Elder Care Record

Michigan › Lenawee County › Adrian

Lenawee Medical Care Facility

200 Sand Creek Highway, Adrian, MI 49221

CCN 235224 · Government, county · 113 certified beds

CMS abuse icon
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.

Lenawee Medical Care Facility, in Adrian, Michigan, is certified for 113 beds under government, county ownership.

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

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (14, 3, 7 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 21.2 per 100 beds, fewer than the state median of 29.4.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 5.3 hours per resident per day (0.5 RN), above the Michigan median of 3.8; nursing staff turnover is 50.5%.

CMS flags that the facility carries the CMS abuse icon.

24health deficiencies, 3 survey cycles5 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
5.3nurse hours per resident per daystate median 3.8
98%occupancy (residents ÷ beds)111 residents a day

Compared with county, state and nation

MeasureThis facilityLenawee Co. medianMichigan medianUS average
Overall star rating3333.0
Health citations, 3 cycles24402928.7
Citations per 100 beds21.235.429.426.8
Total nurse hours per resident day5.33.43.83.9
RN hours per resident day0.50.50.70.7
Nursing staff turnover50.5%46.4%44.6%45.8%
Fines listed$15,593$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)14
Cycle 23
Cycle 37

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 5 Feb 2025.

Severity mix: G ×5 D ×17 E ×1 B ×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
14 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation12 Jun 2026
14 May 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.GComplaint investigation12 Jun 2026
14 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation12 Jun 2026
14 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Jun 2026
14 May 2026F0610Respond appropriately to all alleged violations.DComplaint investigation12 Jun 2026
19 Mar 2026F0948Ensure that paid feeding assistants have the training they need.EComplaint investigation17 Apr 2026
19 Mar 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey17 Apr 2026
19 Mar 2026F0583Keep residents' personal and medical records private and confidential.DStandard survey17 Apr 2026
19 Mar 2026F0637Assess the resident when there is a significant change in conditionDStandard survey17 Apr 2026
19 Mar 2026F0688Provide 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 survey17 Apr 2026
19 Mar 2026F0759Ensure medication error rates are not 5 percent or greater.DStandard survey17 Apr 2026
19 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey17 Apr 2026
5 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation2 Mar 2026
22 Sep 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation11 Dec 2025
25 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation29 May 2025
25 Jun 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation13 Jun 2025
1 Aug 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation1 Aug 2024
16 Nov 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.GStandard survey4 Dec 2023
16 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Dec 2023
16 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey4 Dec 2023
16 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Dec 2023
16 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey4 Dec 2023
16 Nov 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.BStandard survey4 Dec 2023
19 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation20 Oct 2023

Penalties

DateTypeAmountDetail
16 Nov 2023Fine$15,593

Staffing

Total nursing5.33 h
Nurse aides3.69 h
LPN1.11 h
RN0.53 h
Weekend total4.65 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 50.5%, RNs 35.0%; 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 Stay10.9%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.1%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.5%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.4%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.6%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.2%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: government, county. Legal business name: Lenawee Medical Care Facility.

OrganisationRole in the CMS recordInterestSince
Lenawee County5% or greater direct ownership interest100%09/01/1970
Lenawee CountyOperational/managerial controlNOT APPLICABLE09/01/1970
Concept Rehab, Inc.Adp of the snfNOT APPLICABLE01/01/2024
Lenawee CountyAdp of the snfNOT APPLICABLE09/01/1970
Maner, Costerisan & Ellis, PcAdp of the snfNOT APPLICABLE01/01/2025
Michigan Post-Acute Medical Services 1 PcAdp of the snfNOT APPLICABLE01/01/2024
Morrison Management Specialists IncAdp of the snfNOT APPLICABLE01/17/2022

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
Lynwood Manor Healthcare CenterAdrian843343440.5$24K20 Feb 2026
Adrian Bay Rehabilitation and Nursing CenterAdrian1172234135.0$202K22 Jun 2026
Springcreek Rehabilitation and Nursing CenterAdrian1132234035.4—27 Mar 2026

All 4 facilities in Lenawee County

Questions and answers

How many deficiencies has Lenawee Medical Care Facility been cited for?

24 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Lenawee Medical Care Facility been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Lenawee Medical Care Facility compare?

Reported total nurse staffing is 5.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Lenawee Medical Care Facility?

Ownership type is government, county. Organisations in the CMS ownership record include Lenawee County and Lenawee County. Individual owners and managers are not listed on this site.

When was Lenawee Medical Care Facility last inspected?

The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 19 Mar 2026.

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.