The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Saginaw, MI · Medicare-certified · 55 beds
Great Lakes Rehabilitation Center has a 1-out-of-5 overall rating, with 1-star staffing, 2-star health inspections, and 4-star quality measures. It has had $21,244 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns about pressure ulcer care, accident hazards, and food safety.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to monitor antibiotic use properly. Cited January 2026 — widespread issue, potential for harm.
F-Tag 881 — 42 CFR §483.80 — S/S: F
Health inspection found 14 health deficiencies.
A federal fine of $21,244 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 7 health deficiencies.
On record with Medicare: 1 fine · $21,244 in total fines.
Federal fine
Feb 18, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.