Saginaw Senior Care and Rehabilitation Center, LLC
4322 Mackinaw Road · Saginaw, MI · 48603 · 9897928729
71 certified beds For profit - Corporation Chain: Nexcare Health Systems
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
$68,083 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $68,083 |
Inspection citations (29 in the current record)
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Potential for harm · D December 4, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 17, 2025 · Resident Rights
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Potential for harm · E December 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · E December 4, 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 December 17, 2025 · Pharmacy Service
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Potential for harm · E December 4, 2025
Provide and implement an infection prevention and control program.
Corrected December 17, 2025 · Infection Control
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Potential for harm · D February 6, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 6, 2025 · Quality of Life and Care
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Actual harm · G October 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · E October 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D October 9, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
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 November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 7, 2024 · Pharmacy Service
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Potential for harm · D October 9, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 7, 2024 · Pharmacy Service
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Potential for harm · D October 9, 2024
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 November 7, 2024 · Pharmacy Service
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Actual harm · G July 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 14, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 19, 2024 · Pharmacy Service
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Actual harm · G October 19, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 14, 2023 · Quality of Life and Care
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Potential for harm · E October 19, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 14, 2023 · Resident Rights
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Potential for harm · E October 19, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 9, 2024 | Fine | $51,282 |
| July 15, 2024 | Fine | $16,801 |
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 235113 · certified since August 31, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.