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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.
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.
Community Village is a 90-bed nursing home at 3200 Hospital Road, Saginaw, Saginaw County, MI, operated by the County of Cass and ranked 164th of 437 Michigan communities by bed count. The facility has operated for 33 years and is car-dependent with a walk score of 5. Current occupancy is 88 percent, higher than Michigan’s average of 75.8 percent.
The facility provides assisted living and respite care, accepting Medicaid and private pay residents. Amenities include a dining hall, salon and barber shop, chapel, activity center and music hall, outdoor pavilion with gas grill, and paved walking paths. Meals are made from scratch with a 4-week rotation and served on a flexible schedule.
Staffing includes 15 registered nurses, 19 licensed practical nurses, and 65 certified nursing assistants. Total nursing care averages 5 hours 31 minutes per resident per day, ranked 13th of 133 Michigan homes and 30 percent above state average. Average stay is 111 days.
Since February 2020, Community Village has documented 10 regulatory deficiencies and 2 federal penalties totaling $16,000 imposed in March 2024.
The March 2025 complaint investigation substantiated staff verbal abuse of a resident, faulty call pendant system preventing timely responses, refusal to administer requested pain medication, and failure to update care plans. A February 2024 investigation found staff failed to notify management of a resident fall and provided insufficient emergency training. December 2023 renewal identified missing tuberculosis screenings and no documented quality review program. September 2023 investigation confirmed understaffing with only 2 to 3 caregivers per shift and nearly 700 excessive response times out of 1100 call pendant alerts.
The facility demonstrates ongoing challenges with resident care, staffing responsiveness, and quality oversight systems.
Community Village is a nursing home with documented substantial compliance and quality concerns affecting resident care, staff responsiveness, and care oversight.
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 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.
| 50m per day | ▲ 8% 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.
| 34m per day | ▼ 36% 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.
| 3h 14m per day | ▲ 39% 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.
| 4h 7m per day | ▲ 17% 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.
| 0m per day | ▼ 100% 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.
| 38m per day | ▲ 30% State avg: 29m per day · National avg: 29m 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.
Michigan 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% more staff per resident 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.
15 total: 10 full-time employees and 5 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
19 total: 10 full-time employees and 9 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
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, 2027.
Community Village's occupancy is 88%.
Community Village has 90 beds.
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