Lenawee Medical Care Facility — nursing home in Adrian, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 113 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 110.9 CMS, MDS-derived
CMS Certification Number: 235224
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 1, 1973
Ownership type: Government - County
Operator (legal business name): Lenawee Medical Care Facility
CMS chain: Not part of a CMS-reported chain
Phone: (517) 263-6794
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

12

latest May 14, 2026

Citations

27

24 health · 3 fire

Harm or worse

5

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G5	H·	I·
Potential harm	D18	E3	F·
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$15,593

Payment denials

0

Latest

Nov 16, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235224
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 113
First approved: Aug 1, 1973
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Michigan.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 14, 2026	Health	Health Complaint	5	Actual harm	—	Open →
Mar 19, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 19, 2026	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Feb 5, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Sep 22, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 25, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Feb 5, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 5, 2025	Health	Health Standard	0	No citations	—	Open →
Aug 1, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 16, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 16, 2023	Health	Health Complaint, Health Standard	6	Actual harm	—	Open →
Oct 19, 2023	Health	Health Complaint	1	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 16, 2023	Civil money penalty (fine)	$15,593	—	235224\|Fine\|58829

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G5	H·	I·
Potential harm	D18	E3	F·
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 14, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jun 12, 2026	Complaint
May 14, 2026	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jun 12, 2026	Complaint
May 14, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2026	Complaint
May 14, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2026	Complaint
May 14, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2026	Complaint
Mar 19, 2026	K-0222	Add 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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 2, 2026
Mar 19, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 2, 2026
Mar 19, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 2, 2026
Mar 19, 2026	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 19, 2026	F-0948	Ensure that paid feeding assistants have the training they need. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 17, 2026	Complaint
Feb 5, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 2, 2026	Complaint
Sep 22, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 11, 2025	Complaint
Jun 25, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance May 29, 2025	Complaint
Jun 25, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jun 13, 2025	Complaint
Aug 1, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 1, 2024	Complaint
Nov 16, 2023	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 4, 2023
Nov 16, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 4, 2023	Complaint
Nov 16, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 4, 2023
Nov 16, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 4, 2023
Nov 16, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 4, 2023
Nov 16, 2023	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Dec 4, 2023
Oct 19, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Oct 20, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.6

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.36

State avg 4.03US avg 3.90

Registered nurse (RN)0.67

State avg 0.78US avg 0.69

Licensed practical nurse1.00

State avg 0.89US avg 0.86

Nurse aide3.68

State avg 2.36US avg 2.35

Weekend total nurse4.63

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.87 (case-mix index 1.28).

Staff turnover

Total nursing staff turnover50.8%

State avg 44.6%US avg 45.3%

Registered nurse turnover23.5%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 19, 2026
Cycle 1 health score: 88
Total weighted score: 80

Operating entity

Lenawee Medical Care Facility

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

21

Organizations

5

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lenawee County	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 1, 1970

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lenawee County	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 1, 1970
Sara Elledge	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Dec 6, 2017
Amy Graham	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 14, 2025
Kristie Jones	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2021
Lindsey Jones	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 18, 2023
Thomas Macnaughton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 18, 2015
Jennifer Reilly	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 17, 2024
Erin Tuckey	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 27, 2021
Kirk Vernier	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 18, 2023
Brandy Williamson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 20, 2018
Lenawee County	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 1970
Christina Blevins	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2025
Joyce Scarborough	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 18, 2024
Concept Rehab, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Lenawee County	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 1970
Maner, Costerisan & Ellis, PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Michigan Post-Acute Medical Services 1 PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Morrison Management Specialists Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 17, 2022
Christina Blevins	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Thomas Macnaughton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 18, 2015
Erin Tuckey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 13, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 200 Sand Creek Highway, Adrian, MI 49221
ZIP: 49221
County: Lenawee County FIPS 26091
State: Michigan
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Springcreek Rehabilitation and Nursing Center 130 Sand Creek Highway, Adrian, MI 49221 CCN 235504	0.3 km	113	Mar 27, 2026	512 harm	—
Lynwood Manor Healthcare Center 730 Kimole Lane, Adrian, MI 49221 CCN 235182	3.1 km	84	Aug 7, 2026	371 IJ	$24k
Adrian Bay Rehabilitation and Nursing Center 700 Lakeshire Trail, Adrian, MI 49221 CCN 235287	3.2 km	117	Aug 14, 2026	501 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235224	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235224	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 235224

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction