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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 13th out of 133 homes in Michigan. 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 |
|---|---|---|
|
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.
| 4h 26m per day |
Higher than the Michigan average: 75.8%In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MI Average | vs. MI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 8 | This facility has 25% more total deficiencies than a typical Michigan nursing home (10 vs. MI avg 8).↑ 25% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 1.7 | 1.3 | This facility has 31% more deficiencies per year than a typical Michigan nursing home (1.7 vs. MI avg 1.3).↑ 31% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 27, 2025, found deficiencies related to staff verbally abusing a resident, failure to respond promptly to call pendant alerts, refusal to provide requested pain medication, and not updating the resident’s service plan. Earlier inspections showed a pattern of issues including understaffing, inadequate staff training, delayed reporting of resident falls, and gaps in tuberculosis screening and quality review documentation. Complaint investigations were substantiated for improper treatment, understaffing, and failure to provide timely care, with no enforcement actions or fines listed in the available reports. The facility has not had enforcement actions such as fines or license suspensions reported. The inspection history indicates ongoing challenges with resident care and staffing, with no clear trend of improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMichigan average 6.5
Last Health inspection on Mar 2025
Michigan average 33.5
Michigan average 5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 20 citations resulted from standard inspections; and 2 of 20 resulted from complaint investigations.
100% better than Michigan averageMichigan average: 0.3
111% worse than Michigan averageMichigan average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% better than Michigan average
5% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,162 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 21,490 | 92 | 100% | 8.4 |
| Registered Nurse | 10 | 5 | 15 | 4,540 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 10 | 9 | 19 | 2,895 | 92 | 100% | 9.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,575 | 92 | 100% | 7.8 |
| RN Director of Nursing | 2 | 0 | 2 | 852 | 61 | 66% | 7.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 661 | 66 | 72% | 7 |
| Speech Language Pathologist | 2 | 0 | 2 | 580 | 63 | 68% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 451 | 57 | 62% | 7.9 |
| Administrator | 1 | 0 | 1 | 444 | 56 | 61% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 97 | 22 | 24% | 4.4 |
| Medical Director | 0 | 1 | 1 | 78 | 23 | 25% | 3.4 |
| Qualified Social Worker | 1 | 0 | 1 | 55 | 32 | 35% | 1.7 |
| Feeding Assistant | 0 | 1 | 1 | 37 | 12 | 13% | 3.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 5 | 5% | 4 |
| Other Physician | 0 | 1 | 1 | 16 | 12 | 13% | 1.4 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
80% lower than Michigan averageMichigan average: $76K
In line with Michigan averageMichigan average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Michigan averageMichigan average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 20, 2024Last updated: Jan 2026
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.
12.8
53% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
49% worse than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
18.4%
48% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
25.2%
64% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
39% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
33% worse than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.9%
38% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
3.9%
128% worse than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
8.4%
49% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
2.0%
87% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
18% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
45% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
21% better 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.
30% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents 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 Community Village based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #26 / 134Payroll — State benchmarkedThis home is ranked 26th out of 134 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
4.6 miles from city center
Estimated distance in miles from Saginaw's city center to Community Village's address, calculated via Google Maps.
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Community Village is located in Saginaw, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Community Village is in the Saginaw Township North neighborhood of Saginaw.
The legal owner and operator of Community Village is A&D Charitable Foundation Inc.
Community Village has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MI state health department records, Community Village's license number is AH730401359.
According to MI state health department records, Community Village's license expires on July 31, 2026.
Community Village's occupancy is 88%.
Community Village has 90 beds.
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