Velarion Records

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

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A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

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

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,126,757CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,385,659CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,741,098CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,989,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$248,228CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,800CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$245,428CMS-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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components14,274CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,061CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days6,819CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components9,880CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges182CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges423CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components605CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days16.33CMS-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 December 31, 2023

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

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,168,396CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,728,192CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,440,204CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,340,748CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,900,544CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,584CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,898,960CMS-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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,569CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components545CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days15.72CMS-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 December 31, 2022

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

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,549,810CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$747,202CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,802,608CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,488,191CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,685,583CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,671CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,682,912CMS-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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components126CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days15.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days27.65CMS-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 September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
COVENANT MEDICAL CENTER, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%since 09/08/2021
WELLSPRING TCC LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%since 09/08/2021
COVENANT HEALTHCARE SYSTEM5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization50%since 09/08/2021
LUTHERAN HOMES OF MICHIGAN, INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization50%since 09/08/2021
BIRCHMEIER, KEVINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2021
GEHM, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2021
KALBFLEISCH, TIMOTHYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2021
TOMPA, ADAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2021
BIRCHMEIER, KEVINCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/04/2022
KALBFLEISCH, TIMOTHYCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/04/2022
CONZELMANN, NOELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/05/2022
LUTHERAN HOMES OF MICHIGAN, INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 07/05/2022

Medicare enrollment

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

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
COVENANT MEDICAL CENTER, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST509/8/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
WELLSPRING TCC LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST509/8/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
COVENANT HEALTHCARE SYSTEMOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST509/8/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
LUTHERAN HOMES OF MICHIGAN, INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST509/8/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ADAM TOMPAIndividualCORPORATE DIRECTORNot stated in the filing9/8/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID M GEHMIndividualCORPORATE DIRECTORNot stated in the filing9/8/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN BIRCHMEIERIndividualCORPORATE DIRECTORNot stated in the filing9/8/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIMOTHY ROBERT KALBFLEISCHIndividualCORPORATE DIRECTORNot stated in the filing9/8/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN BIRCHMEIERIndividualCORPORATE OFFICERNot stated in the filing8/4/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIMOTHY ROBERT KALBFLEISCHIndividualCORPORATE OFFICERNot stated in the filing8/4/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LUTHERAN HOMES OF MICHIGAN, INCOrganizationOPERATIONAL/MANAGERIAL CONTROL1007/5/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
NOELLE M CONZELMANNIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/5/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 25, 2026March 25, 2026105
2February 14, 2025February 14, 202565
3February 22, 2024February 22, 202443

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

20 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 25, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0809Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0848Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.DNoDeficient, Provider has date of correctionMay 4, 2026
March 25, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionMay 4, 2026
April 3, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionApril 26, 2025
February 14, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionMarch 26, 2025
February 14, 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correctionMarch 26, 2025
February 14, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionMarch 26, 2025
February 14, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionApril 18, 2025
September 17, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionOctober 15, 2024
February 22, 2024HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionMarch 20, 2024
February 22, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionMarch 20, 2024
February 22, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMarch 20, 2024
February 22, 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FNoDeficient, Provider has date of correctionMarch 20, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTRANSITIONAL CARE COMMUNITY LLC
Date First Approved to Provide Medicare and Medicaid Services1998-07-17
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSaginaw
Telephone Number9895838110
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds39
Average Number of Residents per Day33.6
Overall Rating4
Health Inspection Rating3
QM Rating4
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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