Deficiency Index

Covenant Skilled Nursing and Rehabilitation at Wel

Saginaw, Michigan · CCN 235585

17 surveys since 2012, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
70
Surveys
17
Harm or worse
2
Immediate jeopardy
1
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
39
Ownership
Non profit - Corporation
Chain
Independent
County
Saginaw
Medicare-certified since
1998

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 31 not-for-profit facilities with fewer than 66 beds in Michigan.

Last survey on record

Mar 25, 2026

229 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.964.66
Registered-nurse hours per resident day1.41—
Annual nurse turnover36.7%34.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1365.0%E420.0%F315.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 70 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

In the surveyor’s words

From the most serious findings on record at Covenant Skilled Nursing and Rehabilitation at Wel, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Mar 25, 2026

    Based on observation, interview and record review, the facility failed to 1) Maintain food preparation and kitchen equipment in a sanitary and good working condition, and 2) Ensure that all partly used or opened foods had a use-by date, resulting in an increased likelihood for food borne illness with hospitalization, and cross contamination affecting a census of 32 residents who consumed oral nutrition from the facility kitchen. Findings Include: Review of the Public Health Service 2009 Food Code, adopted by the Michigan Food Law, effective October 1, 2012, Chapter 4-501.14 directs that equipment cleaning frequency is to be throughout the day at frequency necessary to prevent recontamination of equipment and utensils. 4-602.11 Equipment Food-Contact Surfaces and Utensils. […]

  • No harm, potential for more than minimal, widespreadF812Feb 22, 2024

    Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen, resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting the facility's total census of 27 residents. Findings include: 1. On 2/21/24 at 1:28 PM, one condiment bottle was observed with wet debris on its interior, and two spatulas and two serving utensils were observed with an accumulation of dried food debris on their food contact surfaces while stored on the clean, ready for use, storage rack. At this time upon further inspection of the utensil holding containers the surveyor observed an accumulation of dust and dried food debris on the interior of four such containers. […]

  • No harm, potential for more than minimal, widespreadF921Feb 22, 2024

    Based on observation and interview the facility failed to provide a safe, functional, and sanitary environment for the facility's census of 27 residents and its staff resulting in an increased potential for harm. Findings include: On 2/21/24 at 3:28 PM, the lack of Personal Protective Equipment (PPE), and soap available for use at the hand washing sink in the short term rehab's laundry room were observed. At this time the surveyor inquired with Maintenance Manager, staff E, on the current state of the room to which they stated, we'll get some soap and PPE in this room. On 2/21/24 at 3:40 PM, the lack of PPE available for use, and paper towel at the handwashing sink were observed in the primary building's laundry soiled linen room. […]

  • No harm, potential for more than minimal, widespreadF812Feb 14, 2023

    Based on observation, interview and record review, the facility failed to 1) Ensure that food preparation and kitchen equipment were maintained in a sanitary manner and in good working condition, 2) Ensure that kitchen refrigerators' temperatures were properly done, and 3) Label open and partly consumed foods with a use-by date, resulting in an increased potential for food borne illness with possible hospitalization and with the potential to affect the census of 19 residents who consume nutrition from the facility kitchen. […]

  • No harm, potential for more than minimal, widespreadF812Oct 22, 2021

    Based on observation, interview, and record review, the facility failed to 1) Maintain sanitary conditions in the kitchen, 2) Label and store foods in coolers properly, 3) Date prepared food and dispose of expired food, 4) Ensure proper hand hygiene was performed per Infection Control Standards, 5) Ensure that a beard restraint was worn in the food preparation area, and 6) Ensure that food preparation equipment was clean, resulting in the potential for cross-contamination of food, spoilage and foodbourne illness, to all residents that consume food and beverages from the kitchen in a census of 13 residents. […]

Read 22 findings in full →The most serious and the most recent: 22 of 70 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 25, 2026Standard and complaint10 findings
  • Apr 3, 2025Complaint1 finding
  • Feb 14, 2025Standard4 findings
  • Sep 17, 2024Complaint1 finding
  • Feb 22, 2024Standard4 findings
  • Feb 14, 2023Standard5 findings
  • Oct 22, 2021Standard10 findings
  • Jan 8, 2020Standard3 findings
Show the 9 earlier surveys
  • Nov 15, 2018Complaint1 finding · 1 harm
  • Oct 25, 2018Standard7 findings
  • Oct 26, 2017Standard3 findings
  • Nov 30, 2016Standard3 findings
  • Sep 11, 2015Standard3 findings
  • Aug 22, 2013—9 findings
  • Dec 17, 2012—1 finding · 1 harm
  • Oct 12, 2012—4 findings
  • Jan 20, 2012—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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