Saginaw, TX

The Lodge Of Saginaw Health And Wellness

3-star overall rating with 3-star inspections with $15,944 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

848 W Mcleroy Blvd, Saginaw, TX

(685) 900-1210

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ml Healthcare

Operator or chain grouping

Approved since

2022-07-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 1 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.19

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.87

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

2.97

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,556

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 22.21% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

6.53

Performance 5.88% · Measure score 6.53 · Achievement 6.53 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Performance 62.62% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Performance 2.98 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.03%	10.72% 2.3 pts worse	No Different than the National Rate · Eligible stays 168 · Observed rate 16.07% · Lower 95% interval 9.86%
Discharge to community	51.88%	50.57% 1.3 pts better	No Different than the National Rate · Eligible stays 159 · Observed rate 46.54% · Lower 95% interval 45.84%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 92 · Denominator 92
Falls with major injury	3.26%	0.77% 2.5 pts worse	Numerator 3 · Denominator 92
Discharge self-care score	72.13%	53.69% 18.4 pts better	Numerator 44 · Denominator 61
Discharge mobility score	77.05%	50.94% 26.1 pts better	Numerator 47 · Denominator 61
Pressure ulcers or injuries, new or worsened	3.26%	2.29% 1 pts worse	Numerator 3 · Denominator 92 · Adjusted rate 2.33%
Healthcare-associated infections requiring hospitalization	5.88%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 103 · Observed rate 3.88% · Lower 95% interval 3.24%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 198
Staff flu vaccination coverage	11.05%	42% 30.9 pts worse	Numerator 20 · Denominator 181
Discharge function score	80.33%	56.45% 23.9 pts better	Numerator 49 · Denominator 61
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 27 · Denominator 27
Transfer of health information to patient	97.14%	96.28% 0.9 pts better	Numerator 34 · Denominator 35
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.5 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	2.1 1.1 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.2%	97.1% 27.9 pts worse	93.4% 24.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 66.7% · Q3 64.6% · Q4 81.0% · 4Q avg 69.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	81.1%	97.9% 16.8 pts worse	95.5% 14.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 81.1%
Percentage of long-stay residents experiencing one or more falls with major injury	6.0%	3.3% 2.7 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.8% · Q3 5.2% · Q4 5.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	0.6%	3.3% 2.7 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.2% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.4%	18.9% 10.5 pts worse	19.6% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 26.2% · Q3 32.5% · Q4 33.7% · 4Q avg 29.4%
Percentage of long-stay residents who received an antipsychotic medication	7.5%	10.8% 3.3 pts better	16.7% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 4.5% · Q3 8.7% · Q4 9.1% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.8%	15.4% 10.6 pts better	16.3% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 8.8% · Q3 4.8% · Q4 2.4% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.6%	16.1% 6.5 pts better	14.9% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.7% · Q3 9.3% · Q4 3.9% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.5% About the same	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	0.8% 0.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	15.0% 3.2 pts worse	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 20.1% · Q3 20.5% · Q4 6.6% · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	2.6%	4.2% 1.6 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.9% · Q3 2.9% · Q4 1.2% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.8%	89.7% 18.9 pts worse	81.7% 10.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 69.8% · Q3 73.8% · Q4 78.4% · 4Q avg 70.8%
Percentage of short-stay residents who had an outpatient emergency department visit	4.3%	12.0% 7.7 pts better	12.0% 7.7 pts better	Short Stay · 20240701-20250630 · Adjusted 4.3% · Observed 4.3% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.5% About the same	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 2.3% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	68.7%	88.0% 19.3 pts worse	79.7% 11 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 68.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.3%	25.9% 1.4 pts worse	23.9% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 29.0% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-17 · Fire 2025-12-17

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-08-17 · Fire 2023-08-17

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-17

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2026-01-16

F · Potential for more than minimal harm 2025-12-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-16

F · Potential for more than minimal harm 2025-12-17

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2026-01-16

F · Potential for more than minimal harm 2025-12-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-16

F · Potential for more than minimal harm 2024-09-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-09-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-17

E · Potential for more than minimal harm 2024-09-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-11

F · Potential for more than minimal harm 2023-08-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-17

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-01-09

E · Potential for more than minimal harm 2025-12-17

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-09

E · Potential for more than minimal harm 2025-12-17

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-01-09

E · Potential for more than minimal harm 2025-12-17

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-09

E · Potential for more than minimal harm 2025-12-04

F552 · Resident Rights Deficiencies

Health

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

Corrected 2025-12-05

E · Potential for more than minimal harm 2025-12-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-12-05

K · Immediate jeopardy 2025-01-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-20

D · Potential for more than minimal harm 2024-10-06

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-07

E · Potential for more than minimal harm 2024-09-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-09-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-13