Adira Nursing and Rehabilitation

Nursing Home · Saginaw, MI

CMS overall rating 2/5 For profit - Corporation

CMS certification number235250

Contact & location

3200 State Street
Saginaw, MI 48602
Saginaw County
Phone
(989) 799-1902
ZIP code
48602 – all care providers

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Facility details

Certified beds
92
Residents per day
85.7 (93% occupied)
Ownership
For profit - Corporation
Legal name
Saginaw N Opco LLC
Chain
Preferred Care (13 facilities, avg 3.7★)
Medicare certified since
December 1, 1975
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.9
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.97 (state 3.99 · U.S. 3.86)
Registered nurses (RN)
0.48 (state 0.78 · U.S. 0.69)
Licensed practical nurses
0.93 (state 0.88 · U.S. 0.86)
Nurse aides
2.55 (state 2.33 · U.S. 2.32)
Weekend total
3.44 (state 3.50 · U.S. 3.42)
Nursing staff turnover
61.8 (state 44.1 · U.S. 45.8)%
RN turnover
58.8 (state 39.2 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 22, 2026
Health deficiencies (last cycle)
6.0 (state 10.1 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
57 health · 19 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-01-22 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-09
2025-09-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-10-01
2025-03-06 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-03-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2024-10-31 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0550 · Resident Rights Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-10-31 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-10
2024-07-09 Give the resident's representative the ability to exercise the resident's rights.
F0551 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-29
2024-07-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-29
2023-11-30 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 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.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $34,100 in fines.

DateTypeAmount
2025-09-16Fine$34,100

Ownership & management

NameRoleSince
Saginaw N Opco Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
Green, Dov (individual)5%+ Indirect Ownership Interest · 35%
Klein, Yoni (individual)5%+ Indirect Ownership Interest · 50%
Schnell, David (individual)5%+ Indirect Ownership Interest · 15%
Saginaw N Propco Holdco LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Green, Dov (individual)Administrator · NOT APPLICABLE
Khan, Muhammad (individual)Administrator · NOT APPLICABLE
Klein, Yoni (individual)Administrator · NOT APPLICABLE
Petoskey, Shelly (individual)Administrator · NOT APPLICABLE
Preferred Care at Lansing Mngt LLC (organization)Administrator · NOT APPLICABLE
Saginaw N Propco Holdco LLC (organization)Administrator · NOT APPLICABLE
Schnell, David (individual)Administrator · NOT APPLICABLE
Zigdon & Associates PC (organization)Administrator · NOT APPLICABLE
Khan, Muhammad (individual)Operational/managerial Control · NOT APPLICABLE
Klein, Yoni (individual)Operational/managerial Control · NOT APPLICABLE
Petoskey, Shelly (individual)Operational/managerial Control · NOT APPLICABLE
Rubinfeld, Eli (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Adira Nursing and Rehabilitation?

Adira Nursing and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Michigan.

How many beds does Adira Nursing and Rehabilitation have?

It has 92 certified beds and cares for about 86 residents per day.

Has Adira Nursing and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $34,100 in the last three years.

Who owns Adira Nursing and Rehabilitation?

It is part of Preferred Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Adira Nursing and Rehabilitation?

(989) 799-1902. The facility is located at 3200 State Street, Saginaw, MI 48602.

Other nursing homes in Saginaw

Compare all nursing homes in Saginaw, MI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.