The Lodge of Saginaw Health and Wellness

In the surveyor’s words

From the most serious findings on record at The Lodge of Saginaw Health and Wellness, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jan 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for two of six residents (Resident #1 and Resident #2) reviewed for accidents. 1. On 12/31/24, CNA F and CNA G failed to safely transfer Resident #1 during the use of the mechanical lift, which resulted in the resident sustaining a scalp hematoma and T12 compression fracture. 2. On 12/18/24 the Van Driver failed to properly restrain Resident #2's wheelchair in the facility transportation van to prevent the wheelchair from tipping over on its side on the way to dialysis. The noncompliance was identified as PNC. The IJ began on 12/18/24 and ended on 01/20/25. […]

• Immediate jeopardy, patternF880Dec 30, 2022

  Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Resident #1 and #2) of eight residents reviewed for infection control. The DON failed to follow up on Resident #1 when the resident reported a positive COVID-19 test she had performed on herself, and she also was symptomatic. This failure placed the residents at risk of not having their COVID-19 symptoms treated, and possibly infecting other residents. An Immediate Jeopardy was identified on 12/29/22 at 4:50 PM. […]

• No harm, potential for more than minimal, patternF880Jun 18, 2026

  Based observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #1and #2) of six residents reviewed for infection control. 1. The facility failed to ensure Wound Nurse J performed hand hygiene and changed her gloves during Resident #1 and #2's wound care on 06/18/26. 2. The facility failed to ensure CNA D performed hand hygiene and changed her gloves during Resident #1's incontinent care on 06/18/2026. These failures could place residents at risk of cross-contamination and development of infections.Findings include: 1. […]

• No harm, potential for more than minimal, patternF690Dec 17, 2025

  Based on observations, interviews and record reviews, the facility failed to ensure residents who are incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 2 Residents (Resident #63 and Resident #5) of 23 residents reviewed for bowel and bladder incontinence.1. The facility failed to ensure Resident #63 was not left in soiled briefs, or being double briefed.2. The facility failed to ensure Resident #5 had physician's order for an indwelling catheter (device used to drain urine from bladder). This failure could place residents at risk of skin breakdown, infections and improper treatment. Findings included: 1. […]

• No harm, potential for more than minimal, patternF755Dec 17, 2025

  Based on observations, interviews, and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 2 of 32 residents (Residents #13 and #98) reviewed for pharmacy services. The facility failed to administer the morning medications on time resulting in Residents #13's hydrocodone scheduled for 2:00 PM not being administered and Resident #98's hydralazine not being administered at 2:00 PM on 12/15/25. This failure could cause residents to develop changes in their medical conditions. […]