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2394 Midland Road, Bay City, MI 48706 (opens Google Maps) · Bay County · (989) 684-2303· 120 certified beds · avg 109 residents/day · certified since May 1, 2001 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PREFERRED CARE (13 facilities, chain avg rating 3.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 8, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 27, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 34 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0880
The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. F-0806
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| May 13, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| May 13, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0691 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Apr 6, 2026 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Mar 13, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0810 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 4, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660 |
| Mar 28, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 28, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0550 |
| Mar 28, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0677 |
| Mar 28, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0725 |
| Mar 28, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 28, 2024 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Mar 6, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Mar 6, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Mar 6, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Mar 6, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.85 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Carriage House Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Preferred Care — 13 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 12 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 235599.
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