Covenant Skilled Nursing and Rehabilitation at Wel
5939 Shattuck Road, Saginaw, MI 48603 · Saginaw County · 39 certified beds · avg 34 residents/day · certified since Jul 17, 1998
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.89
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
All citations in the current public record (20)
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 |
|---|---|---|
| Mar 25, 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. |
| Mar 25, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 25, 2026 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Mar 25, 2026 | D · Potential for harm, one-off | 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. |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. |
| Mar 25, 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. · from a complaint |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 25, 2026 | D · Potential for harm, one-off | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Mar 25, 2026 | 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. · from a complaint |
| Apr 3, 2025 | 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. · from a complaint |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 14, 2025 | E · Potential for harm, repeated | 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. |
| Feb 14, 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. |
| Feb 14, 2025 | 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. |
| Sep 17, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Feb 22, 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. |
| Feb 22, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 22, 2024 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | F |
| 2025 | 5 | 0 | E |
| 2026 | 10 | 0 | F |
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) | 4.89 | 4.32 | 3.95 | top 19% in Michigan; top 15% in the U.S. |
| Registered Nurse hours | 1.39 | 0.84 | 0.69 | top 10% in Michigan; top 6% in the U.S. |
| Weekend total nurse staffing | 4.26 | 3.79 | 3.50 | top 18% in Michigan; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.49 | 0.48 | top 10% in Michigan; top 10% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 44.1 | 45.8 | top 27% in Michigan; top 28% 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 4.96, RN 1.41, weekend 4.32. Staffing rating: 5/5.
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: —/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Covenant Healthcare System | Organization | 5% or Greater Indirect Ownership Interest | 50% | 09/08/2021 |
| Covenant Medical Center, INC. | Organization | 5% or Greater Direct Ownership Interest | 50% | 09/08/2021 |
| Lutheran Homes of Michigan, INC | Organization | 5% or Greater Indirect Ownership Interest | 50% | 09/08/2021 |
| Wellspring TCC LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 09/08/2021 |
| Birchmeier, Kevin | Individual | Corporate Director | NOT APPLICABLE | 09/08/2021 |
| Birchmeier, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 08/04/2022 |
| Conzelmann, Noelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/05/2022 |
| Gehm, David | Individual | Corporate Director | NOT APPLICABLE | 09/08/2021 |
| Kalbfleisch, Timothy | Individual | Corporate Director | NOT APPLICABLE | 09/08/2021 |
| Kalbfleisch, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 08/04/2022 |
| Lutheran Homes of Michigan, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/05/2022 |
| Tompa, Adam | Individual | Corporate Director | NOT APPLICABLE | 09/08/2021 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 |
|---|---|---|---|---|---|
| Healthsource Saginaw, INC | 1.0 mi | Saginaw, MI | ★★★☆☆ | 2/5 | |
| Saginaw Senior Care and Rehabilitation Center, LLC | 2.0 mi | Saginaw, MI | ★★★★☆ | 3/5 | |
| Optalis Health and Rehabilitation at St. Francis | 2.2 mi | Saginaw, MI | ★★☆☆☆ | 1/5 | |
| Adira Nursing and Rehabilitation | 2.6 mi | Saginaw, MI | ★★☆☆☆ | 2/5 | |
| Great Lakes Rehabilitation Center | 2.6 mi | Saginaw, MI | ★★☆☆☆ | 2/5 | |
| Hoyt Nursing & Rehab Centre | 3.9 mi | Saginaw, MI | ★★★☆☆ | 3/5 | |
| Caretel Inns of Tri-Cities | 7.7 mi | Bay City, MI | ★☆☆☆☆ | 1/5 | |
| Avista Nursing and Rehabilitation | 8.5 mi | Saginaw, MI | ★★★☆☆ | 3/5 | |
| Carriage House Nursing and Rehabilitation | 11.1 mi | Bay City, MI | ★★☆☆☆ | 2/5 | |
| Bay Shores Senior Care and Rehab Center | 11.8 mi | Bay City, MI | ★★★★☆ | 3/5 | |
| Hampton Nursing and Rehabilitation | 12.3 mi | Bay City, MI | ★★★★☆ | 4/5 | |
| Stratford Pines Nursing and Rehabilitation Center | 13.3 mi | Midland, MI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235585.