Caretel Inns of Tri-Cities
6700 Westside Saginaw Road · Bay City, MI · 48706 · 9896679800
60 certified beds For profit - Corporation Chain: Symphony Care Network
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $93,061 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$93,061 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 4 · $222,512 |
Inspection citations (42 in the current record)
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Actual harm · G December 18, 2025 · found via complaint
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.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025 · found via complaint
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.
Corrected January 20, 2026 · Nursing and Physician Services
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Potential for harm · E August 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · E August 7, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · E August 7, 2025
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.
Corrected September 12, 2025 · Pharmacy Service
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Potential for harm · D August 7, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · F August 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · F August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 18, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Provide and implement an infection prevention and control program.
Corrected September 12, 2025 · Infection Control
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Potential for harm · F August 7, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 12, 2025 · Environmental
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Actual harm · G July 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 20, 2025 · Quality of Life and Care
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Actual harm · G July 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 20, 2025 · Resident Assessment and Care Planning
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Actual harm · G June 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 10, 2025 · Nutrition and Dietary
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Potential for harm · D May 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D March 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D March 4, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2025 · Quality of Life and Care
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Actual harm · G January 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D January 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 13, 2025 · Infection Control
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Potential for harm · D July 17, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 13, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2025 | Fine | $54,100 |
| July 24, 2025 | Payment Denial | 28 days |
| May 8, 2025 | Fine | $38,961 |
| February 14, 2024 | Fine | $41,723 |
| July 21, 2023 | Fine | $87,728 |
| July 21, 2023 | Payment Denial | 25 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235635 · certified since October 25, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.