Great Lakes Rehabilitation Center

4180 Tittabawassee Road · Saginaw, MI · 48604 · 9896071500

55 certified beds For profit - Individual

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • 3 citations involved actual harm to residents.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 82
Staffing 20% 20
Federal penalties 15% 72
Trend 10% 54
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $21,244

Inspection citations (39 in the current record)

  • Actual harm · G January 14, 2026

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

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 12, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    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 February 12, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 14, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 14, 2026

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

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    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 February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 12, 2026 · Pharmacy Service

  • Potential for harm · D January 14, 2026

    Ensure that residents are free from significant medication errors.

    Corrected February 12, 2026 · Pharmacy Service

  • Potential for harm · F January 14, 2026

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

    Corrected February 12, 2026 · Nutrition and Dietary

  • Potential for harm · F January 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 12, 2026 · Infection Control

  • Potential for harm · F January 14, 2026

    Implement a program that monitors antibiotic use.

    Corrected February 12, 2026 · Infection Control

  • Potential for harm · D January 14, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 12, 2026 · Infection Control

  • Actual harm · G February 18, 2025 · found via complaint

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

    Corrected March 17, 2025 · Quality of Life and Care

  • Potential for harm · D February 18, 2025 · found via complaint

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

    Corrected March 17, 2025 · Quality of Life and Care

  • Potential for harm · D November 21, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 3, 2025 · Resident Rights

  • Potential for harm · E November 21, 2024

    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 February 3, 2025 · Resident Rights

  • Potential for harm · D November 21, 2024

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

    Corrected February 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 21, 2024

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

    Corrected February 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 21, 2024

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

    Corrected February 3, 2025 · Quality of Life and Care

  • Potential for harm · D November 21, 2024

    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 February 3, 2025 · Pharmacy Service

  • Potential for harm · F November 21, 2024

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

    Corrected February 3, 2025 · Nutrition and Dietary

  • Actual harm · G December 21, 2023 · found via complaint

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

    Corrected January 12, 2024 · Quality of Life and Care

  • Potential for harm · D December 5, 2023

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

    Corrected January 8, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 18, 2025Fine$21,244

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235442 · certified since November 14, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.