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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E8 | F12 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 25, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 25, 2026 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 22, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 22, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E8 | F12 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 25, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2026 | |
| Mar 25, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2026 | |
| Mar 25, 2026 | K-0351 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Covenant Medical Center, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Wellspring Tcc LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Covenant Healthcare System | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Lutheran Homes of Michigan, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Covenant Medical Center, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Wellspring Tcc LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Covenant Healthcare System | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
| Lutheran Homes of Michigan, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Sep 8, 2021 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Healthsource Saginaw, Inc 3340 Hospital Rd, Saginaw, MI 48603 CCN 235150 | 1.7 km | 213 | Aug 6, 2026 | 703 harm | $209k | |
| Saginaw Senior Care and Rehabilitation Center, LLC 4322 Mackinaw Road, Saginaw, MI 48603 CCN 235113 | 3.1 km | 71 | Dec 4, 2025 | 403 harm | $68k | |
| Optalis Health and Rehabilitation at St. Francis 915 North River Road, Saginaw, MI 48609 CCN 235249 | 3.6 km | 94 | Jun 9, 2026 | 721 IJ3 harm | $131k | |
| Adira Nursing and Rehabilitation 3200 State Street, Saginaw, MI 48602 CCN 235250 | 4.1 km | 92 | Apr 20, 2026 | 763 harm | $22k | |
| Great Lakes Rehabilitation Center 4180 Tittabawassee Road, Saginaw, MI 48604 CCN 235442 | 4.2 km | 55 | Jan 14, 2026 | 623 harm | $21k | |
| Hoyt Nursing & Rehab Centre 1202 Weiss St, Saginaw, MI 48602 CCN 235056 | 6.2 km | 128 | Jul 9, 2026 | 493 harm | $31k | |
| Caretel Inns of Tri-Cities 6700 Westside Saginaw Road, Bay City, MI 48706 CCN 235635 | 12.3 km | 60 | Aug 19, 2026 | 621 IJ7 harm | $161k | |
| Avista Nursing and Rehabilitation 2901 Galaxy Drive, Saginaw, MI 48601 CCN 235139 | 13.6 km | 96 | Jun 25, 2026 | 45 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235585 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235585 | 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
| Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected May 7, 2026 |
| Mar 25, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2026 |
| Mar 25, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2026 |
| Mar 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 | D · Potential harm Isolated | Corrected May 4, 2026 |
| Mar 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 May 4, 2026 |
| Mar 25, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 4, 2026 | Complaint |
| Mar 25, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 4, 2026 |
| Mar 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 May 4, 2026 | Complaint |
| Mar 25, 2026 | 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 May 4, 2026 |
| Mar 25, 2026 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 4, 2026 |
| Mar 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 May 4, 2026 |
| Mar 25, 2026 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 4, 2026 |
| Mar 25, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 4, 2026 | Complaint |
| Apr 3, 2025 | 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 Apr 26, 2025 | Complaint |
| Feb 14, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 26, 2025 |
| Feb 14, 2025 | 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 Mar 26, 2025 |
| Feb 14, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 26, 2025 |
| Feb 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 26, 2025 |
| Feb 14, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 26, 2025 |
| Feb 14, 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 Mar 26, 2025 |
| Feb 14, 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 | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 14, 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 | E · Potential harm Pattern | Corrected Apr 18, 2025 |
| Sep 17, 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 Oct 15, 2024 | Complaint |
| Feb 22, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Feb 22, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Feb 22, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Feb 22, 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 Mar 20, 2024 |
| Feb 22, 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 Mar 20, 2024 |
| Feb 22, 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 Mar 20, 2024 |
| Feb 22, 2024 | 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 Mar 20, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.20 (case-mix index 1.43).
| Lutheran Homes of Michigan, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 5, 2022 |
| Noelle Conzelmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 5, 2022 |
| Kevin Birchmeier | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2021 |
| David Gehm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2021 |
| Timothy Kalbfleisch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2021 |
| Adam Tompa | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2021 |
| Kevin Birchmeier | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 4, 2022 |
| Timothy Kalbfleisch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 4, 2022 |