Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

September 16, 2025 Complaint Investigation

Fines and Penalties by Year

2022 6 penalties totaling $358,356

$37,125
Nov 29, 2022

Fine

$45,590
May 12, 2022

Fine

$0
May 12, 2022

Payment Denial

$218,243
Mar 14, 2022

Fine

$56,743
Mar 14, 2022

Fine

$655
Jan 10, 2022

Fine

2021 2 penalties totaling $36,828

$22,320
Dec 17, 2021

Fine

$14,508
Dec 17, 2021

Fine

2020 4 penalties totaling $100,116

$51,051
Aug 17, 2020

Fine

$13,000
Aug 17, 2020

Fine

$0
Aug 17, 2020

Payment Denial

$36,065
Feb 28, 2020

Fine

2019 2 penalties totaling $11,944

$11,944
Sep 20, 2019

Fine

$0
Apr 16, 2019

Payment Denial

2018 4 penalties totaling $141,289

$52,753
Sep 20, 2018

Fine

$74,909
Apr 3, 2018

Fine

$0
Apr 3, 2018

Payment Denial

$13,627
Jan 31, 2018

Fine

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Health Violations by Year

2025 4 violations

Tag 0558 D Mar 6, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 14, 2025
Tag 0684 D Mar 6, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 14, 2025
Tag 0689 D Mar 6, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 14, 2025
Tag 0727 D Mar 6, 2025

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.

✓ Corrected: Mar 14, 2025

2023 22 violations

Tag 0558 D Nov 30, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 28, 2023
Tag 0585 D Nov 30, 2023

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.

✓ Corrected: Dec 28, 2023
Tag 0641 D Nov 30, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 28, 2023
Tag 0645 D Nov 30, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Dec 28, 2023
Tag 0656 E Nov 30, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 28, 2023
Tag 0657 D Nov 30, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 28, 2023
Tag 0676 D Nov 30, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Dec 28, 2023
Tag 0677 D Nov 30, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 28, 2023
Tag 0689 D Nov 30, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 28, 2023
Tag 0695 D Nov 30, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 28, 2023
Tag 0730 D Nov 30, 2023

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Dec 28, 2023
Tag 0732 B Nov 30, 2023

Post nurse staffing information every day.

✓ Corrected: Dec 28, 2023
Tag 0757 D Nov 30, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Dec 28, 2023
Tag 0759 D Nov 30, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Dec 28, 2023
Tag 0761 E Nov 30, 2023

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.

✓ Corrected: Dec 28, 2023
Tag 0804 F Nov 30, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Dec 28, 2023
Tag 0849 D Nov 30, 2023

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.

✓ Corrected: Dec 28, 2023
Tag 0880 E Nov 30, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 28, 2023
Tag 0881 E Nov 30, 2023

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 28, 2023
Tag 0919 D Nov 30, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Dec 28, 2023

2022 25 violations

Tag 0600 F Nov 29, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 30, 2022
Tag 0610 D Nov 29, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Dec 30, 2022
Tag 0656 D Nov 29, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 30, 2022
Tag 0684 G Nov 29, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 30, 2022
Tag 0684 D Jul 28, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 16, 2022
Tag 0656 D May 25, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 21, 2022
Tag 0550 E May 12, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 16, 2022
Tag 0578 D May 12, 2022

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.

✓ Corrected: Jun 16, 2022
Tag 0645 D May 12, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jun 16, 2022
Tag 0677 D May 12, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 16, 2022
Tag 0686 D May 12, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 16, 2022
Tag 0690 E May 12, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 16, 2022
Tag 0692 E May 12, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 16, 2022
Tag 0693 D May 12, 2022

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.

✓ Corrected: Jun 16, 2022
Tag 0694 D May 12, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Jun 16, 2022
Tag 0695 D May 12, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 16, 2022
Tag 0726 E May 12, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 16, 2022
Tag 0761 E May 12, 2022

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.

✓ Corrected: Jun 16, 2022
Tag 0812 F May 12, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 16, 2022
Tag 0880 E May 12, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 16, 2022

2021 9 violations

Tag 0684 J Dec 17, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 14, 2022
Tag 0609 D Jul 2, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 9, 2021
Tag 0677 E Jul 2, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 9, 2021
Tag 0584 D Apr 15, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: May 18, 2021
Tag 0610 D Apr 15, 2021

Respond appropriately to all alleged violations.

✓ Corrected: May 18, 2021
Tag 0677 E Apr 15, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 18, 2021
Tag 0684 D Apr 15, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 18, 2021
Tag 0688 D Apr 15, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: May 18, 2021
Tag 0725 F Apr 15, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: May 18, 2021

2020 31 violations

Tag 0610 D Nov 2, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Dec 2, 2020
Tag 0925 F Nov 2, 2020

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 2, 2020
Tag 0684 G Aug 18, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 15, 2020
Tag 0686 G Aug 18, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 15, 2020
Tag 0693 D Aug 18, 2020

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.

✓ Corrected: Oct 15, 2020
Tag 0838 F Aug 18, 2020

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Oct 15, 2020
Tag 0849 J Aug 18, 2020

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.

✓ Corrected: Oct 15, 2020
Tag 0880 F Aug 18, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 15, 2020
Tag 0885 D Aug 18, 2020

Report COVID19 data to residents and families.

✓ Corrected: Oct 15, 2020
Tag 0689 D Jun 4, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 5, 2020
Tag 0880 F Jun 4, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 5, 2020
Tag 0885 D Jun 4, 2020

Report COVID19 data to residents and families.

✓ Corrected: Aug 5, 2020
Tag 0880 D Apr 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: May 25, 2020
Tag 0582 D Feb 28, 2020

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Apr 1, 2020
Tag 0645 D Feb 28, 2020

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Apr 1, 2020
Tag 0684 G Feb 28, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 1, 2020
Tag 0689 G Feb 28, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 1, 2020
Tag 0690 G Feb 28, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 1, 2020
Tag 0692 D Feb 28, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 1, 2020
Tag 0698 D Feb 28, 2020

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Apr 1, 2020

2019 29 violations

Tag 0677 D Oct 24, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 27, 2019
Tag 0686 D Oct 24, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 27, 2019
Tag 0576 F Sep 20, 2019

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Oct 14, 2019
Tag 0582 D Sep 20, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Oct 14, 2019
Tag 0689 J Sep 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 14, 2019
Tag 0712 D Sep 20, 2019

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Oct 14, 2019
Tag 0943 F Sep 20, 2019

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Oct 14, 2019
Tag 0947 F Sep 20, 2019

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Oct 14, 2019
Tag 0558 D Jun 6, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 1, 2019
Tag 0550 D Apr 25, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 4, 2019
Tag 0554 D Apr 25, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jun 4, 2019
Tag 0582 D Apr 25, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 4, 2019
Tag 0584 E Apr 25, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 4, 2019
Tag 0655 D Apr 25, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 4, 2019
Tag 0656 D Apr 25, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 4, 2019
Tag 0686 G Apr 25, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 4, 2019
Tag 0690 D Apr 25, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 4, 2019
Tag 0693 D Apr 25, 2019

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.

✓ Corrected: Jun 4, 2019
Tag 0695 D Apr 25, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 4, 2019
Tag 0725 F Apr 25, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 4, 2019

2018 27 violations

Tag 0689 G Sep 24, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 25, 2018
Tag 0725 F Sep 24, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 25, 2018
Tag 0727 F Sep 24, 2018

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.

✓ Corrected: Oct 25, 2018
Tag 0732 C Sep 24, 2018

Post nurse staffing information every day.

✓ Corrected: Oct 25, 2018
Tag 0760 D Sep 24, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 25, 2018
Tag 0550 D Jun 6, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 10, 2018
Tag 0636 B Jun 6, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Aug 13, 2018
Tag 0637 B Jun 6, 2018

Assess the resident when there is a significant change in condition

✓ Corrected: Aug 13, 2018
Tag 0656 D Jun 6, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 13, 2018
Tag 0693 D Jun 6, 2018

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.

✓ Corrected: Jul 10, 2018
Tag 0755 D Jun 6, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Aug 13, 2018
Tag 0812 F Jun 6, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 10, 2018
Tag 0867 F Jun 6, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jul 10, 2018
Tag 0880 F Jun 6, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 10, 2018
Tag 0881 C Jun 6, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Jul 10, 2018
Tag 0600 G May 15, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 19, 2018
Tag 0610 D May 15, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Jun 19, 2018
Tag 0580 D Apr 23, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 5, 2018
Tag 0609 D Apr 23, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 5, 2018
Tag 0635 D Apr 23, 2018

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

✓ Corrected: Jun 5, 2018

2017 2 violations

Tag 0279 D Jul 18, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 14, 2017
Tag 0323 G Jul 18, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Aug 14, 2017
🏥 Facility Summary

Adira Nursing and Rehabilitation is a 1-star nursing home in Saginaw, MI with 92 beds.

Most recent inspection: Data not available. No current violations on record.

📞 9897991902
📍 3200 State Street, Saginaw, MI
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Adira Nursing and Rehabilitation

What violations has Adira Nursing and Rehabilitation received?
Adira Nursing and Rehabilitation has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Adira Nursing and Rehabilitation?
Adira Nursing and Rehabilitation has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Adira Nursing and Rehabilitation last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Adira Nursing and Rehabilitation safe?
Safety at Adira Nursing and Rehabilitation should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Adira Nursing and Rehabilitation?
Phone: 9897991902. Address: 3200 State Street, Saginaw, MI. For visiting hours and admission information, call the facility directly.
What services does Adira Nursing and Rehabilitation offer?
Adira Nursing and Rehabilitation is a skilled nursing facility with 92 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Saginaw, MI?
Compare Adira Nursing and Rehabilitation with other nursing homes in Saginaw, MI on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.