01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-22 | 6 | 2026-01-22 | 7 |
| Cycle 2 | 2024-10-31 | 27 | 2024-10-31 | 3 |
| Cycle 3 | 2023-11-30 | 24 | 2023-11-30 | 9 |
CMS CCN 2352502026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Adira Nursing And Rehabilitation
3200 State Street · Saginaw, MI 48602 · Saginaw County
Certified beds92CMS provider file
Recent citation rows76current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
76 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-20 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2026-01-22 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · HEALTHF0697Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-092026-01-22 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2026-02-092025-09-16 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-01 · complaint2025-03-06 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2025-03-06 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2025-03-06 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2025-03-06 · HEALTHF0727Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2024-10-31 · HEALTHF0550Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-02 · complaint2024-10-31 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-31 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-31 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-31 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-31 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-31 · HEALTHF0677Severity F · widespread; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-02 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-09-16 | Fine | $34,100 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SAGINAW N OPCO HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/01/2023
- GREEN, DOVIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST35% · since 09/29/2023
- KLEIN, YONIIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 05/01/2023
- SCHNELL, DAVIDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST15% · since 09/29/2023
- SAGINAW N PROPCO HOLDCO LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 05/01/2023
- KHAN, MUHAMMADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2023
- KLEIN, YONIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2023
- PETOSKEY, SHELLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/12/2024
- RUBINFELD, ELIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2023
- PREFERRED CARE AT LANSING MNGT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2023
- SAGINAW N PROPCO HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2023
- ZIGDON & ASSOCIATES PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- GREEN, DOVIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/29/2023
- KHAN, MUHAMMADIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2023
- KLEIN, YONIIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2023
- PETOSKEY, SHELLYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/12/2024
- SCHNELL, DAVIDIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/29/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.97per resident day
RN hours0.48per resident day
Weekend nurse hours3.44per resident day
Staff turnover61.8%CMS reported field
06 / LOCAL RECORDS
Open the Saginaw ledger →Other published facilities nearby
Avista Nursing And Rehabilitation96 beds · CMS overall 3/545 citation rowsCovenant Skilled Nursing And Rehabilitation At Wel39 beds · CMS overall 4/533 citation rowsGreat Lakes Rehabilitation Center55 beds · CMS overall 2/562 citation rowsHealthsource Saginaw, Inc213 beds · CMS overall 3/571 citation rowsHoyt Nursing & Rehab Centre128 beds · CMS overall 3/547 citation rowsOptalis Health And Rehabilitation At St. Francis94 beds · CMS overall 2/572 citation rowsSaginaw Senior Care And Rehabilitation Center, Llc71 beds · CMS overall 4/540 citation rows