Nursing homes › Michigan › Adira Nursing and Rehabilitation
3200 State Street, Saginaw, MI 48602 · 9897991902 · 92 certified beds
Per CMS filings, this facility is affiliated with Preferred Care, a group operating 13 facilities in 2 states. Group record: average rating 3.6/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $157,243 in federal fines. This facility rates below its group average (3.6/5).
Total nurse staffing: 3.97 (Michigan median: 3.80). RN hours: 0.48. Weekend total: 3.44. Nursing staff turnover: 62%.
All-time on record: 57 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-30 |
| 2026-01-22 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2026-02-09 |
| 2026-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-02-09 |
| 2026-01-22 | 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 | Health | corrected 2026-02-09 |
| 2026-01-22 | 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 | Health | corrected 2026-02-09 |
| 2025-09-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-10-01 |
| 2025-03-06 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-03-14 |
| 2025-03-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-14 |
| 2025-03-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-14 |
| 2025-03-06 | 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 | corrected 2025-03-14 |
| 2024-10-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-12-02 |
| 2024-10-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | complaint | corrected 2024-12-02 |
| 2024-10-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | complaint | corrected 2024-12-02 |
| 2024-10-31 | 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 | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-12-02 |
| 2024-10-31 | 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 | Health | corrected 2024-12-02 |
| 2024-10-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-12-02 |
| 2024-10-31 | 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 | Health | corrected 2024-12-02 |
| 2024-10-31 | 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 | corrected 2024-12-02 |
| 2024-10-31 | Implement a program that monitors antibiotic use. | E | Health | corrected 2024-12-02 |
| 2024-10-31 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | 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 | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | 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 | Health | corrected 2024-12-02 |
| 2024-10-31 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | Provide or obtain dental services for each resident. | D | Health | corrected 2024-12-02 |
| 2024-10-31 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-12-02 |
| 2024-09-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-10 |
| 2024-07-09 | Give the resident's representative the ability to exercise the resident's rights. | D | complaint | corrected 2024-07-29 |
| 2024-07-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-29 |
| 2024-07-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-07-29 |
| 2024-07-09 | 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 | corrected 2024-07-29 |
| 2023-11-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | complaint | corrected 2023-12-28 |
| 2023-11-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2023-12-28 |
| 2023-11-30 | 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 | Health | corrected 2023-12-28 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-16 | Fine | $34,100 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SAGINAW N OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2023 |
| GREEN, DOV | 5% Or Greater Indirect Ownership Interest | Individual | 35% | since 09/29/2023 |
| KLEIN, YONI | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 05/01/2023 |
| SCHNELL, DAVID | 5% Or Greater Indirect Ownership Interest | Individual | 15% | since 09/29/2023 |
| KHAN, MUHAMMAD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| KLEIN, YONI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| PETOSKEY, SHELLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/12/2024 |
| RUBINFELD, ELI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235250. Corrections: data@carerecords.org.