Skilled nursing facility · CMS certification number 235585

Covenant Skilled Nursing and Rehabilitation at Wel

Saginaw, Michigan · Medicare and Medicaid

Certified beds, as filed in Care Compare: 39

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,126,757	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,385,659	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,741,098	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,989,326	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$248,228	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,800	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$245,428	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$245,428 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	14,274	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,061	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	6,819	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	9,880	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	182	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	423	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	605	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	16.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	16.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434351, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,168,396	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,728,192	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,440,204	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,340,748	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,900,544	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,584	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,898,960	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,898,960 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,569	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	545	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	15.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394612, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 5 July 2022 to 31 December 2022 — a reporting period of 179 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,549,810	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$747,202	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,802,608	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,488,191	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,685,583	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,671	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,682,912	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,682,912 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	3,484	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	15.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	27.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365603, read from the public cost report file SNF10FY2022.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
COVENANT MEDICAL CENTER, INC.	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	50%	since 09/08/2021
WELLSPRING TCC LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	50%	since 09/08/2021
COVENANT HEALTHCARE SYSTEM	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	50%	since 09/08/2021
LUTHERAN HOMES OF MICHIGAN, INC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	50%	since 09/08/2021
BIRCHMEIER, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2021
GEHM, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2021
KALBFLEISCH, TIMOTHY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2021
TOMPA, ADAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2021
BIRCHMEIER, KEVIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/04/2022
KALBFLEISCH, TIMOTHY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/04/2022
CONZELMANN, NOELLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/05/2022
LUTHERAN HOMES OF MICHIGAN, INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 07/05/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TRANSITIONAL CARE COMMUNITY LLC (enrollment ID O20220708000409).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
COVENANT MEDICAL CENTER, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	9/8/2021	Private equity company: No Real estate investment trust: No Holding company: No
WELLSPRING TCC LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	9/8/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
COVENANT HEALTHCARE SYSTEM	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	9/8/2021	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOMES OF MICHIGAN, INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	9/8/2021	Private equity company: No Real estate investment trust: No Holding company: No
ADAM TOMPA	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID M GEHM	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN BIRCHMEIER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY ROBERT KALBFLEISCH	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN BIRCHMEIER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/4/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY ROBERT KALBFLEISCH	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/4/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LUTHERAN HOMES OF MICHIGAN, INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	7/5/2022	Private equity company: No Real estate investment trust: No Holding company: No
NOELLE M CONZELMANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/5/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

15 March 2023: DAVID M GEHM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: KEVIN BIRCHMEIER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
30 November 2022: DAVID B MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN S ALBOSTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN S ALBOSTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN BIRCHMEIER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BETHANY A CHARLTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: JOHN W SHELTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN BIRCHMEIER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: LUTHERAN HOMES OF MICHIGAN, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: LUTHERAN HOMES OF MICHIGAN, INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NOELLE M CONZELMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: ADAM TOMPA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TIMOTHY KALBFLEISCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TIMOTHY KALBFLEISCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: COVENANT MEDICAL CENTER INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: COVENANT HEALTHCARE SYSTEM appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DAVID M GEHM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DAVID M GEHM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: WELLSPRING TCC LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
12 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
27 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 March 2023: DAVID M GEHM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: KEVIN BIRCHMEIER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
30 November 2022: DAVID B MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN S ALBOSTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN S ALBOSTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN BIRCHMEIER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BETHANY A CHARLTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: JOHN W SHELTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEVIN BIRCHMEIER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: LUTHERAN HOMES OF MICHIGAN, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: LUTHERAN HOMES OF MICHIGAN, INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NOELLE M CONZELMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: ADAM TOMPA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TIMOTHY KALBFLEISCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TIMOTHY KALBFLEISCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: COVENANT MEDICAL CENTER INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: COVENANT HEALTHCARE SYSTEM appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DAVID M GEHM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DAVID M GEHM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: WELLSPRING TCC LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	25 March 2026	25 March 2026	10	5
2	14 February 2025	14 February 2025	6	5
3	22 February 2024	22 February 2024	4	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
25 March 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0809	Nutrition and Dietary Deficiencies	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	E	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0848	Administration Deficiencies	Provide a neutral and fair arbitration process and agree to arbitrator and venue.	D	No	Deficient, Provider has date of correction	4 May 2026
25 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	4 May 2026
3 April 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	26 April 2025
14 February 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	26 March 2025
14 February 2025	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	26 March 2025
14 February 2025	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	26 March 2025
14 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	18 April 2025
17 September 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	15 October 2024
22 February 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	20 March 2024
22 February 2024	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	20 March 2024
22 February 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 March 2024
22 February 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	F	No	Deficient, Provider has date of correction	20 March 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	TRANSITIONAL CARE COMMUNITY LLC
Date First Approved to Provide Medicare and Medicaid Services	1998-07-17
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Saginaw
Telephone Number	9895838110
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	39
Average Number of Residents per Day	33.6
Overall Rating	4
Health Inspection Rating	3
QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Covenant Skilled Nursing and Rehabilitation at Wel: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Covenant Skilled Nursing and Rehabilitation at Wel

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Michigan at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 235585.