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Home / Michigan / Adrian

Springcreek Rehabilitation and Nursing Center

130 Sand Creek Highway, Adrian, MI 49221 · Lenawee County · (517) 265-6554

113 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235504 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 27, 2026, inspectors cited 19 health deficiencies (the Michigan average is 9.9, the national average 9.2).

Of 40 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.44 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

46.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Avon Healthcare, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
30D
5E
2F
Potential for minimal harm
0A
0B
1C
March 27, 2026Standard inspection, Complaint inspection · 19 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteThis citation pertains to intake 2803162 Based on observation, interview and record review the facility failed to prevent an avoidable fall as well as conduct a thorough root-cause analysis investigation into falls for five residents (R3, R17, R71, R98, and R106), of six residents reviewed for falls resulting in transfer to hospital and major injuries including fractures and subdural hematoma.
  2. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and maintain a Quality Assistance and Process Improvement (QAPI) program which identified and prioritized quality deficiencies, systematically analyzed the underlying causes of systemic quality deficiencies, and implemented effective corrective action or performance improvement activities to remedy those deficiencies. This deficient practice has the potential to affect the safety and quality of life of all 93 residents at the facility. Findings Included: On 03/27/2026 at 01:01 p.m. an interview was conducted with Nursing Home Administrator (NHA) A regarding concerns identified during the current Recertification Survey. NHA A explained that during the last year the QAPI committee had identified areas of concerns as return to hospital, weight loss, falls, and dietary menus. [...]
  3. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to adequately address and make good faith effort to resolve grievances for 7 of 7 Resident Council members. Finding incleude:Review of Resident Council meeting minutes dated 9/30/25 the council members complained in part, they were not receiving certain menu items and had concerns regarding the quality of the food. The response signed off by Nursing Home Administrator (NHA) A was to print menus ahead of time. There was no response provided the concern related to the quality of food being served. The Resident council meeting minutes 10/27/25 reflected the quality of food was bad and food was cold and some meals were being served late and menu items that were requested were not provided. [...]
  4. E
    Honor 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure that 7 of 7 of the Resident Council members were informed of their right on how to file a grievance with the facility.
  5. E
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure 7 of 7 of the resident council members food preferences were met on a daily basis.
  6. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview, and record review the facility failed to ensure accurate advance directive (legal documents that allow a person to identify decisions about end-of-life care ahead of time) information was in place for one resident (#100) of two resident reviewed for advance directives.
  7. D
    Honor 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteThrough interview and observations, the facility failed to maintain a homelike environment without the overpowering smell of urine for two residents (R7 and R11) of two residents reviewed for a homelike environment with the potential to affect all residents on that hall. Findings IncludeResident #11 (R11)Review of the medical record reflected that R11 was admitted to the facility on [DATE]. Diagnoses of paraplegia, acute kidney failure, encounter for fitting and adjustment of urinary device, abnormal gait and mobility. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 02/11/2026 revealed R11 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. [...]
  8. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a significant change Minimum Data Set was completed timely in one (Resident 3) out of 19 reviewed for Significant Change Minimum Date Sets.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observations and interviews, the facility failed to revise care plans for three residents (R1, R4 and R7) to reflect a room change, use of hand rolls and receiving hospice services of 19 residents reviewed. Findings IncludeResident #1 (R1)Review of the medical record reflected that R1 was admitted to the facility on [DATE]. Diagnoses of chronic obstructive pulmonary disease with lower respiratory infection, weakness, presence of vascular implants and grafts, disorder of the brain, dementia, abnormalities of gait and mobility, colon cancer with a colostomy bag, anxiety and depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/12/2025 revealed R1 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. [...]
  10. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteThrough observation, interview and record review the facility failed to ensure three residents (R1, R7 and R22) of four were bathed, had their hair washed, had their facial hair shaved to maintain the highest practicalable physical, emotional and psychological wellbeing. Findings IncludePertains to Intake #2728007Resident #1 (R1)Review of the medical record reflected that R1 was admitted to the facility on [DATE]. Diagnoses of chronic obstructive pulmonary disease with lower respiratory infection, weakness, presence of vascular implants and grafts, disorder of the brain, dementia, abnormalities of gait and mobility, colon cancer with a colostomy bag, anxiety and depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/12/2025 revealed R1 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. [...]
  11. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observations, interview and record review this facility failed to maintain range of motion in one resident (R#4) of two residents reviewed for range of motion resulting in failure to participate in her activities of daily living. Findings IncludeResident #4 (R4)Review of the medical record reflected that R4 was admitted to the facility on [DATE]. Diagnoses of chronic obstructive pulmonary disease, urinary tract infection, dysphagia (difficulty swallowing) chronic respiratory failure, pressure ulcer of sacral region- stage 3, paraplegia- incomplete, chronic pain, muscle wasting and atrophy. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) revealed R4 had a Brief Interview of Mental Status (BIMS) of 15 (cognitively impact) out of 15. [...]
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure respiratory care, including tracheal suctioning was provided consistent with professional standard of practice for one Residents (#6) of three Residents reviewed for respiratory care. Findings Included:Resident #6 (R6)Review of the medical record revealed R6 was admitted [DATE] with diagnoses that include dysphagia (difficulty swallowing), cerebral infarction (stroke), tracheostomy (a surgical opening in the trachea), gastrostomy (a feeding tube inserted through the abdomen directly into the stomach to provide nutrition), chronic respiratory failure, pressure injury to right heel, anxiety, insomnia, abnormal posture, lack of coordination, language deficits, paralysis right side of body, type 2 diabetes, hypertension, gastro-esophageal reflux, and protein-calorie malnutrition. [...]
  13. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation and interview the facility failed to remove all expired medications from two of four medication administration carts used to administer medications to residents with the potential to affect half of the facility census of 93. Findings Include During observation and interview on 03/25/2026 at 8:16 AM, writer asked to look through medication cart labeled Hall A. Writer found Allergy Relief 24 hr. 180mg tab expired 01/26. Naproxen Sodium 220mg tab expiration date has been removed, all white with no date. During observation and interview on 03/25/2026 at 8:36 AM, writer asked to look through medication cart labeled Hall B. Writer found Cetirizine HCI 10 mg tab- Expiration date had been removed, wiped off, plain white area where expiration date was. [...]
  14. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the published menu was served as planned to six residents and residents were consistently informed in advance of any menu changes affecting all residents consuming food from the kitchen resulting in resident dissatisfaction with their meal experience and feelings of frustration related to meals voiced in confidential resident group the the potential to effect all 93 residents.
  15. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure palatable and appetizing food was served to two (Resident #2 and Resident #49) of 2 residents reviewed for receiving palatable and appetizing food, resulting in potential for decreased oral intake.
  16. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility Arbitration Agreement failed to explicitly state that neither the resident nor his or her representative was required to sign an agreement for binding arbitration as a condition of admission, or as a requirement to continue to receive care at the facility and state that the binding arbitration agreement allows the resident or anyone else to communicate with federal, state, or local officials such as federal and state surveyors, other federal or state health departement employees and representatives of the Office of the State Long Term Care Ombudsman for one resident (#73) of three Resident reviewed for Arbitration Agreements. [...]
  17. D
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    F848 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility Arbitration Agreement failed to explicitly state that the agreement provided for the selection of a neutral arbitrator agreed upon by both parties for one resident (#73) of three Resident reviewed for Arbitration Agreements. [...]
  18. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to provide coordination of care for hospice services for one resident (R7) of one reviewed for additional services above and beyond the facilities provides. Findings IncludeResident #7 (R7)Review of the medical record reflected that R7 was admitted to the facility on [DATE] and signed onto hospice 02/12/2026. Diagnoses of Huntington's disease, dementia, other disorders of the muscles, emotional deficit related to cerebrovascular disease, protein-caloric malnutrition, weakness and repeated falls. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/26/2025 revealed R7 had a Brief Interview of Mental Status (BIMS) of 10 (moderate cognitive impairment) out of 15. [...]
  19. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that appropriate hand hygiene was conducted during dressing changes for two residents (#63, #88) and during medication administration observation with the potential to affect facility census of 93.
January 6, 2026Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement the Comprehensive Care Plan for one (R6) of three reviewed.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteThis citation pertains to intake 2697023. Based on interview and record review, the facility failed to 1) ensure the accuracy of medication orders for one (R4); and 2) administer medication according to Physician Orders for one (R4) of three reviewed.
May 29, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to prevent the development of a pressure ulcers for two resident (#2, #8) of three residents reviewed for the development of pressure ulcers. Findings Included: Resident #2 (R2) Review of the medical record revealed R2 was admitted to the facility 11/21/2024 with diagnoses that included acute kidney failure, Alzheimer's disease, lack of coordination, difficulty walking, Peripheral Vascular Disease (PVD), stage 3 kidney disease, cognitive communication deficit, abnormal posture, protein-calorie malnutrition, congestive heart failure (CHF), insomnia, obesity, anxiety, depression, type 2 diabetes, hypertension, hyperlipidemia (high fat content in blood), atrial fibrillation, and arthropathy (any disease of the joints). [...]
December 20, 2024Standard inspection · 9 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to revise the Care Plan for one (Resident #33) of 18 reviewed.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure nephrostomy tube care was ordered and completed for one (Resident #47) of one residents reviewed for nephrostomy care.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to initiate intervention for the prevention of repeated falls at bedside for 1 resident (R38) of 3 residents reviewed for falls resulting in the potential for repeated falls at bedside. On 12/17/24 at 3:53 PM during observation and interview R38 pointed at her eye which appeared bruised extending around the entire eye. R38 responded, uh huh when asked if she had fallen. R38 was quite busy in her room, moving place to place independently in the wheelchair. A nurse on the unit said that R38 had recently fallen twice in one day. Review of the electronic medical record (EMR) revealed that R38's original admission date was 3/27/23 and recent admission date was 4/15/23. R38 had the following pertinent diagnoses: [...]
  4. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure water was available for 1 resident (R24) of 1 resident reviewed for hydration resulting in the potential for inadequate fluid intake. Findings Include: On 12/17/24 at 1:33 PM during observation and interview R24 was upright in bed and established strong eye contact and was able to participate in an interview. It was noted during observation that R24's water cup was on a bedside table positioned to the left side of the bed and up against the wall. This positioned the table and water to the left and behind her head and out of sight and reach. There was also a rolling type of bedside table near the bed, and within resident's reach, but no water cup on it. When asked if R24 enjoyed drinking water her response was, I love it. On 12/17/24 at 4:42 PM during observation and interview R24 smiled and said a few words. [...]
  5. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure communication with the dialysis center, pertaining to a fluid restriction, for one (Resident #42) of one reviewed.
  6. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility 1) failed to ensure justification for an increase in psychotropic medications and 2) failed to attempt nonpharmacological interventions for two (Resident #9, Resident #33) of five reviewed for unnecessary medications.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to, 1) ensure appropriate storage of medications, including narcotics; and 2) ensure one medication cart was free of expired medications.
  8. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to coordinate hospice services for one resident (#56) out of one resident reviewed for coordination of hospice services. Findings Included: Resident #56 (R56) Review of the medical record revealed Resident #56 (R56) was admitted to the facility on [DATE] with diagnoses that included senile degeneration of brain. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/1/24, reflected R56 scored three out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). The same MDS revealed that R56 was utilizing hospice services. On 12/18/24 at 12:23 PM, R56's Hospice Communication binder was reviewed. R56's Hospice Care Plan was not located in the binder. [...]
  9. C
    The resident has the right to receive notices in a format and a language he or she understands.
    F574 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 11 of 12 residents in group knew what their resident rights were, where the posting of resident rights, the Ombudsman and State Agency contact information was located. Findings Included: During group meeting on 12/19/2024 at 11:03 AM, 11 of the 12 residents in attendance did not know who the Ombudsman was, or where the posting was located with the Ombudsman contact information. The 11 residents also did not know where the State agency contact information was located nor were the 11 residents aware that they had the right to put in a complaint with the State agency. 11 of the residents also stated they did not know what resident's right were, and were not ever told of them. [...]
October 11, 2023Standard inspection · 9 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteDPS B: Based on observation, interview, and record review, the facility failed to implement ordered devices to prevent accidents/falls for 1 resident (Resident #31) of 2 reviewed for accidents, from a total sample of 19, resulting in the risk for falls and potential for injury.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: (1) effectively date mark all potentially hazardous ready-to-eat food products, (2) effectively don hair and beard restraints, (3) effectively clean and maintain food service equipment, and (4) monitor food for safe temperatures prior to serving and maintain temperature logs effecting 74 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and resident foodborne illness.
  3. E
    Honor 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe, clean, and comfortable bathroom for one of 19 sampled residents (Resident #42), resulting in an environment in disrepair.
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to 1. Dispose of expired eye drops; 2. ensure medications/treatment carts remained secured in 1 of 2 medication/treatment carts reviewed, resulting in the potential for medications given to residents to have decreased potency, reduced strength, effect, and medication errors.
  5. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure updated and accurate advance directive information was in place for three residents (Resident #8, #18 and #52) of four reviewed for advance directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time), resulting in the potential for a resident's preferences for medical care to not be followed by the facility, or other healthcare providers. Findings Include: Review of the MICHIGAN DO-NOT-RESUSCITATE PROCEDURE ACT, Act 193 of 1996 revealed that, An order executed under this section shall be on a form described in section 4. The order shall be dated and executed voluntarily and signed by each of the following persons: [...]
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement care plans, for one of 19 residents reviewed for care plans (Resident #42), resulting in the potential for falls, pressure ulcers, and unmet needs.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician ordered parameters upon administration of blood pressure medications for 1 resident (Resident #37) of 5 reviewed for unnecessary medications, resulting in the potential for adverse drug consequences.
  8. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate less than five percent when 3 medication errors were observed from a total of 39 opportunities for one resident (R1) of nine residents observed during medication administration, resulting in a medication error rate of 7.69%.
  9. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food preferences were honored for 1 resident (Resident #30) of 3 reviewed for food preferences and for 9 of 9 residents in the confidential group, resulting in meal dissatisfaction and frustration when food choices were not honored and disliked foods continued to be served on meal trays. Resident #30 Review of the medical record reflected that Resident #30 (R30) was readmitted to facility 6/19/2023 with diagnoses including obesity, gastro-esophageal reflux disease, and diabetes mellitus. Review of the Minimum Data Set with an Assessment Reference Date (ARD) of 9/16/23 reflected that R30 had a Brief Interview for Mental Status (BIMS) score of 15 (cognitively intact). [...]

Fire safety inspections

11 fire safety citations on file: 1 on March 27, 2026, 5 on December 20, 2024, 5 on October 11, 2023.

Every fire safety citation11 citations
  1. E
    Install an approved automatic sprinkler system.
    K 351 · March 27, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 20, 2024 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 20, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure proper usage of power strips and extension cords.
    K 920 · December 20, 2024 · Corrected (the home has a date of correction)
  5. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · December 20, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 20, 2024 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 11, 2023 · Corrected (the home has a date of correction)
  8. E
    Have horizontal exits used in accordance with safety requirements.
    K 226 · October 11, 2023 · Corrected (the home has a date of correction)
  9. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · October 11, 2023 · Corrected (the home has a date of correction)
  10. D
    Have restrictions on the use of flammable curtains.
    K 751 · October 11, 2023 · Corrected (the home has a date of correction)
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 11, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)3.443.993.86
Registered nurses0.350.780.69
All nursing staff on weekends3.233.503.42
Nurse aides2.13
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)46.4%44.1%45.8%
Registered nurse turnover33.3%39.2%42.9%
Administrators who left0

CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.53 on weekdays and 3.23 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.440.353.533.23 0.2%0 of 9091
Oct to Dec 20253.310.353.462.95 0.1%0 of 9288
Jul to Sep 20253.540.413.743.05 3.5%0 of 9289
Apr to Jun 20253.440.473.623.00 0.1%0 of 9189
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Michigan

JobMedianMiddle halfEmployed
Michigan, all employers
CNAs (nursing assistants)$19.03$18.35 to $21.5943,290
LPNs and LVNs$31.47$29.83 to $35.5210,880
Registered nurses$45.34$39.46 to $49.74104,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.410.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.73.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.312.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.35.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.714.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.724.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.311.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Springcreek Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.0% this home

No different from the national rate

US median of homes 51.5% · Michigan: 89 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 64 eligible stays.

Potentially preventable readmissions

11.0% this home

No different from the national rate

US median of homes 10.7% · Michigan: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 101 eligible stays.

Infections that led to a hospital stay

5.4% this home

No different from the national rate

US median of homes 7.1% · Michigan: 1 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 53 eligible stays.

Self-care and mobility at discharge

70.5% this home

Median of homes: Michigan57.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 78 residents counted.

Falls with major injury

0.0% this home

Median of homes: Michigan0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.

New or worsened pressure ulcers

6.8% this home

Median of homes: Michigan1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 105 residents counted.

Medication list given at discharge

95.7% this home

Median of homes: Michigan99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 47 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ADRIAN MI SNF MANAGEMENT LLC. CMS links this home to Avon Healthcare, a group of 9 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Renewal Healthcare LLCDirect ownership interestOrganization05/01/2022
Gottlieb, Moshe5% or greater indirect ownership interestIndividual45%05/10/2022
Freund, EliyahuIndirect ownership interestIndividual05/10/2022
Koenig, JoshuaIndirect ownership interestIndividual05/10/2022
Scratch, DanaCorporate directorIndividual02/01/2022
Frankel, EliyahuCorporate officerIndividual10/01/2018
Freund, EliyahuCorporate officerIndividual05/10/2022
Illuminate Hc LLCOperational/managerial controlOrganization01/01/2022
Frankel, EliyahuOperational/managerial controlIndividual10/01/2018
Heidger, SandraOperational/managerial controlIndividual08/22/2024
Johncox, KellieOperational/managerial controlIndividual06/09/2022
Yalavarthi, JyothsnaOperational/managerial controlIndividual01/10/2025
Adrian PropcoAdp of the SNFOrganization05/10/2022
Freund, EliyahuAdp of the SNFIndividual05/10/2022
Gottlieb, MosheAdp of the SNFIndividual05/10/2022
Johncox, KellieAdp of the SNFIndividual06/09/2022
Koenig, JoshuaAdp of the SNFIndividual05/10/2022
Yalavarthi, JyothsnaAdp of the SNFIndividual08/26/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on March 27, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on March 27, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 27, 2026: "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."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 5 problems in this area, most recently on March 27, 2026: "Have a plan that describes the process for conducting QAPI and QAA activities."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Michigan average of 3.50.

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Springcreek Rehabilitation and Nursing Center's Medicare star rating?
CMS rates Springcreek Rehabilitation and Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Springcreek Rehabilitation and Nursing Center get at its last inspection?
19 health deficiencies at the standard inspection on March 27, 2026. The Michigan average is 9.9.
Has Springcreek Rehabilitation and Nursing Center been fined?
CMS lists no fines in the last three years.
Does Springcreek Rehabilitation and Nursing Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Springcreek Rehabilitation and Nursing Center?
CMS lists 18 owners and managers, and links the home to Avon Healthcare. Legal business name: ADRIAN MI SNF MANAGEMENT LLC.

Sources

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