1-star facility overall: SAUNDERS NURSING AND REHABILITATION CENTER has 1-star health inspection and staffing ratings, despite a 4-star quality measures rating. Reported nurse staffing is 2.69 hours per resident per day versus the 4.1-hour federal benchmark, and it has $14,433 in fines in the last 24 months with a recent federal penalty.
Last inspection: March 11, 2026Penalties, last 24 months: $14,433recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6938.
Staffing detail
Registered nurses
0.28
Licensed practical nurses
0.86
Nurse aides
1.55
Weekend nursing
2.22
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.4%13.5%Worsening
Residents with a fall causing major injury
3.9%2%Improving
Residents with pressure ulcers (bedsores)
3%3.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.9%3.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.3%8.2%Worsening
Residents whose ability to walk got worse
8%11.1%Worsening
Long-stay residents on antianxiety or sleep medication
15.8%12%Improving
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.4%10.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—86.7%—
Long-stay residents given the pneumonia vaccine
81%76.5%Worsening
Short-stay residents given the seasonal flu vaccine
—53.7%—
Short-stay residents given the pneumonia vaccine
45.8%14.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — 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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,433 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $14,433 in total fines.
Federal fine
Jul 19, 2024
$14,433
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
171.9 residents on an average day (96% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 49 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.