Elder Care Record

Michigan › Lenawee County › Adrian

Adrian Bay Rehabilitation and Nursing Center

700 Lakeshire Trail, Adrian, MI 49221

CCN 235287 · For-profit, corporation · 117 certified beds · chain Avon Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Adrian Bay Rehabilitation and Nursing Center, in Adrian, Michigan, is certified for 117 beds under for-profit, corporation ownership and belongs to the Avon Healthcare chain.

CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (16, 3, 22 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, about the same as the state median of 29.4.

CMS lists 1 penalty in the period covered: fines totalling $202K.

Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 31.8%.

41health deficiencies, 3 survey cycles4 at actual harm or worse
$202Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.8
82%occupancy (residents ÷ beds)96 residents a day

Compared with county, state and nation

MeasureThis facilityLenawee Co. medianMichigan medianUS average
Overall star rating2333.0
Health citations, 3 cycles41402928.7
Citations per 100 beds35.035.429.426.8
Total nurse hours per resident day3.43.43.83.9
RN hours per resident day0.50.50.70.7
Nursing staff turnover31.8%46.4%44.6%45.8%
Fines listed$201,851$23,761$0—

County and state figures are medians across facilities (4 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 23
Cycle 322

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jun 2025, 19 Jul 2024.

Severity mix: G ×4 D ×24 E ×5 F ×6 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
22 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Jun 2026
22 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 May 2026
22 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation1 May 2026
9 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation26 Dec 2025
9 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation26 Dec 2025
9 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation26 Dec 2025
12 Jun 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey25 Jun 2025
12 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey25 Jun 2025
12 Jun 2025F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation25 Jun 2025
12 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Jun 2025
12 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey25 Jun 2025
12 Jun 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey25 Jun 2025
12 Jun 2025F0761Ensure 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.DStandard survey25 Jun 2025
12 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation25 Jun 2025
12 Jun 2025F0880Provide and implement an infection prevention and control program.DStandard survey25 Jun 2025
12 Jun 2025F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.BStandard survey25 Jun 2025
19 Jul 2024F0908Keep all essential equipment working safely.FStandard survey2 Aug 2024
19 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey2 Aug 2024
19 Jul 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey2 Aug 2024
24 Oct 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint investigation10 Nov 2023
24 Oct 2023F0809Ensure 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.FComplaint investigation10 Nov 2023
24 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation10 Nov 2023
24 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation10 Nov 2023
24 Oct 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint investigation10 Nov 2023
24 Oct 2023F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation10 Nov 2023
24 Oct 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.CComplaint investigation10 Nov 2023
7 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Sep 2023
11 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey6 Jun 2023
11 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey6 Jun 2023
11 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Jun 2023
11 May 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey6 Jun 2023
11 May 2023F0578Honor 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.DStandard survey6 Jun 2023
11 May 2023F0641Ensure each resident receives an accurate assessment.DStandard survey6 Jun 2023
11 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Jun 2023
11 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Jun 2023
11 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Jun 2023
11 May 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey6 Jun 2023
11 May 2023F0758Implement 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.DStandard survey6 Jun 2023
11 May 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey6 Jun 2023
11 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey6 Jun 2023
11 May 2023F0888Ensure staff are vaccinated for COVID-19DStandard survey6 Jun 2023

Penalties

DateTypeAmountDetail
7 Sep 2023Fine$201,851

Staffing

Total nursing3.42 h
Nurse aides2.06 h
LPN0.88 h
RN0.48 h
Weekend total3.13 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 31.8%, RNs 46.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.6%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.5%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.4%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.8%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.4%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Adrian Bay Operating Llc. Chain: Avon Healthcare (9 facilities).

OrganisationRole in the CMS recordInterestSince
Springs Bay Op Holdco LLC5% or greater direct ownership interest100%07/31/2023
Avon Springs Bay Management LLCOperational/managerial controlNOT APPLICABLE07/31/2023
Avon Springs Bay Management LLCAdp of the snfNOT APPLICABLE01/09/2025
Monroe Springs Property LLCAdp of the snfNOT APPLICABLE01/09/2025
Springs Bay Op Holdco LLCAdp of the snfNOT APPLICABLE01/09/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Lenawee County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Lenawee Medical Care Facilityabuse iconAdrian1133242421.2$16K14 May 2026
Lynwood Manor Healthcare CenterAdrian843343440.5$24K20 Feb 2026
Springcreek Rehabilitation and Nursing CenterAdrian1132234035.4—27 Mar 2026

All 4 facilities in Lenawee County

Questions and answers

How many deficiencies has Adrian Bay Rehabilitation and Nursing Center been cited for?

41 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Adrian Bay Rehabilitation and Nursing Center been fined?

Yes. CMS lists fines totalling $202K in the period covered.

How does staffing at Adrian Bay Rehabilitation and Nursing Center compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Adrian Bay Rehabilitation and Nursing Center?

It is part of the Avon Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Springs Bay Op Holdco LLC and Avon Springs Bay Management LLC. Individual owners and managers are not listed on this site.

When was Adrian Bay Rehabilitation and Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 22 Jun 2026; the most recent standard health survey was 12 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.