Nursing HomeInspections

Adira Nursing and Rehabilitation

Nursing home in Saginaw, MI

Medicare & Medicaid certified2★ overall (CMS)

Call (989) 799-1902Send a messageMap ↗

Public-record details

Address
3200 State Street, Saginaw, MI 48602
Phone
(989) 799-1902
Listed under
For-profit
Medicare CCN
235250
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
92
Average residents per day
86
Ownership
For-profit, corporation
Legal business name
Saginaw N Opco LLC
Chain
Preferred Care (13 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1975
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235250. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 22, 2026. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 30, 2023 to Apr 20, 2026): 22 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 20, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 22, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 22, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jan 22, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Jan 22, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care
G
Actual harm, isolated
Sep 16, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Mar 6, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 6, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 6, 2025Have 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.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 31, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 31, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $34,100 in the last three years.

Sep 16, 2025Fine: $34,100

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.97 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.55 hours
Total nurse staffing on weekends
3.44 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
59%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Saginaw

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All 8 in Saginaw →