SeniorHomeViolations
B+
81/100

Lenawee Medical Care Facility Inspection Report, Violations & Safety Grade (Adrian, Michigan)

200 Sand Creek Highway, Adrian, Michigan 49221

Phone: 5172636794

CMS Overall:4/5

Overview & Bed Count

Certified Beds
113
Avg Residents/Day
110.9
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Lenawee
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall4/5
Health2/5
Staffing5/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day0.670.78-0.11
Total Nurse Hours per Resident per Day5.364.03+1.33
CMS Staffing Rating5/53.6/5-
Nursing Staff Turnover50.8%44.6%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-05-14Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-05-14Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.G – Actual Harm
2026-05-14Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-05-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-05-14Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-03-19Nursing and Physician Services DeficienciesEnsure that paid feeding assistants have the training they need.E – Moderate Harm Potential
2026-03-19Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-03-19Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-03-19Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2026-03-19Quality of Life and Care DeficienciesProvide 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 – Moderate Harm Potential
2026-03-19Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-03-19Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-02-05Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-09-22Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-06-25Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-06-25Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2024-08-01Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.G – Actual Harm
2023-11-16Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-11-16Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-11-16Resident Rights DeficienciesHonor 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.B – Minimal Harm Potential
2023-10-19Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-19Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2026-03-19Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2026-03-19Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Total Penalties & Fines

$15,593
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2023-11-16Fine$15,593-

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the Adrian area at no cost.

Find Safe, Vetted Facilities Near Adrian
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.