Great Lakes Rehabilitation Center
4180 Tittabawassee Road, Saginaw, MI 48604 · Saginaw County · 55 certified beds · avg 51 residents/day · certified since Nov 14, 1985
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 · Jan 14, 2026 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Feb 12, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 18, 2025 · 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 17, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 21, 2023 · 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: Jan 12, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (39)
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 |
|---|---|---|
| Jan 14, 2026 | ▲ G · Actual 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. |
| Jan 14, 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. |
| Jan 14, 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. |
| Jan 14, 2026 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 14, 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. |
| Jan 14, 2026 | 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. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 14, 2026 | D · Potential for 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. |
| Jan 14, 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. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 14, 2026 | 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. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 18, 2025 | ▲ 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 |
| Feb 18, 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 |
| Nov 21, 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. |
| Nov 21, 2024 | 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. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 21, 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. |
| Dec 21, 2023 | ▲ 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 |
| Dec 5, 2023 | F · Potential for harm, 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. |
| Dec 5, 2023 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Dec 5, 2023 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 5, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | 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. |
| Dec 5, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 16 | 1 | G ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 14 | 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)
1 fine totaling $21,244.
| Date | Type | Amount / length |
|---|---|---|
| Feb 18, 2025 | Fine | $21,244 |
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) | 4.61 | 4.32 | 3.95 | top 25% in Michigan; top 20% in the U.S. |
| Registered Nurse hours | 0.45 | 0.84 | 0.69 | bottom 15% in Michigan; bottom 31% in the U.S. |
| Weekend total nurse staffing | 4.33 | 3.79 | 3.50 | top 17% in Michigan; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.49 | 0.48 | bottom 24% in Michigan; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 44.1 | 45.8 | — |
| RN turnover (%) | 0.0 | 39.2 | 42.9 | — |
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 4.42, RN 0.44, weekend 4.15. Staffing rating: 2/5.
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: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aboudane, Zakwan | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Amin, Altamash | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Hamza Sikander Corporation | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Healthcare Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Iqbal, Rashid | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Kin Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Mahfooz, Naveed | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Precision Health Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Rao Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Saginaw Valley Real Estate LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2016 |
| Sikander, Hamza | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Solh, Wael | Individual | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Wellcare Solutions LLC | Organization | 5% or Greater Indirect Ownership Interest | 8% | 05/01/2016 |
| Amin, Altamash | Individual | Contracted Managing Employee | NOT APPLICABLE | 08/01/2016 |
| Sikander, Hamza | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Sikander, Hamza | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "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 |
|---|---|---|---|---|---|
| Saginaw Senior Care and Rehabilitation Center, LLC | 2.5 mi | Saginaw, MI | ★★★★☆ | 3/5 | |
| Covenant Skilled Nursing and Rehabilitation at Wel | 2.6 mi | Saginaw, MI | ★★★★☆ | 3/5 | |
| Adira Nursing and Rehabilitation | 3.1 mi | Saginaw, MI | ★★☆☆☆ | 2/5 | |
| Healthsource Saginaw, INC | 3.1 mi | Saginaw, MI | ★★★☆☆ | 2/5 | |
| Hoyt Nursing & Rehab Centre | 3.3 mi | Saginaw, MI | ★★★☆☆ | 3/5 | |
| Optalis Health and Rehabilitation at St. Francis | 4.8 mi | Saginaw, MI | ★★☆☆☆ | 1/5 | |
| Caretel Inns of Tri-Cities | 5.1 mi | Bay City, MI | ★☆☆☆☆ | 1/5 | |
| Carriage House Nursing and Rehabilitation | 8.7 mi | Bay City, MI | ★★☆☆☆ | 2/5 | |
| Avista Nursing and Rehabilitation | 8.7 mi | Saginaw, MI | ★★★☆☆ | 3/5 | |
| Bay Shores Senior Care and Rehab Center | 9.2 mi | Bay City, MI | ★★★★☆ | 3/5 | |
| Hampton Nursing and Rehabilitation | 9.6 mi | Bay City, MI | ★★★★☆ | 4/5 | |
| Stratford Pines Nursing and Rehabilitation Center | 12.6 mi | Midland, MI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 235442.