Michigan › Saginaw County › Saginaw
Adira Nursing and Rehabilitation
3200 State Street, Saginaw, MI 48602
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 92 beds, Adira Nursing and Rehabilitation serves Saginaw in Saginaw County, Michigan and has taken Medicare and Medicaid residents since 1975.
CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (6, 27, 24 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 62.0 per 100 beds, more than the state median of 29.4.
CMS lists 1 penalty in the period covered: fines totalling $34K.
Reported nurse staffing is 4.0 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 61.8%.
Compared with county, state and nation
| Measure | This facility | Saginaw Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 39 | 29 | 28.7 |
| Citations per 100 beds | 62.0 | 43.6 | 29.4 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.9 | 3.8 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 61.8% | 47.7% | 44.6% | 45.8% |
| Fines listed | $34,100 | $30,740 | $0 | — |
County and state figures are medians across facilities (11 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jan 2026, 31 Oct 2024.
Severity mix: G ×3 D ×36 E ×11 F ×6 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Apr 2026 |
| 22 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 9 Feb 2026 |
| 22 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Feb 2026 |
| 22 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 9 Feb 2026 |
| 22 Jan 2026 | F0761 | 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. | D | Standard survey | 9 Feb 2026 |
| 16 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Oct 2025 |
| 6 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 14 Mar 2025 |
| 6 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Mar 2025 |
| 6 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Mar 2025 |
| 6 Mar 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint investigation | 14 Mar 2025 |
| 31 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 Dec 2024 |
| 31 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | Complaint investigation | 2 Dec 2024 |
| 31 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | Complaint investigation | 2 Dec 2024 |
| 31 Oct 2024 | F0761 | 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. | F | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 2 Dec 2024 |
| 31 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 2 Dec 2024 |
| 31 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0693 | 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. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0758 | 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. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 2 Dec 2024 |
| 31 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 2 Dec 2024 |
| 18 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Oct 2024 |
| 9 Jul 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 29 Jul 2024 |
| 9 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jul 2024 |
| 9 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Jul 2024 |
| 9 Jul 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 29 Jul 2024 |
| 30 Nov 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0761 | 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. | E | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 28 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Sep 2025 | Fine | $34,100 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 61.8%, RNs 58.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.8% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.9% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Saginaw N Opco Llc. Chain: Preferred Care (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Saginaw N Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 05/01/2023 |
| Saginaw N Propco Holdco LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2023 |
| Preferred Care At Lansing Mngt LLC | Adp of the snf | NOT APPLICABLE | 05/01/2023 |
| Saginaw N Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 05/01/2023 |
| Zigdon & Associates Pc | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Saginaw County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Covenant Skilled Nursing and Rehabilitation At Wel | Saginaw | 39 | 4 | 3 | 5 | 20 | 51.3 | — | 25 Mar 2026 |
| Saginaw Senior Care and Rehabilitation Center, LLC | Saginaw | 71 | 4 | 3 | 4 | 29 | 40.8 | $68K | 4 Dec 2025 |
| Avista Nursing and Rehabilitation | Saginaw | 96 | 3 | 3 | 4 | 33 | 34.4 | — | 25 Jun 2026 |
| Healthsource Saginaw, Inc | Saginaw | 213 | 3 | 2 | 5 | 57 | 26.8 | $209K | 15 Jan 2026 |
| Hoyt Nursing & Rehab Centre | Saginaw | 128 | 3 | 3 | 3 | 33 | 25.8 | $31K | 11 May 2026 |
| Wellspring Lutheran Services | Frankenmuth | 83 | 3 | 3 | 4 | 26 | 31.3 | — | 14 Aug 2025 |
| Chesaning Nursing and Rehabilitation Center | Chesaning | 51 | 2 | 2 | 3 | 40 | 78.4 | $42K | 12 Dec 2025 |
| Great Lakes Rehabilitation Center | Saginaw | 55 | 2 | 2 | 2 | 39 | 70.9 | $21K | 14 Jan 2026 |
All 11 facilities in Saginaw County
Questions and answers
How many deficiencies has Adira Nursing and Rehabilitation been cited for?
57 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Adira Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $34K in the period covered.
How does staffing at Adira Nursing and Rehabilitation compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Adira Nursing and Rehabilitation?
It is part of the Preferred Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Saginaw N Opco Holdco LLC. Individual owners and managers are not listed on this site.
When was Adira Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 20 Apr 2026; the most recent standard health survey was 22 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.