Avista Nursing and Rehabilitation — nursing home in Saginaw, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 96 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 84.3 CMS, MDS-derived
CMS Certification Number: 235139
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 20, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): Saginaw Opco LLC
CMS chain: Preferred Care 13 facilities
Phone: (989) 777-5110
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jun 25, 2026

Citations

45

36 health · 9 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E12	F11
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235139
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 96
First approved: Jul 20, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Michigan.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 25, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 25, 2026	Health	Health Complaint, Health Standard	18	Potential harm	—	Open →
Apr 15, 2026	Health	Health Complaint	2	Potential harm	—	Open →
May 15, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 15, 2025	Health	Health Standard	7	Potential harm	—	Open →
Jun 5, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 5, 2024	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E12	F11
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 25, 2026	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 28, 2026
Jun 25, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 28, 2026
Jun 25, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 28, 2026
Jun 25, 2026	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 Jul 28, 2026
Jun 25, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 28, 2026
Jun 25, 2026	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	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	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	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 Jul 28, 2026	Complaint
Jun 25, 2026	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jul 28, 2026
Jun 25, 2026	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	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 Jul 28, 2026
Jun 25, 2026	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 Jul 28, 2026
Jun 25, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 28, 2026
Jun 25, 2026	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 28, 2026
Jun 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jul 28, 2026	Complaint
Jun 25, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 28, 2026
Jun 25, 2026	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 28, 2026
Jun 25, 2026	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 28, 2026
Jun 25, 2026	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 28, 2026
Apr 15, 2026	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 Apr 23, 2026	Complaint
Apr 15, 2026	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 Apr 23, 2026	Complaint
May 15, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 9, 2025
May 15, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 9, 2025
May 15, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 9, 2025
May 15, 2025	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 9, 2025
May 15, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2025
May 15, 2025	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 Jun 9, 2025
May 15, 2025	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2025
May 15, 2025	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 Jun 9, 2025
May 15, 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 Jun 9, 2025
May 15, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 9, 2025
May 15, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 9, 2025
Jun 5, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 2, 2024
Jun 5, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 2, 2024
Jun 5, 2024	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 2, 2024
Jun 5, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 2, 2024
Jun 5, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 2, 2024	Complaint
Jun 5, 2024	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 2, 2024
Jun 5, 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 Jul 2, 2024
Jun 5, 2024	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 Jul 2, 2024
Jun 5, 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 Jul 2, 2024
Jun 5, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 2, 2024	Complaint
Jun 5, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 2, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.95

State avg 4.03US avg 3.90

Registered nurse (RN)0.50

State avg 0.78US avg 0.69

Licensed practical nurse1.02

State avg 0.89US avg 0.86

Nurse aide2.43

State avg 2.36US avg 2.35

Weekend total nurse3.41

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.40 (case-mix index 1.26).

Staff turnover

Total nursing staff turnover50.0%

State avg 44.6%US avg 45.3%

Registered nurse turnover45.5%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 25, 2026
Cycle 1 health score: 140
Total weighted score: 120

Operating entity

Saginaw Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Preferred Care

13 facilities in 2 states. CMS chain ID 409.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

16

Organizations

4

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Schnell	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	Jan 31, 2017
Dov Green	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	30%	Jan 31, 2017
Yoni Klein	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jan 31, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Schnell	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	Jan 31, 2017
Dov Green	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	30%	Jan 31, 2017
Yoni Klein	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jan 31, 2017
Yoni Klein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Eli Rubinfeld	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Amanda Stryker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2017
Saginaw Realty Holdings II LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Feb 1, 2017
P&M Holding Group LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Preferred Care at Lansing Mngt LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Saginaw Realty Holdings II LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Zigdon & Associates PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Dov Green	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Muhammad Khan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Yoni Klein	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
David Schnell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Amanda Stryker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2017

Same chain in Michigan

All 12 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Briarwood Nursing and Rehabilitation 3011 North Center Road, Flint, MI 48506 CCN 235184	117	Jun 3, 2026	451 harm	—
Adira Nursing and Rehabilitation 3200 State Street, Saginaw, MI 48602 CCN 235250	92	Apr 20, 2026	763 harm	$22k
Marvin & Betty Danto Health Care Center 6800 West Maple, West Bloomfield, MI 48322 CCN 235288	155	Mar 18, 2026	543 harm	$49k
Hampton Nursing and Rehabilitation 800 Mulholland Road, Bay City, MI 48708 CCN 235411	51	Jun 26, 2025	25	—
Carriage House Nursing and Rehabilitation 2394 Midland Road, Bay City, MI 48706 CCN 235599	120	May 13, 2026	422 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2901 Galaxy Drive, Saginaw, MI 48601
ZIP: 48601
County: Saginaw County FIPS 26145
State: Michigan
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056	8.8 km	128	Jul 9, 2026	493 harm	$31k
Adira Nursing and Rehabilitation 3200 State Street, Saginaw, MI 48602 CCN 235250	9.7 km	92	Apr 20, 2026	763 harm	$22k
Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113	10.8 km	71	Dec 4, 2025	403 harm	$68k
Optalis Health and Rehabilitation at St. Francis 915 North River Road, Saginaw, MI 48609 CCN 235249	13.3 km	94	Jun 9, 2026	721 IJ3 harm	$131k
Covenant Skilled Nursing and Rehabilitation at Wel 5939 Shattuck Road, Saginaw, MI 48603 CCN 235585	13.6 km	39	Mar 25, 2026	33	—
Great Lakes Rehabilitation Center 4180 Tittabawassee Road, Saginaw, MI 48604 CCN 235442	14.1 km	55	Jan 14, 2026	623 harm	$21k
Healthsource Saginaw, Inc 3340 Hospital Rd, Saginaw, MI 48603 CCN 235150	15.2 km	213	Aug 6, 2026	703 harm	$209k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235139	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235139	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

Record-level source links for CCN 235139

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction