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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D20 | E12 | F5 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 9, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 9, 2024 | Health | Health Standard | 11 | Actual harm | — | Open → |
| Jul 15, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 1, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 19, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 19, 2023 | Health | Health Standard | 7 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 9, 2024 | Civil money penalty (fine) | $51,282 | — | 235113|Fine|59067 |
| Jul 15, 2024 | Civil money penalty (fine) | $16,801 | — | 235113|Fine|59020 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D20 | E12 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 4, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 17, 2025 | |
| Dec 4, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 17, 2025 | |
| Dec 4, 2025 | F-0550 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
20 facilities in 1 states. CMS chain ID 369.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexcare Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2013 |
| Nexcare Health Systems, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2009 |
| Michael Perry | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2015 |
| Todd Sangster | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 4, 2013 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Evergreen Manor Senior Care Center 111 Evergreen, Battle Creek, MI 49015 CCN 235054 | 91 | Apr 2, 2026 | 32 | — | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 128 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Adira Nursing and Rehabilitation 3200 State Street, Saginaw, MI 48602 CCN 235250 | 1.2 km | 92 | Apr 20, 2026 | 763 harm | $22k | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 3.1 km | 128 | Jul 9, 2026 | 493 harm | $31k | |
| Covenant Skilled Nursing and Rehabilitation at Wel 5939 Shattuck Road, Saginaw, MI 48603 CCN 235585 | 3.1 km | 39 | Mar 25, 2026 | 33 | — | |
| Great Lakes Rehabilitation Center 4180 Tittabawassee Road, Saginaw, MI 48604 CCN 235442 | 3.9 km | 55 | Jan 14, 2026 | 623 harm | $21k | |
| Healthsource Saginaw, Inc 3340 Hospital Rd, Saginaw, MI 48603 CCN 235150 | 4.8 km | 213 | Aug 6, 2026 | 703 harm | $209k | |
| Optalis Health and Rehabilitation at St. Francis 915 North River Road, Saginaw, MI 48609 CCN 235249 | 5.3 km | 94 | Jun 9, 2026 | 721 IJ3 harm | $131k | |
| Avista Nursing and Rehabilitation 2901 Galaxy Drive, Saginaw, MI 48601 CCN 235139 | 10.8 km | 96 | Jun 25, 2026 | 45 | — | |
| Caretel Inns of Tri-Cities 6700 Westside Saginaw Road, Bay City, MI 48706 CCN 235635 | 11.8 km | 60 | Aug 19, 2026 | 621 IJ7 harm | $161k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235113 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235113 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Dec 17, 2025 |
| Dec 4, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 17, 2025 |
| Dec 4, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 4, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 4, 2025 | F-0761 | 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 · Medication management | E · Potential harm Pattern | Corrected Dec 17, 2025 |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 17, 2025 |
| Feb 6, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2025 | Complaint |
| Oct 9, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 9, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 9, 2024 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 9, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0657 | 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 · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Oct 9, 2024 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Nov 7, 2024 |
| Jul 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 14, 2024 | Complaint |
| Mar 1, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Mar 1, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Mar 1, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Oct 19, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0656 | 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 · Clinical care | E · Potential harm Pattern | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 14, 2023 |
| Oct 19, 2023 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Nov 14, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.22 (case-mix index 1.24).
| Fred Massoll | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 23, 2020 |
| Jul 9, 2026 |
493 harm |
| $31k |
| South Lyon Senior Care and Rehab Center 700 Reynolds Sweet Parkway, South Lyon, MI 48178 CCN 235065 | 74 | Jun 15, 2026 | 153 harm | — |
| Wexford Senior Care Center 460 Pearl Street, Cadillac, MI 49601 CCN 235094 | 131 | Jun 22, 2026 | 31 | — |
| Durand Senior Care and Rehab Center 8750 E Monroe Road, Durand, MI 48429 CCN 235123 | 141 | Jun 11, 2026 | 194 harm | $54k |
| Oakpointe Senior Care and Rehab Center 18901 Meyers Rd, Detroit, MI 48235 CCN 235207 | 106 | Aug 27, 2026 | 331 open | — |
| Dimondale Nursing Care Center 4000 N Michigan Road, Dimondale, MI 48821 CCN 235256 | 150 | Jul 8, 2025 | 444 harm | $35k |
| Holt Senior Care and Rehab Center 5091 Willoughby Road, Holt, MI 48842 CCN 235279 | 101 | Apr 9, 2026 | 311 harm | — |