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Nursing homeFAID #6090

Adira Nursing and Rehabilitation

3200 State Street, SAGINAW, MI, 48602
(989) 799-1902
92 licensed beds

CMS rates Adira Nursing and Rehabilitation 2 out of 5 overall. Federal inspectors issued 76 citations across 13 inspections in the last three years, with $22,165 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
92
CMS facility ID
235250
Care type
Nursing home
County
Saginaw
Facility name
Adira Nursing and Rehabilitation
Street address
3200 State Street
City / state / ZIP
Saginaw, MI 48602
Phone
(989) 799-1902

About this facility — Adira Nursing and Rehabilitation

Adira Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Saginaw, Michigan. It is licensed for 92 beds — close to the median for skilled nursing facilities in Michigan (100 beds).

It is one of 43 senior care facilities in Saginaw and 423 skilled nursing facilities across Michigan. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Preferred Care, a group of 13 facilities on this site.

Federal inspectors have cited Adira Nursing and Rehabilitation 76 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $22,165 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Preferred Care
Ownership type
For profit - Corporation

Registered owners & officers

Saginaw N Opco Holdco Llc
Direct owner — 100% stake — since 2023
Klein, Yoni
Indirect owner · Operational control · Additional disclosable party — 50% stake — since 2023
Green, Dov
Indirect owner · Additional disclosable party — 35% stake — since 2023
Schnell, David
Indirect owner · Additional disclosable party — 15% stake — since 2023
Khan, Muhammad
Operational control · Additional disclosable party — since 2023
Petoskey, Shelly
Operational control · Additional disclosable party — since 2024
Preferred Care At Lansing Mngt Llc
Additional disclosable party — since 2023
Rubinfeld, Eli
Operational control — since 2023
Saginaw N Propco Holdco Llc
Mortgage holder · Additional disclosable party — since 2023
Zigdon & Associates Pc
Additional disclosable party — since 2025

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1975-12-01
CMS overall rating
2 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$22,165 total
Last standard inspection
2026-01-22
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$628 per day (≈ $19,090/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 10% Medicare · 24% private/other
Occupancy
86% (fiscal year 2023)
Vs. state median
35% above the MI median of $466/day — full state cost breakdown

Services & coverage

Licensed beds
92
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-20Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-30
2026-01-22Health inspection4 citations
F-0690
D · No harm found
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 2026-02-09
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-02-09
F-0761
D · No harm found
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 2026-02-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-09
9 earlier / fire-safety inspections (71 citations)
2025-09-16Health inspectionComplaint-triggered1 citation
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-01
2025-03-06Health inspectionComplaint-triggered4 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-14
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-14
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-14
F-0727
D · No harm foundFrom a complaint
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 2025-03-14
2024-10-31Health inspectionComplaint-triggered22 citations
F-0550
F · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-02
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-02
F-0578
E · No harm found
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 2024-12-02
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-02
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-12-02
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-02
F-0677
F · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-02
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-12-02
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-02
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-02
F-0690
E · No harm found
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 2024-12-02
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-02
F-0693
D · No harm found
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 2024-12-02
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-02
F-0758
D · No harm found
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.
Corrected 2024-12-02
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-02
F-0761
F · No harm found
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 2024-12-02
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2024-12-02
F-0809
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-12-02
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-12-02
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-02
2024-09-18Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-10
2024-07-09Health inspectionComplaint-triggered4 citations
F-0551
D · No harm foundFrom a complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-07-29
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-29
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-29
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-07-29
2023-11-30Health inspectionComplaint-triggered20 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-28
F-0585
D · No harm found
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 2023-12-28
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-12-28
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-12-28
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-28
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-28
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-12-28
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-28
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-28
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-28
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-28
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2023-12-28
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-12-28
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-28
F-0761
E · No harm found
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 2023-12-28
F-0804
F · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-28
F-0849
D · No harm found
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 2023-12-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-28
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-12-28
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-12-28
2026-01-22Fire-safety inspection7 citations
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2026-02-09
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2026-02-09
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-09
K-0222
E · No harm found
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.
Corrected 2026-02-09
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-02-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-09
K-0781
E · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2026-02-09
2024-10-31Fire-safety inspection3 citations
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-12-02
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-02
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-02
2023-11-30Fire-safety inspection9 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-28
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-28
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2023-12-28
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-12-28
K-0781
E · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2023-12-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-28
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-12-28
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-12-28

Federal penalties

2025-09-16Fine$22,165
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 235250.

Quality of care & staffing

How it compares in Michigan.
Inspection citations, 3 years
76
More than 86% of nursing homes in the state
State median: 43
Federal fines, 3 years
$22,165
More than 71% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.9
Higher than 52% of nursing homes in the state
State median: 3.9
Nursing staff turnover, annual
58%
Higher than 85% of nursing homes in the state
State median: 44%

Resident outcomes

On 21 federal quality measures, this facility does better than the Michigan average on 7 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased8.3%10.7%13.5%Better than state
Lose too much weight5.9%5.5%5.1%Near state average
With a catheter inserted and left in their bladder0.7%0.7%0.7%Better than state
With a urinary tract infection2.2%1.5%1.5%Worse than state
Have depressive symptoms5.8%4.5%13.5%Worse than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury4.2%3.0%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine99.7%95.4%93.7%Near state average
Ability to walk independently worsened9.7%11.1%12.7%Better than state
Received an antianxiety or hypnotic medication16.8%19.4%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%95.5%95.3%Near state average
With pressure ulcers5.7%5.0%4.5%Worse than state
With new or worsened bowel or bladder incontinence23.1%19.4%18.3%Worse than state
Received an antipsychotic medication24.4%14.7%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.841.741.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days2.121.561.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine88.1%83.4%82.3%Near state average
Newly received an antipsychotic medication0.0%1.1%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine88.0%81.5%80.1%Near state average
Were rehospitalized after a nursing home admission18.9%23.9%23.4%Better than state
Had an outpatient emergency department visit21.6%11.7%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0761 3 inspections. 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.
  • K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
  • F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • K-0211 2 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-0781 2 inspections. Have restrictions on the use of portable space heaters.
  • F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Verify & compare

Where to check, and what's nearby.

Who to contact in Michigan

  • Licensing: Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Survey and Certification
  • File a complaint: 800-882-6006 · Online
  • Long-Term Care Ombudsman: 866-485-9393. A free advocate for residents and families.
  • Adult Protective Services: 855-444-3911. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Covenant Medical Center, about 1.6 miles. CMS rating 2 of 5.
  • Mymichigan Medical Center Saginaw, about 2.3 miles. CMS rating 3 of 5.
  • Healthsource Saginaw, about 3.6 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
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Inspection citations — last 5 years

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The 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered