Optalis Health and Rehabilitation at St. Francis
915 North River Road · Saginaw, MI · 48609 · 9897813150
94 certified beds For profit - Corporation Chain: Optalis Health & Rehabilitation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $131,073 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$131,073 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
62% 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: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 2 · $131,073 |
Inspection citations (38 in the current record)
-
Potential for harm · D February 12, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · E February 12, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 12, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 24, 2026 · Quality of Life and Care
-
Potential for harm · D February 12, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 24, 2026 · Pharmacy Service
-
Potential for harm · E February 12, 2026
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 March 24, 2026 · Pharmacy Service
-
Potential for harm · F February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2026 · Nutrition and Dietary
-
Potential for harm · F February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 24, 2026 · Infection Control
-
Potential for harm · F February 12, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 24, 2026 · Environmental
-
Potential for harm · D February 12, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 24, 2026 · Nursing and Physician Services
-
Potential for harm · D January 21, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 30, 2026 · Infection Control
-
Potential for harm · D November 25, 2025 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected December 10, 2025 · Resident Rights
-
Actual harm · G July 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 14, 2025 · Quality of Life and Care
-
Potential for harm · D March 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D February 27, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 14, 2025 · Quality of Life and Care
-
Potential for harm · E February 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 14, 2025 · Pharmacy Service
-
Actual harm · G January 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 15, 2025 · Quality of Life and Care
-
Potential for harm · E January 23, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected February 15, 2025 · Nursing and Physician Services
-
Potential for harm · D January 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 15, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 15, 2025 · Quality of Life and Care
-
Potential for harm · D January 23, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected February 15, 2025 · Quality of Life and Care
-
Potential for harm · E January 23, 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 February 15, 2025 · Pharmacy Service
-
Potential for harm · D December 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 31, 2025 · Resident Rights
-
Potential for harm · D December 30, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 31, 2025 · Quality of Life and Care
-
Potential for harm · D December 30, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 31, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2025 | Fine | $58,403 |
| December 30, 2024 | Fine | $72,670 |
| December 30, 2024 | Payment Denial | 22 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235249 · certified since September 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.