4322 Mackinaw Road, Saginaw, MI 48603 · Saginaw County · (989) 792-8729
71 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1973
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235113 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 4, 2025, inspectors cited 6 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 29 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $68,083 in the last three years; the largest was $51,282, and the latest is dated October 9, 2024.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
47.3% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Nexcare Health Systems, an affiliated group of 20 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure 1. Medications were not left at bedside for Residents #24 and #28; 2. Medications was administered with physician order for Resident #28; and 3. Timely assessment, intervention and ongoing monitoring were completed for Resident #9's new skin alternation was completed. Findings Include:Resident #9On 12/2/2025 at approximately 1:15 PM, Resident #9 was observed resting in bed, his left eye appeared reddened with thick colored drainage. Cascading down the left side of his mouth, there were multiple clusters of tan colored circular appearing sores. The resident reported the physician assessed both areas the day prior. Nurse E shared the resident was evaluated by the physician yesterday and prescribed antibiotic eye drops for conjunctivitis and the skin area by his mouth was also assessed. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to identify open dates on multi-dose medications in 3 of 3 medication carts for Resident's #38, #42, #57, #62, #83, and #84, resulting in opened and undated multi-dose medications.
Inspectors wroteBased on observation, interview and record review, failed to ensure 1. maintain adequate biohazard receptacle (with lid) on the 300 and 500 halls in 2 of 2 soiled utility rooms reviewed for biohazard receptacles, and 2. proper infection control procedure during toileting and peri care for 1 resident (Resident #72) of 3 resident's reviewed for ADL care, resulting in the potential to affect the health and safety of the facility water for a census of 68, increase the risk of cross contamination of blood borne body fluids and contaminated soiled linen bags. Findings Include: Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing.
Inspectors wroteBased on observation, interview and record review, failed to ensure 1. the water program was maintained properly, 2. maintain adequate biohazard receptacle (with lid) on the 300 and 500 halls in 2 of 2 soiled utility rooms reviewed for biohazard receptacles, and 3. proper infection control procedure during toileting and peri care for 1 resident (Resident #72) of 3 resident's reviewed for ADL care. Findings Include:Resident #18: Review of the Face Sheet, Minimum Data Set, dated 12/25, nursing progress notes dated 12/1/25 through 12/4/25, and orders dated 11/25, revealed Resident #18 was [AGE] years old, readmitted to the facility on [DATE] after a hospital transfer, required assistance with all Activities of Daily Living/ADL's, had a history of urinary tract infections/UTI's, was confused and unable to interview due to decreased cognition. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow pharmacal procedure/policy regarding collection of discontinued narcotics, with a double/witness nurse signature when removed from medication carts, resulting in the potential for missing/misappropriation of narcotic medications.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medication error rate was less than 5% when two medication errors were observed from a total of 25 opportunities for two sampled residents (#70 and #83). This deficient practice resulted in a medication error rate of 8% and the potential risk for decreased medication efficacy.
Inspectors wroteThis citation pertains to Intake Number MI00149908. Based on observation, interview and record review, the facility failed to 1) Ensure that staff were educated on the in-house procedure during a full code while CPR (Cardio Pulmonary Resuscitation) was being performed, (Resident #102 had no pulse or respirations), 2) Ensure proper use of Automated External Defibrillator (AED) equipment during a code, and 3) Ensure only designated and current CPR card holders participated in chest compressions during CPR for 1 resident (Resident #102), resulting in confusion during a code, no documentation taken, improper placement of the AED pads, and uncertified Nursing Assistant/CNA performing chest compressions during a full code while doing CPR. Findings Include: Every minute counts in CPR; [...]
Inspectors wroteBased on observation, interview and record review the facility failed to prevent the development of and worsening of pressure ulcers for 3 residents (Resident #15, Resident #25, Resident #33) of five residents reviewed for pressure ulcers resulting in the development of facility-acquired pressure ulcers, including a Stage 3 pressure ulcer, and the worsening of pressure ulcers.
Inspectors wroteBased on interview and record review the facility failed to treat residents with dignity and respect for 10 of 10 residents in a confidential meeting and R317, resulting in long call light wait times, humiliation from incontinence and fear of reprisal.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement and distribute baseline care plans for three residents (Resident #38, Resident #63, Resident #65), resulting in Resident #38 hand contractures with no interventions, Resident #63 had falls, and Resident #65 required hospitalization with the potential for lack of care related to unmet care needs.
Inspectors wroteBased on observation, interview and record review the facility failed to revise and update care plans for four residents (R15, R18, R33, R63) of 20 residents reviewed for care plan revision, resulting in an inaccurate oxygen flow rate, inaccurate wound documentation, the physician not being notified of weight changes in a dialysis resident and no new interventions after a fall.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain supervision of one resident (Resident #63) when up in the wheelchair, and notify a spouse of a fall/accident, resulting in an injury to the left thumb, pain, and the potential for continuous falls and injuries.
Inspectors wroteBased on observation, interview and record review, the facility failed monitor and document the weight loss of a hemodialysis resident, and to ensure timely re-weighs for weight loss for one resident (Resident #33), resulting in Resident #33 to have weight loss monitoring completion, follow-up of abnormal weights, and the potential for unidentified nutritional deficiencies and decline in overall health.
Inspectors wroteBased on observation, interview and record review the failed to administer tube feeding per professional standards for one resident (Resident #8) of three residents reviewed for enteral nutrition, resulting in Resident #8 readmission enteral nutrition order being inputted incorrectly and facility staff administering the enteral feed without a physician's order. Findings Include: Resident #8: On 10/8/2024 at 8:15 AM, Resident #8 was observed asleep in bed with his tube feed infusing. The infusion rate was observed at 60 ml (milliliters) per hour, with the Jevity 1.5 formula being hung at 3:40 AM. Review was completed of Resident #8's enteral feed order and it indicated Jevity 1.5@ 65ml/hr flush of 45ml/hr water continuous to begin on 10/8/2024 at 3:00 PM. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to revise and update a physician's order for one resident (Resident #18) of two residents reviewed for oxygen administration, resulting in the improper flow rate of oxygen being administered.
Inspectors wroteBased on observation, interview and record review the facility failed to respond timely to pharmacy recommendations and follow parameters and/or check blood pressure prior to administration of medication for one resident (Resident #6) of five residents reviewed for unnecessary medications, resulting in Resident 6's pharmacy recommendations not being acknowledged by the facility and ensuring their blood pressure was taken and constraints followed prior to administration of medication. Findings Include: Resident #6: During initial tour on 10/7/2024 Resident #6 was observed resting in bed watching television she did not report any pressing concerns. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to document the clinical rationale for triple drug therapy for one resident (Resident #6) of five residents reviewed for unnecessary medications, resulting in Resident #6 being prescribed three antidepressant medications related to her Major Depressive Disorder diagnosis. Findings Include: Resident #6: During initial tour on 10/7/2024 Resident #6 was observed resting in bed ,watching television she did not report any pressing concerns. On 10/8/2024 at 1:30 PM, a review was completed of Resident #6's medical records and it revealed she admitted to the facility on [DATE] with diagnoses that included, Heart Failure, Anxiety, Schizoaffective, Major Depressive Disorder and Nonpsychotic Mental Disorder. Further review yielded the following results: Physician Orders: [...]
Inspectors wroteBased on observation the facility failed to dispose of expired supplies and supplements located in the medication storage rooms on the 100 Hall and 400 Hall, resulting in expired supplies and supplements being available for use and consumption.
Inspectors wroteThis Citation has two Deficient Practice Statements. Deficient Practice Statement 1: This Citation Pertains to Intake Numbers MI00137515 and MI00141236. Based on interview and record review, the facility failed to ensure that timely and appropriate care was provided, per professional standards of practice and Health Care Provider orders, for one resident (Resident #802) of three residents reviewed for assessment and monitoring, resulting in a lack of accurate infection control surveillance, Resident #802 not receiving medications as ordered for Covid-19, a lack of comprehensive assessment, documentation, and a timely response to an acute change in condition, and death.
Inspectors wroteThis Citation pertains to Intake Number MI00142682. Based on interview and record review, the facility failed to prevent the development of pressure ulcers to the bilateral heels and prevent the worsening of a sacral pressure ulcer and monitor/assess wounds timely and accurately for one resident (Resident #500) of 3 residents reviewed for pressure ulcer care, resulting in the development of facility acquired pressure ulcers, infection, delayed wound healing, pain, and overall deterioration in health status.
Inspectors wroteThis Citation pertains to Intake Number MI00142682. Based on observation, interview and record review, the facility failed to monitor/assess a Peripherally Inserted Central Catheter (PICC-a catheter inserted in the arm that extends towards the heart and is utilized for long term administration of intravenous medication) for catheter dislodgement and ensure that a baseline measurement of the arm circumference was accessible in the medical record for three residents (Resident #500, Resident #501, and Resident #502) of three residents reviewed for vascular access devices, resulting in complications to go undetected and untreated that included the potential of a mal-positioned catheter and/or thrombosis.
Inspectors wroteThis Citation pertains to Intake Number MI00142682. Based on observation, interview and record review, the facility failed to provide pharmaceutical services for ordered medications when Resident #500 did not receive ordered antibiotic Tygacil intravenously (IV) for infection, did not receive Darbepoetin Alfa injection (a medication to assist in production of red blood cells), Resident #501 did not receive antibiotic Cefazolin IV timely and Resident #502 did not receive antibiotic Ceftriaxone IV timely, of three residents reviewed for medication administration, resulting in hospitalization for Resident #500 with septic shock, anemia, and the need for blood transfusion, the potential for infections to worsen for Resident #500, Resident #501 and Resident #502 and the overall decline of wellbeing.
Inspectors wroteBased on interview, record review, the facility failed to ensure quality of care for nursing assessment for two residents (Resident #17, Resident #62), resulting in infections for Resident's #17 peritoneal catheter site and Resident #62 being sent to the hospital for septic shock requiring antibiotic therapy and prolonged illness.
Inspectors wroteBased on observation, interview and record review and per the confidential Resident Group Meeting held on 10/18/23 at 1:06 p.m., the facility 1) Failed to ensure that residents' call lights were within reach and answered in a timely manner, and 2) Failed to ensure dignified communication between staff and residents for eight residents (Resident #1, Resident #6, Resident #17, Resident #20, Resident #27, Resident #45, Resident #51 and Resident #52) and 6 confidential residents, resulting in the likelihood and verbalizations of anger, frustration, low self-esteem, depression and self isolation. Findings Include: Review of the facility Call Light policy dated 5/1/2017, revealed Call lights will be placed within reach of the resident. Call lights will remain on until staff is available to meet the residents needs/requests. Resident #51: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure person-centered comprehensive care plans for six residents (Resident #15, Resident #17, Resident #34, Resident #40, Resident #62 and Resident #117) resulting in unmet care needs with the likelihood of missed care planned opportunities.
Inspectors wroteBased on observation, interview and record review, the facility 1) Failed to ensure catheter securement device, catheter care and urinary output was documented for one resident (Resident (#54), and 2) Failed to prevent Urinary Tract Infections (UTI) for three residents (Residents #1, Resident #20, Resident #62), resulting in no documented catheter care or urinary output until 6 days after admission for Resident #54 with the likelihood of signs and symptoms of catheter complications going unnoticed, catheter dislodgment, and urinary tract infection with hospitalization and prolonged illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to document PICC (Percutaneous Inserted Central Catheter-a catheter inserted in the vein going into the chest) line care per standards of practice and physician's orders for two residents (Resident #25, Resident #31); resulting in undocumented dressing changes, assessment of the PICC and site with the likelihood of signs of symptoms of PICC complications such as migration inward or outward, infection, swelling and/or redness going unnoticed.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide an intravenous (administer into a vein) antibiotic (Merrepenem) timely and as per physician's orders for one resident (Resident #31), resulting in 6 missed doses with the likelihood of continued infection, worsening infection and/or antibiotic resistance.
Inspectors wroteBased on observation, interview and record review, the facility failed to dispose of four expired insulin's for two residents (Resident #32, Resident #45) from the 200 Hall medication cart, resulting in the administration of expired insulin's with the likelihood of decreased potency, infection and higher blood glucose levels.
11 fire safety citations on file: 2 on December 4, 2025, 3 on October 9, 2024, 6 on October 19, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 9, 2024 | Fine | $51,282 |
| July 15, 2024 | Fine | $16,801 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.99 | 3.86 |
| Registered nurses | 0.63 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.50 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 47.3% | 44.1% | 45.8% |
| Registered nurse turnover | 50.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.79 on weekdays and 3.16 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.63 | 3.79 | 3.16 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.70 | 0.74 | 3.87 | 3.27 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.72 | 0.79 | 3.91 | 3.22 | 0.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.81 | 0.84 | 3.99 | 3.36 | 0.0% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.2 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.7 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Saginaw Senior Care and Rehabilitation Center, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.2% this home
No different from the national rate
US median of homes 51.5% · Michigan: 89 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 46 eligible stays.
10.0% this home
No different from the national rate
US median of homes 10.7% · Michigan: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 58 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.
56.3% this home
Median of homes: Michigan57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 32 residents counted.
2.6% this home
Median of homes: Michigan0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.
2.3% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SAGINAW SENIOR CARE AND REHAB CENTER, LLC. CMS links this home to Nexcare Health Systems, a group of 20 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2013 |
| Massoll, Fred | W-2 managing employee | Individual | 11/23/2020 | |
| Sangster, Todd | Corporate officer | Individual | 11/04/2013 | |
| Nexcare Health Systems, LLC | Operational/managerial control | Organization | 01/01/2009 | |
| Perry, Michael | Operational/managerial control | Individual | 08/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.