Nursing homes › Michigan › Adrian Bay Rehabilitation and Nursing Center
700 Lakeshire Trail, Adrian, MI 49221 · 5172630781 · 117 certified beds
Per CMS filings, this facility is affiliated with Avon Healthcare, a group operating 9 facilities in 1 states. Group record: average rating 2.3/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $699,609 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.42 (Michigan median: 3.80). RN hours: 0.48. Weekend total: 3.13. Nursing staff turnover: 32%.
All-time on record: 40 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-05-01 |
| 2026-04-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-01 |
| 2025-12-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-12-26 |
| 2025-12-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-26 |
| 2025-12-09 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-12-26 |
| 2025-06-12 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Health | corrected 2025-06-25 |
| 2025-06-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-06-25 |
| 2025-06-12 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | complaint | corrected 2025-06-25 |
| 2025-06-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-25 |
| 2025-06-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-25 |
| 2025-06-12 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-06-25 |
| 2025-06-12 | 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. | D | Health | corrected 2025-06-25 |
| 2025-06-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-06-25 |
| 2025-06-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-25 |
| 2025-06-12 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Health | corrected 2025-06-25 |
| 2024-07-19 | Keep all essential equipment working safely. | F | Health | corrected 2024-08-02 |
| 2024-07-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-08-02 |
| 2024-07-19 | Ensure 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. | D | Health | corrected 2024-08-02 |
| 2023-10-24 | Ensure 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. | F | complaint | corrected 2023-11-10 |
| 2023-10-24 | Ensure 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. | F | complaint | corrected 2023-11-10 |
| 2023-10-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2023-11-10 |
| 2023-10-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2023-11-10 |
| 2023-10-24 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | complaint | corrected 2023-11-10 |
| 2023-10-24 | Ensure 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. | D | complaint | corrected 2023-11-10 |
| 2023-10-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | C | complaint | corrected 2023-11-10 |
| 2023-09-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-09-22 |
| 2023-05-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2023-06-06 |
| 2023-05-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2023-06-06 |
| 2023-05-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-06-06 |
| 2023-05-11 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2023-06-06 |
| 2023-05-11 | Honor 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. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Provide 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. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Implement 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. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-06-06 |
| 2023-05-11 | Ensure staff are vaccinated for COVID-19 | D | Health | corrected 2023-06-06 |
| Date | Type | Amount |
|---|---|---|
| 2023-09-07 | Fine | $201,851 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SPRINGS BAY OP HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/31/2023 |
| FREUND, ELIYAHU | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/31/2023 |
| GOTTLIEB, MOSHE | 5% Or Greater Indirect Ownership Interest | Individual | 48% | since 07/31/2023 |
| FREUND, ELIYAHU | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/31/2023 |
| FREUND, ELIYAHU | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/31/2023 |
| GOTTLIEB, MOSHE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/31/2023 |
| AVON SPRINGS BAY MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/31/2023 |
| GILBERT, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/20/2024 |
| GUPTA, SOMIL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2025 |
| HOEVEMEYER, AMANDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/20/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235287. Corrections: data@carerecords.org.