Nursing homeActive
Adrian Bay Rehabilitation and Nursing Center
700 Lakeshire Trail, Adrian, MI 492215172630781117 certified beds · 96 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
41
● 2● 35● 4
Penalties · 3 yrs
$201,851
1 fine
Last survey
2026-06-22
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-04-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-09 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-06-12 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2024-07-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-10-24 | Complaint | 160 | CMS-2567 (Care Compare) | — |
| 2023-09-07 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-05-11 | Standard | 0122 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-23Record 235287-20260622-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 235287-20260422-F684
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 235287-20260422-F842
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 235287-20251209-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 235287-20251209-F658
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 235287-20251209-F755
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F550
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F678
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F757
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 235287-20250612-F921
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-06-25Record 235287-20250612-F577
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-02Record 235287-20240719-F695
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-02Record 235287-20240719-F808
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-02Record 235287-20240719-F908
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F550
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F803
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F806
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F808
F809Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F809
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 235287-20231024-F812
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2023-11-10Record 235287-20231024-F804
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-22Record 235287-20230907-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-06-06Record 235287-20230511-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-06-06Record 235287-20230511-F689
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F688
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F880
F888Ensure staff are vaccinated for COVID-19Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F888
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-06Record 235287-20230511-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-09-07 | Civil money penalty | $201,851 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.48
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day3.42
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.13
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover32%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover46%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.4% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.5% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.6% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.3% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Springs Bay Op Holdco LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Gottlieb, Moshe Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | — | — |
| Avon Springs Bay Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gilbert, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gupta, Somil Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hoevemeyer, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avon Springs Bay Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Freund, Eliyahu Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Freund, Eliyahu Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Freund, Eliyahu Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Freund, Eliyahu Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gilbert, Christina Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Gottlieb, Moshe Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gottlieb, Moshe Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gupta, Somil Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gupta, Somil Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hoevemeyer, Amanda Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hoevemeyer, Amanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monroe Springs Property LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Springs Bay Op Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Avon Healthcare — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Lenawee.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lynwood Manor Healthcare Center Adrian | 0.2 mi | 2026-02-20 | 0231 |
| Springcreek Rehabilitation and Nursing Center Adrian | 1.9 mi | 2026-03-27 | 1372 |
| Lenawee Medical Care Facility Adrian | 2.0 mi | 2026-05-14 | 1185 |
| Otterbein Sunset Village Sylvania | 19.4 mi | 2026-02-19 | 0200 |
| Lakes Of Sylvania, The Sylvania | 20.4 mi | 2026-02-12 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |