Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hoyt Nursing & Rehab Centre during CMS and state inspections, most recent first.
A resident with a history of falls, gait impairment, and a right femur fracture was not included in quarterly care conferences, and his representative was not invited or informed about meetings. The resident and representative both reported ongoing pain after a fall, repeated x-rays that did not identify the fracture, and no staff discussion of a care plan despite the resident later going to the hospital, where the fracture was found and surgery was done. The DON confirmed the last care conference appeared to be months earlier and that quarterly conferences with guardian participation were expected.
The facility did not update its emergency preparedness policy after upgrading its backup generator, leaving staff with outdated instructions to use extension cords and red outlets for backup power, which no longer reflected the facility's current emergency power capabilities.
A remote annunciator for the emergency generator was installed in the back building electrical room, rather than in a location readily observed by operating personnel. This placement could result in generator alarms and conditions going unnoticed by staff, as confirmed by observation and interview with the maintenance director.
Exit and directional signs were not properly displayed or configured, with the emergency exit sign outside the Saginaw Room Dining space set up incorrectly. This left the North side of the facility without an emergency exit from resident spaces, and the exit configuration did not match the emergency placards in the corridors. These issues were confirmed by the maintenance director during the survey.
Surveyors found that a shower room door across from the 100 nurse station was an open grate type, which would allow smoke, heat, and fire to pass into the emergency egress corridor. This was confirmed by the maintenance director during the inspection, indicating non-compliance with smoke resistance requirements for corridor doors.
A resident with severe physical disabilities and cognitive impairment was physically assaulted by a new roommate with a history of aggression, resulting in a black eye and facial contusions. The incident occurred after a room transfer decision made by the IDT without proper assessment of compatibility or family notification, and in the absence of a formal bed transfer or supervision policy. The abuse was not witnessed by staff and was only discovered during routine care.
A resident with a history of sepsis and multiple chronic conditions experienced an elevated temperature and pulse, which were reported to a nurse by a CNA. The nurse failed to perform an assessment, document the change, or notify a physician for over four hours, only administering Tylenol later in the day. The resident was subsequently found unresponsive and died, with staff interviews and records confirming that required protocols for assessment and escalation were not followed.
A resident with severe cognitive impairment and a legal guardian was assigned a new roommate without prior notification to the responsible party, as required. After the roommate change, the resident was found with a black eye and facial bruising, and reported that the new roommate had made contact with his eye. The facility administrator confirmed that the responsible party was not notified before the change, and there was no specific policy in place for such notifications.
The facility failed to obtain informed consent for psychotropic medications for four residents, as required by their policy. The deficiency was identified through record reviews and interviews, revealing that psychotropic medications were administered without documented consents. The social work designee admitted to relying on verbal agreements instead of written consents, and the Social Services Director confirmed the lack of adherence to the facility's procedure for obtaining consents. This resulted in the administration of psychotropic medications without the necessary informed consents.
A resident with a Stage 2 pressure injury on the coccyx was readmitted with the wound progressed to Stage 3. The facility failed to follow its wound management policy by missing a weekly assessment and photograph of the wound. The DON acknowledged the oversight, stating that while treatment was given, the required documentation was not completed.
A resident admitted with multiple diagnoses did not receive necessary hydration for five days due to the facility's failure to input hospital discharge orders for free water flushes. The omission occurred because the order was in a separate document, which was overlooked. Interviews revealed that the admitting nurse should have inputted the orders or contacted the physician if the order was missing. The facility's policy requires documentation of total free water intake, which was not followed.
The facility failed to ensure timely call light responses, adequate communication access, and respect for residents' preferences and dignity. Residents reported long waits for call light responses, lack of access to personal phones, and unmet food preferences. Additionally, unsanitary conditions were observed, such as soiled bedding and unemptied urinals, contributing to residents' dissatisfaction and feelings of neglect.
Two residents in the facility did not receive adequate assistance with Activities of Daily Living (ADL). A resident with a history of stroke and muscle weakness had overgrown toenails and was not receiving showers as per their care plan, while another resident requiring 1:1 meal assistance was left without help, resulting in an untouched lunch tray. These deficiencies highlight lapses in care coordination and adherence to care plans.
A resident developed an unstageable pressure ulcer on the left heel due to the facility's failure to implement a comprehensive pressure ulcer prevention and skin management program. Despite the resident's inability to reposition herself and the presence of a starting pressure ulcer on the right heel, preventive interventions were not included in the care plan until after the wound developed. The physician's progress notes lacked documentation of the left heel ulcer, indicating a gap in wound assessment and management.
A resident with Multiple Sclerosis and contractures experienced a decline in range of motion due to the facility's failure to implement a comprehensive restorative nursing program. The resident, dependent on staff for all activities, received inconsistent and inadequate passive range of motion exercises, leading to worsening contractures and unnecessary pain. Observations revealed a lack of specific exercises and repetitions in the care plan, and staff documentation was inaccurate, often reflecting time spent in the room rather than on exercises.
A facility failed to ensure safety and supervision for several residents, leading to multiple deficiencies. A resident was given a shower with an improperly sized sling, risking injury. Another resident was dropped off at the wrong medical facility due to inadequate transportation procedures. A third resident, deemed unsafe to smoke, was found smoking in his room, violating the facility's non-smoking policy. Additionally, a resident's wander guard was not properly documented or checked, posing an elopement risk.
A nurse in an LTC facility prepared a Heparin injection for a resident using an incorrect needle size, initially selecting a 1 and 1/2 inch needle meant for intramuscular injections instead of the appropriate size for subcutaneous administration. The error was identified before the injection was administered, highlighting a gap in the nurse's knowledge despite previous competency assessments.
The facility failed to maintain a comprehensive infection control program, as evidenced by improper hand hygiene practices during care. A nurse did not wash hands between glove changes during wound care for a resident with multiple health conditions. Another nurse failed to perform hand hygiene before and after administering medications, including to residents under enhanced barrier precautions. These actions violated the facility's hand washing policy and highlighted deficiencies in infection prevention and control.
Failure to Include Resident and Representative in Quarterly Care Planning
Penalty
Summary
The facility failed to ensure that quarterly care planning meetings were completed and that the resident and the resident’s representative were included in care planning so they could make informed decisions about healthcare and treatment options. The deficiency involved one resident who had been admitted to the facility with diagnoses including fracture of the right femur, history of falling, unsteadiness on feet, and abnormalities of gait and mobility. A Minimum Data Set assessment showed intact cognition and that the resident required substantial to maximal assistance with rolling and was dependent for transfers. The resident’s representative reported that after a fall in November 2025, the resident continued to complain of pain in his leg and hip, but the facility only provided pain medication and did not resolve the concern. The representative stated that the resident called 911 himself because he was fed up with the lack of action, and the resident later went to the hospital where a fracture was found and surgery was performed. The representative also stated she was not familiar with care conferences, had not been invited to any meetings, and had not been contacted by staff to discuss the resident’s ongoing pain or a plan of care. The resident similarly reported that he had ongoing pain after the fall, that x-rays were done at the facility and did not show anything wrong, and that he asked for more testing such as an MRI. He stated that no care conferences or meetings were held with staff and his guardian to discuss his care, and that he was not aware of any request for his guardian to attend a meeting. The acting DON reviewed the record and stated the last care conference form and note appeared to be from September, confirmed care conferences should occur quarterly or every three months, and stated the guardian would be invited to attend. The facility policy required resident and family or representative involvement in care planning and timely invitation to the care plan conference.
Failure to Update Emergency Power Loss Policy After Generator Upgrade
Penalty
Summary
The facility failed to update its Emergency Preparedness policies and procedures following an upgrade to the emergency backup generator. Although the generator was enhanced to cover the power load of the entire facility, the written policy still instructed staff to use extension cords and red outlets to provide backup power only to certain resident rooms and treatment areas. This outdated information did not reflect the current capabilities of the upgraded generator. During a record review and interview with the maintenance director, it was confirmed that the utility power loss policy had not been revised to align with the new generator system. The continued reference to outdated procedures in the policy could cause confusion among staff during a power outage emergency, as the instructions no longer matched the facility's actual emergency power resources.
Emergency Generator Annunciator Not Readily Observable
Penalty
Summary
The facility failed to ensure that the remote annunciator for the emergency generator was installed in a location that is readily observed by operating personnel, as required by NFPA 99 standards. During an observation, it was found that the new emergency generator annunciator was placed in the back building electrical room, rather than in a more visible area. This placement could result in alarms and generator conditions going unnoticed by facility staff. The deficiency was confirmed through an interview with the maintenance director at the time of observation. No specific residents or patient medical histories were mentioned in the report, and the deficiency was identified through direct observation and staff interview.
Deficient Exit Signage and Egress Configuration
Penalty
Summary
Exit and directional signs in the facility were not displayed in accordance with regulatory requirements, as observed during a survey. Specifically, the emergency exit sign outside the Saginaw Room Dining space had an incorrect emergency egress configuration, resulting in the North side of the facility lacking an emergency exit from resident spaces. Additionally, the exit configuration did not match the emergency placards displayed in the corridors. These findings were confirmed through an interview with the maintenance director at the time of observation. This deficiency could affect 35 occupants in the event of an emergency evacuation, as noted in the report.
Non-Compliant Corridor Door Allows Smoke Passage
Penalty
Summary
Surveyors observed that the facility failed to ensure that doors protecting corridor openings were capable of resisting the passage of smoke, as required by NFPA 19.3.6.3. Specifically, during an inspection, it was found that the shower room door located across from the 100 nurse station consisted of an open grate design. This type of door would allow smoke, heat, and fire to transfer from the shower room into the emergency egress corridor, compromising the intended fire and smoke barrier. The deficiency was confirmed through an interview with the maintenance director at the time of observation. The report does not mention any specific residents or their medical conditions being directly involved or affected at the time of the deficiency. The finding was based solely on the physical observation of the door and its non-compliance with regulatory requirements for smoke resistance.
Failure to Prevent Resident-to-Resident Abuse Following Inappropriate Room Assignment
Penalty
Summary
A resident with severe physical disabilities, including bilateral lower limb amputations and upper extremity contractures, was subjected to physical abuse by another resident. The abused resident was totally dependent for all care and had a history of vascular dementia, bipolar disorder, depression, and schizophrenia. The incident resulted in the resident sustaining a black eye and facial contusions. The resident was unable to defend himself due to his physical limitations and required assistance for all activities of daily living. The facility failed to prevent the abusive incident, which occurred after a room transfer placed the aggressive resident as a roommate with the vulnerable resident. The aggressive resident had a history of verbal aggression and was known to be manipulative, with staff and social services noting concerns about his behavior. The decision to pair these two residents was made by the interdisciplinary team, but staff later acknowledged that it was not a good fit. There was no evidence that the family of the vulnerable resident was notified of the new roommate, and the facility lacked a formal bed transfer policy. Staff interviews revealed that the incident was not witnessed, and the injury was only discovered during routine care. The facility also lacked a supervision policy for monitoring resident safety, and there was no documentation of a behavioral assessment or increased supervision for the aggressive resident prior to the incident. The event was reported to the police, and both residents exhibited physical signs consistent with an altercation. The facility's failure to properly assess roommate compatibility, notify families, and implement appropriate supervision contributed to the occurrence of resident-to-resident abuse.
Failure to Assess and Respond to Change in Condition Leads to Resident Death
Penalty
Summary
A deficiency occurred when a nurse failed to perform a timely, complete, and accurate assessment of a resident who experienced a change in condition. The resident, who had a complex medical history including sepsis, pneumonia, acute respiratory failure, heart failure, and other chronic conditions, was dependent on staff for activities of daily living and was on oxygen and a feeding tube. On the day of the incident, a CNA reported to the nurse that the resident had an elevated temperature of 101°F and a pulse of 110 at 9:00 a.m. Despite this report and the resident's history of sepsis, the nurse did not conduct a physical or cognitive assessment, nor did she document any such assessment in the medical record between 9:00 a.m. and 5:35 p.m. The nurse delayed any intervention for over four hours, only administering Tylenol at 1:17 p.m. for the increased temperature, without notifying the physician or considering hospital transfer. Interviews confirmed that the nurse acknowledged not performing an assessment or contacting the physician, despite facility policies requiring such actions in response to changes in condition. The Director of Nursing and other staff corroborated that the nurse did not act on the reported vital sign changes and failed to follow established protocols for assessment and escalation. Later that day, the resident was found unresponsive and cold to the touch, with no pulse, and a code blue was called. Despite resuscitation efforts, the resident died. The facility's policies and job descriptions clearly outlined the expectation for timely assessment and physician notification in the event of a change in condition, which were not followed in this case.
Failure to Notify Responsible Party of Roommate Change Resulting in Resident Injury
Penalty
Summary
The facility failed to notify the responsible party of a resident prior to a roommate change, which resulted in a new roommate being moved into the resident's room without prior notification. The resident involved had severe cognitive impairment, a legal guardian, and multiple medical diagnoses including vascular dementia, bipolar disorder, depression, schizophrenia, and bilateral lower limb amputation. Following the roommate change, the resident was observed with a black eye and facial bruising, and an incident report documented that the resident stated another resident made contact with his eye, while the other resident denied the action. Both residents involved had cognitive impairments, with one having a BIMS score indicating severe impairment and the other slight impairment. The Nursing Home Administrator acknowledged that there was no specific policy for bed or roommate changes and that the facility relied on regulatory guidance and interdisciplinary team meetings to make such decisions. The administrator admitted that the responsible party for the resident was not notified of the roommate change, which was a failure on the facility's part. Facility documentation and state guidance both require notification of the resident's representative prior to any room or roommate change, but this was not done, leading to the incident and subsequent injury.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure informed consent for psychotropic medications used to treat mood and behavior disorders for four residents. The deficiency was identified through observation, interviews, and record reviews, revealing that informed consents were not obtained prior to the initiation or change in dosage of psychoactive medications. The facility's policy requires that residents do not receive psychotherapeutic medications unless needed to treat a specific condition, with documented target behaviors and ineffective non-pharmacological interventions. Additionally, informed consent from the resident or responsible party, along with education regarding potential side effects, is required. For Resident #101, the Medication Administration Record (MAR) showed multiple psychotropic medications prescribed without documented consent. The social work designee admitted to not obtaining written consents, relying instead on verbal agreements, and acknowledged the absence of consent forms in the medical records. Similarly, Residents #102, #103, and #104 had psychotropic medications administered without updated consents for medication changes or new medication initiations. The Social Services Director confirmed the lack of consents and the failure to follow the facility's procedure for obtaining them. The report highlights that the facility's process for managing psychotropic medications was not followed, as evidenced by the absence of consent documentation in the residents' medical records. The interviews with the social work designee and Social Services Director revealed a lack of adherence to the facility's policy, resulting in the administration of psychotropic medications without the necessary informed consents. This deficiency indicates a systemic issue in the facility's handling of psychotropic medication consents, affecting the care and treatment of the residents involved.
Failure to Adhere to Wound Management Policy
Penalty
Summary
The facility failed to adhere to its wound management policy for a resident who was admitted with a Stage 2 pressure injury on the coccyx. Upon readmission from the hospital, the wound had progressed to a Stage 3 pressure injury. The facility's policy required weekly documentation and photographic assessment of pressure ulcers, but a weekly assessment was missed between 10/28/2024 and 11/11/2024. This oversight was acknowledged by the Director of Nursing (DON), who confirmed that while treatment was administered, the necessary documentation and photographic evidence were not completed. The resident, who is of advanced age and has diagnoses including age-related physical debility, reduced mobility, cerebral infarction, and hypertension, was noted to have moderately impaired cognition with a BIMS score of 12. The failure to conduct a weekly assessment and take a picture of the wound as per the facility's policy resulted in a missed opportunity to monitor the wound's progression accurately. This lapse in protocol potentially contributed to the worsening of the resident's pressure injury, as noted by the DON during an interview.
Failure to Provide Adequate Hydration for Resident on Enteral Nutrition
Penalty
Summary
The facility failed to provide adequate hydration for a resident receiving enteral nutrition feedings, resulting in the resident not receiving appropriate hydration for five days. The resident was admitted with several diagnoses, including Hypomagnesemia, Atrial Fibrillation, Gastrostomy Infection, Dysphagia, Anxiety, and a Solitary Pulmonary Nodule. Upon admission, the hospital discharge orders included a recommendation for free water flushes every four hours, but this order was not inputted into the facility's system. Consequently, the resident did not receive the necessary hydration from the time of admission until five days later when the Registered Dietitian completed an initial assessment and added the free water flush order. Interviews with facility staff revealed that the omission of the free water flush order was due to it being in a separate document from other discharge medications, which was overlooked. The Clinical Care Coordinator stated that the admitting nurse should have inputted the enteral nutrition orders based on the hospital discharge summary, and if the free water flushes were not listed, the nurse could have contacted the physician to obtain the order. The facility's policy on enteral nutritional feeding requires the physician's order to include the total amount of free water intake to be consumed in 24 hours, which was not followed in this case.
Deficiencies in Call Light Response, Communication Access, and Resident Care
Penalty
Summary
The facility failed to ensure that residents' call lights were available, within reach, and answered in a timely manner. This deficiency affected multiple residents, including one who reported that their call light was often not answered for hours, leading to difficulties in receiving assistance. Another resident was unable to reach their call light due to physical limitations, and it was observed to be out of reach on multiple occasions. The facility's policy stated that call lights should be answered within 15 minutes, but this was not consistently adhered to, as evidenced by resident complaints and observations. Additionally, the facility did not provide adequate access to communication devices for residents. One resident reported not having a phone available for personal use, which was confirmed by staff who were unable to locate a portable phone for resident use. This lack of access to communication devices hindered residents' ability to maintain contact with family and friends, contributing to feelings of isolation and frustration. The facility also failed to honor residents' food preferences and maintain a clean and dignified environment. One resident expressed dissatisfaction with not receiving their preferred food items, such as eggs, despite having no dietary restrictions. Another resident's bedding was found to be soiled with drainage from a wound, and their urinal was not emptied in a timely manner, leading to unsanitary conditions. These failures in providing personalized care and maintaining cleanliness further contributed to residents' dissatisfaction and feelings of being treated without dignity and respect.
Failure to Provide Adequate ADL Assistance
Penalty
Summary
The facility failed to provide adequate assistance with Activities of Daily Living (ADL) for two residents, resulting in unmet care needs. Resident #9, who has a history of stroke, dysphagia, and muscle weakness, was found with severely overgrown toenails and had only been receiving showers once a week, contrary to their care plan. The resident's medical record indicated they required extensive assistance with ADLs, yet they had not seen a podiatrist since admission, and their shower schedule was not updated to include a second weekly shower. This oversight led to discomfort and potential hygiene issues for the resident. Resident #47, who required 1:1 assistance during meals, was observed with an untouched lunch tray, indicating they had not been assisted with their meal. The CNA responsible for Resident #47 was occupied with another resident and was unaware that the resident had not eaten. The DON was informed of the situation and instructed the kitchen to prepare a new meal. This incident highlights a lapse in ensuring that residents with specific assistance needs are adequately supported during meal times.
Failure in Pressure Ulcer Prevention and Management
Penalty
Summary
The facility failed to implement a comprehensive pressure ulcer prevention and skin management program for a resident, resulting in the development of an unstageable pressure ulcer on the resident's left heel. The resident, who was admitted with diagnoses including Hemiplegia, Hemiparesis, Hypertension, Atrial Fibrillation, and Mood Disorder, required staff assistance with Activities of Daily Living (ADLs). Despite the presence of a starting pressure ulcer on the right heel noted on May 1, 2024, and subsequent orders for wound care, there was no mention of a left heel pressure ulcer in the physician progress notes until later. The wound was identified as unstageable and in-house acquired, with various stages of slough, eschar, and drainage documented over time. The Unit Manager acknowledged noticing a reddened circle on the resident's left heel on May 1, 2024, which began to spread by May 7, 2024. The resident was unable to reposition herself in bed, and interventions such as 'heels up' were implemented only after the wound developed. The care plan lacked interventions for the prevention of pressure ulcers until after the wound's appearance. Additionally, there was no documentation indicating that the wound had been assessed by the physician, highlighting a gap in the facility's pressure ulcer prevention and management practices.
Inadequate Restorative Nursing Program Leads to Resident's Decline
Penalty
Summary
The facility failed to implement a comprehensive restorative nursing program for a resident with multiple medical conditions, including Multiple Sclerosis, functional quadriplegia, and contractures. The resident was dependent on staff for all activities of daily living and had impaired range of motion in both upper and lower extremities. Despite being cognitively intact, the resident experienced a decline in range of motion and worsening contractures due to inconsistent and inadequate passive range of motion exercises. The facility's documentation was inaccurate, and the resident expressed discontentment with the care provided, indicating that exercises were only performed upon request. Observations and interviews revealed that the facility did not have a dedicated restorative CNA, and the staff did not perform specific passive range of motion exercises as part of the resident's care plan. The documentation in the electronic medical record was inconsistent, with an average of only 4.35 minutes of range of motion exercises documented daily, and often recorded as the total time spent in the resident's room rather than the actual time spent on exercises. The lack of specific joint exercises and repetitions in the care plan contributed to the resident's decline in range of motion. Interviews with the therapy director and nursing staff highlighted a lack of coordination and communication regarding the resident's restorative care needs. The therapy director confirmed that the resident had experienced a decline in range of motion since admission, but there was no formal process for therapy staff to refer or recommend restorative nursing interventions. The facility's failure to provide detailed and purposeful passive range of motion exercises, along with inadequate documentation and communication, resulted in the resident's unnecessary pain and increased risk for further decline.
Multiple Safety and Supervision Deficiencies in Resident Care
Penalty
Summary
The facility failed to ensure a safe environment for Resident #14 during a shower, as observed on June 13, 2024. The resident, who was non-ambulatory and required assistance with all activities of daily living, was transferred using a Hoyer lift with a sling that was too small for his size. This resulted in the resident almost sliding out of the shower chair multiple times, causing him to yell in pain. The staff struggled to manage the situation, indicating a lack of proper guidance and assessment for the appropriate sling size, as no documentation or instructions were available for the staff. Resident #51 experienced an unsafe transportation incident when she was dropped off at the wrong medical facility for an appointment. The contracted transportation company failed to follow the correct procedure, leading to confusion and potential distress for the resident. The facility did not have a comprehensive process or procedure in place to ensure the safe transportation of residents, nor did they provide adequate training or instructions to the transportation drivers, increasing the likelihood of similar incidents occurring in the future. Resident #67 was found smoking in his room, which is against the facility's non-smoking policy. Despite being deemed safe to smoke in previous assessments, a recent evaluation revealed that the resident was unsafe to smoke due to tremors and burns on his fingers. The facility failed to update the resident's care plan to reflect his smoking status and did not adequately supervise or control the possession of smoking materials, leading to a dangerous situation. Additionally, Resident #43's wander guard was not properly documented or checked for functionality, posing a risk of elopement for the resident with severe cognitive impairment.
Medication Administration Error with Heparin Injection
Penalty
Summary
The facility failed to ensure the safe administration of a subcutaneous injection for a resident, leading to the potential for significant medication errors. During a medication administration task, a nurse prepared a Heparin injection for a resident using an incorrect needle size. The nurse initially selected a 1 and 1/2 inch needle, which is typically used for intramuscular injections, instead of the appropriate needle for a subcutaneous injection. This error was identified when the nurse was questioned about the needle size before administering the injection. The nurse demonstrated a lack of knowledge regarding the appropriate needle size for subcutaneous versus intramuscular injections, as evidenced by their inability to recall the correct needle lengths for each type of injection. Despite having been deemed competent in injections in November 2023, the nurse's actions during this incident indicated a gap in their understanding. The resident involved had an active physician order for Heparin to be administered subcutaneously every eight hours, and the incorrect preparation of this medication posed a risk of decreased efficacy and potential side effects.
Inadequate Infection Control and Hand Hygiene Practices
Penalty
Summary
The facility failed to implement a comprehensive infection control program, as evidenced by the lack of accurate tracking and surveillance of infections among residents. During an interview with the Infection Control Registered Nurse (RN C), it was revealed that the facility did not maintain documentation of tracking residents with potential infections or those with infectious organisms not receiving antibiotics. This deficiency was further highlighted by the observation of improper hand hygiene practices by staff members during care procedures. Specific incidents included a nurse performing wound care on a resident with multiple health conditions, including a pressure ulcer, without washing hands between glove changes. Additionally, another nurse failed to perform hand hygiene before and after administering medications to residents, including those under enhanced barrier precautions. These lapses in hand hygiene were contrary to the facility's hand washing policy, which mandates hand hygiene before and after glove use, and contributed to the overall failure in infection prevention and control.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 210 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saginaw
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adira Nursing And Rehabilitation | 1.5 mi | ★★★★★ | 13 | 0 |
| Saginaw Senior Care And Rehabilitation Center, Llc | 1.9 mi | ★★★★★ | 8 | 0 |
| Great Lakes Rehabilitation Center | 3.3 mi | ★★★★★ | 24 | 0 |
| Covenant Skilled Nursing And Rehabilitation At Wel | 3.8 mi | ★★★★★ | 15 | 0 |
| Healthsource Saginaw, Inc | 4.9 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Hoyt Nursing & Rehab Centre.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.