"2026-02-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0006","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-e0015","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-e0024","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-e0025","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-e0026","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0232","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-17","std":1,"tv":"New"}]},{"id":"cms-235249-20260212-health","ccn":"235249","date":"2026-02-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0600","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","cmp":1,"std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0921","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-24","std":1}]},{"id":"cms-235249-20260121-health","ccn":"235249","date":"2026-01-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-30","cmp":1}]},{"id":"cms-235249-20251125-health","ccn":"235249","date":"2025-11-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0569","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-10","cmp":1}]},{"id":"cms-235249-20250717-health","ccn":"235249","date":"2025-07-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2025-08-14","cmp":1}]},{"id":"cms-235249-20250319-health","ccn":"235249","date":"2025-03-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-07","cmp":1}]},{"id":"cms-235249-20250227-health","ccn":"235249","date":"2025-02-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","cmp":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-14","cmp":1}]},{"id":"cms-235249-20250123-fire","ccn":"235249","date":"2025-01-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0355","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-28","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-28","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1,"tv":"New"}]},{"id":"cms-235249-20250123-health","ccn":"235249","date":"2025-01-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2025-02-15","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-15","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-15","std":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-15","std":1},{"t":"cms-f0730","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","cmp":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-15","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","std":1}]},{"id":"cms-235249-20241230-health","ccn":"235249","date":"2024-12-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1}]},{"id":"cms-235249-20240918-health","ccn":"235249","date":"2024-09-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-17","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-17","cmp":1}]},{"id":"cms-235249-20240822-fire","ccn":"235249","date":"2024-08-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-12","cmp":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-12","cmp":1,"tv":"New"}]},{"id":"cms-235249-20240131-fire","ccn":"235249","date":"2024-01-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","std":1,"tv":"New"}]},{"id":"cms-235249-20240131-health","ccn":"235249","date":"2024-01-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1,"std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1,"std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1,"std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","std":1}]}],"deficiency_types":{"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0024":{"code":"E-0024","title":"Establish policies and procedures for volunteers.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0025":{"code":"E-0025","title":"Create arrangements with other facilities to receive patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"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.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"}},"penalties":[{"id":"cms-235249-pen-f136074","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-07-17","amount":58403,"fine_id":"136074","evidence_class":"VERIFIED","source_record_id":"235249|Fine|136074"},{"id":"cms-235249-pen-d20241230","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-12-30","denial_start":"2025-02-20","denial_days":22,"evidence_class":"VERIFIED","source_record_id":"235249|Payment Denial|2025-02-20"},{"id":"cms-235249-pen-f59087","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-12-30","amount":72670,"fine_id":"59087","evidence_class":"VERIFIED","source_record_id":"235249|Fine|59087"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235249&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MI","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.9,"staffing_rating":3.6,"avg_residents_per_day":85.2,"cycle1_health_deficiencies":9.9,"cycle1_fire_deficiencies":4.8,"nurse_aide_hprd":2.36,"lpn_hprd":0.89,"rn_hprd":0.77975,"licensed_hprd":1.67,"total_nurse_hprd":4.02916,"weekend_total_nurse_hprd":3.50463,"weekend_rn_hprd":0.49,"pt_hprd":0.07,"nursing_turnover_pct":44.6,"rn_turnover_pct":39.2,"administrators_left":0.4,"case_mix_index":1.29957,"fines":0.6,"fine_amount":28400,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MI","name":"Michigan"},"county":{"fips":"26145","name":"Saginaw County"},"zip":"48609","city":"Saginaw"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-235004","ccn":"235004","name":"Optalis Health & Rehabilitation of Muskegon","address":"1061 West Hackley Avenue","city":"Muskegon","state":"MI","zip":"49441","beds":107,"overall":1,"inspections":11,"last_inspection":"2026-08-20","deficiencies":74,"serious":1,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235032","ccn":"235032","name":"Optalis Health & Rehabilitation of Ionia","address":"814 East Lincoln Avenue","city":"Ionia","state":"MI","zip":"48846","beds":107,"overall":4,"inspections":7,"last_inspection":"2026-03-25","deficiencies":35,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235103","ccn":"235103","name":"Optalis Health & Rehabilitation at Kent-Crossing","address":"2320 E Beltline SE","city":"Grand Rapids","state":"MI","zip":"49546","beds":182,"overall":1,"inspections":12,"last_inspection":"2026-08-18","deficiencies":101,"serious":2,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235109","ccn":"235109","name":"Optalis Health and Rehabilitation of Grosse Pointe","address":"21401 Mack Avenue","city":"Grosse Pointe Woods","state":"MI","zip":"48236","beds":80,"overall":4,"inspections":8,"last_inspection":"2025-09-29","deficiencies":47,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235206","ccn":"235206","name":"Optalis Health & Rehabilitation of Whitehall","address":"916 East Lewis Street","city":"Whitehall","state":"MI","zip":"49461","beds":125,"overall":1,"inspections":12,"last_inspection":"2026-03-05","deficiencies":67,"serious":3,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235217","ccn":"235217","name":"Optalis Health & Rehabilitation of Bloomfield Hill","address":"2975 N Adams Road","city":"Bloomfield Hills","state":"MI","zip":"48304","beds":159,"overall":1,"inspections":17,"last_inspection":"2026-08-24","deficiencies":100,"serious":4,"ij":0,"open":0,"fines_total":45935,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235261","ccn":"235261","name":"Optalis Health & Rehabilitation at Leonard","address":"1700 Leonard Street NE","city":"Grand Rapids","state":"MI","zip":"49505","beds":69,"overall":2,"inspections":8,"last_inspection":"2026-04-09","deficiencies":37,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235267","ccn":"235267","name":"Optalis Health and Rehabilitation of Kingsford","address":"1225 Woodward Avenue","city":"Kingsford","state":"MI","zip":"49801","beds":107,"overall":1,"inspections":19,"last_inspection":"2026-08-19","deficiencies":77,"serious":4,"ij":1,"open":3,"fines_total":130734,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":35,"same_site_review":[],"nearby":[{"id":"cms-235585","ccn":"235585","name":"Covenant Skilled Nursing and Rehabilitation at Wel","address":"5939 Shattuck Road","city":"Saginaw","state":"MI","zip":"48603","beds":39,"overall":4,"inspections":8,"last_inspection":"2026-03-25","deficiencies":33,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.6},{"id":"cms-235150","ccn":"235150","name":"Healthsource Saginaw, Inc","address":"3340 Hospital Rd","city":"Saginaw","state":"MI","zip":"48603","beds":213,"overall":1,"inspections":12,"last_inspection":"2026-08-06","deficiencies":70,"serious":3,"ij":0,"open":0,"fines_total":208810,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.9},{"id":"cms-235113","ccn":"235113","name":"Saginaw Senior Care and Rehabilitation Center, LLC","address":"4322 Mackinaw Road","city":"Saginaw","state":"MI","zip":"48603","beds":71,"overall":4,"inspections":9,"last_inspection":"2025-12-04","deficiencies":40,"serious":3,"ij":0,"open":0,"fines_total":68083,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.3},{"id":"cms-235250","ccn":"235250","name":"Adira Nursing and Rehabilitation","address":"3200 State Street","city":"Saginaw","state":"MI","zip":"48602","beds":92,"overall":2,"inspections":11,"last_inspection":"2026-04-20","deficiencies":76,"serious":3,"ij":0,"open":0,"fines_total":22165,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.6},{"id":"cms-235442","ccn":"235442","name":"Great Lakes Rehabilitation Center","address":"4180 Tittabawassee Road","city":"Saginaw","state":"MI","zip":"48604","beds":55,"overall":2,"inspections":8,"last_inspection":"2026-01-14","deficiencies":62,"serious":3,"ij":0,"open":0,"fines_total":21244,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.8},{"id":"cms-235056","ccn":"235056","name":"Hoyt Nursing & Rehab Centre","address":"1202 Weiss St","city":"Saginaw","state":"MI","zip":"48602","beds":128,"overall":2,"inspections":11,"last_inspection":"2026-07-09","deficiencies":49,"serious":3,"ij":0,"open":0,"fines_total":30740,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8},{"id":"cms-235139","ccn":"235139","name":"Avista Nursing and Rehabilitation","address":"2901 Galaxy Drive","city":"Saginaw","state":"MI","zip":"48601","beds":96,"overall":2,"inspections":7,"last_inspection":"2026-06-25","deficiencies":45,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.3},{"id":"cms-235635","ccn":"235635","name":"Caretel Inns of Tri-Cities","address":"6700 Westside Saginaw Road","city":"Bay City","state":"MI","zip":"48706","beds":60,"overall":2,"inspections":17,"last_inspection":"2026-08-19","deficiencies":62,"serious":8,"ij":1,"open":0,"fines_total":161469,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":15.9}]}}