Carriage House Nursing and Rehabilitation

Name: Carriage House Nursing and Rehabilitation
Address: 2394 Midland Road, Bay City, MI, 48706, US
Telephone: 9896842303

2394 Midland Road, Bay City, MI 48706 · Bay County · 120 certified beds · avg 109 residents/day · certified since May 1, 2001

Part of chain: PREFERRED CARE (13 facilities, chain avg rating 3.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.99

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 6, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 8, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 6, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 27, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 13, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 13, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 13, 2026	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
May 13, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 13, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 13, 2026	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
May 13, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 6, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 13, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 4, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 24, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Mar 28, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Mar 28, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 28, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Mar 28, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 28, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 28, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 6, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 6, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 6, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2024	15	1	G ▲
2025	8	0	E
2026	11	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.99	4.32	3.95	bottom 43% in Michigan; top 40% in the U.S.
Registered Nurse hours	0.60	0.84	0.69	bottom 28% in Michigan; top 48% in the U.S.
Weekend total nurse staffing	3.39	3.79	3.50	bottom 32% in Michigan; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.49	0.48	bottom 40% in Michigan; bottom 46% in the U.S.
Total nursing staff turnover (%)	46.3	44.1	45.8	bottom 43% in Michigan; bottom 46% in the U.S.
RN turnover (%)	33.3	39.2	42.9	top 38% in Michigan; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.85, RN 0.58, weekend 3.27. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Bay City Opco Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2020
Green, Dov	Individual	5% or Greater Indirect Ownership Interest	35%	11/01/2020
Klein, Yoni	Individual	5% or Greater Indirect Ownership Interest	40%	11/01/2020
Schnell, David	Individual	5% or Greater Indirect Ownership Interest	25%	11/01/2020
Ahmed, Naeem	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2020
Ahmed, Naeem	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2020
Bay City Realty Holdings LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/2020
Bay City Realty Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2020
Burke, Gregory	Individual	Operational/Managerial Control	NOT APPLICABLE	11/30/2020
Burke, Gregory	Individual	ADP of the SNF	NOT APPLICABLE	11/30/2020
Green, Dov	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2020
Klein, Yoni	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2020
Klein, Yoni	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2020
Preferred Care at Lansing MNGT LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2020
Rubinfeld, Eli	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2020
Schnell, David	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Bay Shores Senior Care and Rehab Center	1.6 mi	Bay City, MI	★★★★☆	3/5
Caretel Inns of Tri-Cities	3.8 mi	Bay City, MI	★☆☆☆☆	1/5
Hampton Nursing and Rehabilitation	4.6 mi	Bay City, MI	★★★★☆	4/5
Huron Woods Nursing Center	6.7 mi	Kawkawlin, MI	★★★☆☆	3/5
Bay County Medical Care Facility	7.8 mi	Essexville, MI	★★☆☆☆	2/5	abuse
Great Lakes Rehabilitation Center	8.7 mi	Saginaw, MI	★★☆☆☆	2/5
Stratford Pines Nursing and Rehabilitation Center	10.6 mi	Midland, MI	★★☆☆☆	2/5
Hoyt Nursing & Rehab Centre	11.0 mi	Saginaw, MI	★★★☆☆	3/5
Saginaw Senior Care and Rehabilitation Center, LLC	11.1 mi	Saginaw, MI	★★★★☆	3/5
Covenant Skilled Nursing and Rehabilitation at Wel	11.1 mi	Saginaw, MI	★★★★☆	3/5
Healthsource Saginaw, INC	11.2 mi	Saginaw, MI	★★★☆☆	2/5
Brittany Manor	11.5 mi	Midland, MI	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Bay City →

Facility data as of CMS processing date 2026-08-01. CCN 235599.

The Care File

Visit checklist — Carriage House Nursing and Rehabilitation

2394 Midland Road, Bay City, MI 48706 · 9896842303

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 6, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Mar 6, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235599 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)