The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Saginaw Senior Care and Rehabilitation Center, LLC
Saginaw, MI · Medicare-certified · 71 beds
Needs attention
For-profitChain member
4 of 5 overall
Overall rating: 4 out of 5 stars. This facility has strong quality measures and staffing scores, but its reported nurse staffing is below the federal benchmark (3.70 vs 4.1 hours per resident per day), with a recent federal penalty and $68,083 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.7005 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $68,083recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7005.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.32
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.7%Improving
Residents with a fall causing major injury
3.7%Improving
Residents with pressure ulcers (bedsores)
3.7%Steady
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
4.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.4%Improving
Residents whose ability to walk got worse
15.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7.1%Improving
Residents with depressive symptoms
3.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.1%Improving
Short-stay residents given the seasonal flu vaccine
89.5%Steady
Short-stay residents given the pneumonia vaccine
89.1%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
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 December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $51,282 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $68,083 in total fines.
- $51,282
Federal fine
Oct 9, 2024
- $16,801
Federal fine
Jul 15, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of NEXCARE HEALTH SYSTEMS · 20 homes · 3.8 stars avg
- Occupancy
- 68.5 residents on an average day (96% of 71 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
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.