2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Adira Nursing and Rehab is a nursing home in Saginaw, MI, offering rehabilitation and skilled nursing. Here, older adults have a comfortable stay with a warm and supportive environment. Exceptional services, including 24-hour care, laundry, and well-balanced meals, are also provided to help residents focus on their recovery. The community also ensures residents receive the best possible care for their needs and preferences through individualized care plans.
Local trips, fun gatherings, and light exercises ensure residents explore interests and make friends. A beauty salon, activity areas, and cozy lounges provide residents with more spaces for interaction and relaxation. Situated in the peaceful residential area of Saginaw, near public transportation, the community ensures a stress-free retirement. This nursing home has exceptional standards of care, making it a good option for senior living in Michigan.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 60th out of 142 homes in Michigan for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 29m per day | ▼ 37% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 59m per day | ▲ 11% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 34m per day | ▲ 10% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 32m per day | ■ Avg State avg: 3h 31m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 35% State avg: 29m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% more staff per resident than Michigan average
9% worse than Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 14 full-time employees and 1 contractor.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
25 total: 23 full-time employees and 2 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 78 CNA Staff are full-time employees. No contractors work on this role.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
496 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 78 | 0 | 78 | 19,846 | 92 | 100% | 7 |
| Licensed Practical Nurse | 23 | 2 | 25 | 6,607 | 92 | 100% | 8.7 |
| Registered Nurse | 14 | 1 | 15 | 2,559 | 92 | 100% | 8.5 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,890 | 92 | 100% | 7.6 |
| Physical Therapy Assistant | 9 | 0 | 9 | 1,259 | 83 | 90% | 5.7 |
| RN Director of Nursing | 2 | 0 | 2 | 964 | 64 | 70% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 952 | 70 | 76% | 7.4 |
| Speech Language Pathologist | 10 | 0 | 10 | 718 | 75 | 82% | 5.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 646 | 72 | 78% | 7.4 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 493 | 63 | 68% | 7.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 301 | 57 | 62% | 4.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 216 | 24 | 26% | 7.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 135 | 36 | 39% | 3.5 |
| Qualified Activities Professional | 4 | 0 | 4 | 133 | 56 | 61% | 2.3 |
| Qualified Social Worker | 2 | 0 | 2 | 54 | 32 | 35% | 1.6 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
11% better than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
In line with Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
10.6%
15% better than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
14.0%
9% better than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.6%
27% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
23% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.8%
16% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
1.8%
6% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
5.8%
In line with Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
6.3%
63% worse than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
25.5%
70% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
In line with Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.6%
In line with Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
51% worse than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.3%
5% worse than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
84Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Adira Nursing and Rehab from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #128 / 143Payroll — State benchmarkedThis home is ranked 128th out of 143 homes in Michigan. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #132 / 143Payroll % — State benchmarkedThis home is ranked 132nd out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Rehabilitative Support
On-site Medical Care and Health Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.1 miles from city center
Estimated distance in miles from Saginaw's city center to Adira Nursing and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| Saginaw Senior Care & Rehab Center | NH | Saginaw | 71
Facility
71
MI AVG
75
Rank
#211 / 435 |
81.8%
Facility
81.8%
MI AVG
75.8%
Rank
#76 / 395 | +8% | 4.28
Facility
4.28
MI AVG
4.30
Rank
#46 / 142 | +27% | 0% | $68.1k
Facility
$68.1k
MI AVG
$87.6k
Rank
#122 / 145 | 34
Facility
34
MI AVG
33.5
Rank
#81 / 144 | 5.7
Facility
5.7
MI AVG
5.2
Rank
#87 / 144 | 3 | 69 | - |
35
Facility
35
MI AVG
39
Rank
#371 / 703 | Fred Massoll | $7.2M
Facility
$7.2M
MI AVG
$15.8M
Rank
#122 / 143 | $4.6M
Facility
$4.6M
MI AVG
$5.6M
Rank
#105 / 143 | 64%
Facility
64%
MI AVG
39%
Rank
#44 / 143 | 235113 | ||||
| Adira Nursing and Rehab | NH RC | Saginaw | 92
Facility
92
MI AVG
75
Rank
#156 / 435 |
85.9%
Facility
85.9%
MI AVG
75.8%
Rank
#52 / 395 | +13% | 4.09
Facility
4.09
MI AVG
4.30
Rank
#60 / 142 | -12% | -5% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 70
Facility
70
MI AVG
33.5
Rank
#137 / 144 | 8.8
Facility
8.8
MI AVG
5.2
Rank
#132 / 144 | 2 | 84 | - |
56
Facility
56
MI AVG
39
Rank
#170 / 703 | Saginaw N Opco Holdco LLC | $7.3M
Facility
$7.3M
MI AVG
$15.8M
Rank
#106 / 143 | $3.8M
Facility
$3.8M
MI AVG
$5.6M
Rank
#128 / 143 | 52.5%
Facility
52.5%
MI AVG
39%
Rank
#132 / 143 | 235250 |
Adira Nursing and Rehab is located in Saginaw, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Adira Nursing and Rehab has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Adira Nursing and Rehab's occupancy is 85.9%.
Adira Nursing and Rehab is registered as a for-profit.
Yes — there are 6 photos of Adira Nursing and Rehab in the photo gallery on this page.
Adira Nursing and Rehab is located at 3200 State St, Saginaw, MI 48602.
(989) 799-1902 will put you in contact with the team at Adira Nursing and Rehab.
Yes — Adira Nursing and Rehab is a CMS-certified provider of Medicare and Medicaid.
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