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Covenant Skilled Nursing and Rehabilitation at Wel Inspection Report, Violations & Safety Grade (Saginaw, Michigan)

5939 Shattuck Road, Saginaw, Michigan 48603

Phone: 9895838110

CMS Overall:4/5

Overview & Bed Count

Certified Beds
39
Avg Residents/Day
32.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Saginaw
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day1.330.78+0.55
Total Nurse Hours per Resident per Day5.294.03+1.26
CMS Staffing Rating5/53.6/5-
Nursing Staff Turnover33.3%44.6%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2026-03-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-03-25Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2026-03-25Nutrition and Dietary DeficienciesEnsure 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 – Moderate Harm Potential
2026-03-25Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-03-25Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2026-03-25Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2026-03-25Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-03-25Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2026-03-25Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.D – Moderate Harm Potential
2026-03-25Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-02-14Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2025-02-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-02-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-02-14Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2024-09-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-02-22Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-02-22Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F – Moderate Harm Potential
2024-02-22Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-02-22Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-25Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-03-25Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-03-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-03-25Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-03-25Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2025-02-14Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2025-02-14Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-02-14Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-02-14Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-02-14Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-02-22Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-02-22Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-02-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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