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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D32 | E10 | F6 |
| Minimal | A· | B· | C1 |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 27, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 27, 2026 | Health | Health Complaint, Health Standard | 19 | Actual harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 20, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Oct 11, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D32 | E10 | F6 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 27, 2026 | 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 | Corrected Apr 16, 2026 | Complaint |
| Mar 27, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 | |
| Mar 27, 2026 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
9 facilities in 1 states. CMS chain ID 840.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Renewal Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2022 |
| Moshe Gottlieb | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | May 10, 2022 |
| Eliyahu Freund | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 10, 2022 |
| Joshua Koenig | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 10, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Renewal Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2022 |
| Moshe Gottlieb | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | May 10, 2022 |
| Eliyahu Freund | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 10, 2022 |
| Joshua Koenig | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 10, 2022 |
| Illuminate Hc LLC |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Springs at Rochester Hills Rehab and Nursing C 1480 Walton Blvd, Rochester Hills, MI 48309 CCN 235036Abuse icon | 126 | Jun 16, 2026 | 1001 IJ6 harm | $176k | |
| Seacrest Rehabilitation and Nursing Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Lenawee Medical Care Facility 200 Sand Creek Highway, Adrian, MI 49221 CCN 235224Abuse icon | 0.3 km | 113 | May 14, 2026 | 275 harm | $16k | |
| Lynwood Manor Healthcare Center 730 Kimole Lane, Adrian, MI 49221 CCN 235182 | 2.9 km | 84 | Aug 7, 2026 | 371 IJ | $24k | |
| Adrian Bay Rehabilitation and Nursing Center 700 Lakeshire Trail, Adrian, MI 49221 CCN 235287 | 3.1 km | 117 | Aug 14, 2026 | 501 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235504 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235504 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F-0565 |
| Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | 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 | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Mar 27, 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 16, 2026 |
| Mar 27, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2026 | Complaint |
| Mar 27, 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 16, 2026 |
| Mar 27, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0849 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 16, 2026 |
| Mar 27, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Jan 6, 2026 | 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 Jan 26, 2026 | Complaint |
| Jan 6, 2026 | 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 Jan 26, 2026 | Complaint |
| May 29, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| Dec 20, 2024 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 14, 2025 |
| Dec 20, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 14, 2025 |
| Dec 20, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2025 |
| Dec 20, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2025 |
| Dec 20, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2025 |
| Dec 20, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Dec 20, 2024 | 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 Jan 14, 2025 |
| Dec 20, 2024 | 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 Jan 14, 2025 |
| Dec 20, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Dec 20, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Dec 20, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Dec 20, 2024 | F-0849 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Dec 20, 2024 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jan 14, 2025 |
| Oct 11, 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 | G · Actual harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | K-0226 | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Oct 11, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 25, 2023 |
| Oct 11, 2023 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Oct 11, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Oct 11, 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 Oct 25, 2023 |
| Oct 11, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Oct 11, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 25, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.13 (case-mix index 1.20).
| Organization |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2022 |
| Eliyahu Frankel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2018 |
| Sandra Heidger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 22, 2024 |
| Kellie Johncox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 9, 2022 |
| Jyothsna Yalavarthi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 10, 2025 |
| Dana Scratch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2022 |
| Eliyahu Frankel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2018 |
| Eliyahu Freund | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 10, 2022 |
| Adrian Propco | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 10, 2022 |
| Eliyahu Freund | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 10, 2022 |
| Moshe Gottlieb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 10, 2022 |
| Kellie Johncox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 9, 2022 |
| Joshua Koenig | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 10, 2022 |
| Jyothsna Yalavarthi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 26, 2025 |
| 131 |
| Feb 12, 2026 |
41 |
| — |
| Clearstream Rehabilitation and Nursing Center 240 E North St, Hastings, MI 49058 CCN 235281Abuse icon | 98 | May 5, 2026 | 681 IJ3 harm | $35k |
| Adrian Bay Rehabilitation and Nursing Center 700 Lakeshire Trail, Adrian, MI 49221 CCN 235287 | 117 | Aug 14, 2026 | 501 harm | — |
| Alamo Cove Rehab and Nursing Center 8290 W C Ave, Kalamazoo, MI 49009 CCN 235311SFF Candidate | 100 | Apr 30, 2026 | 1037 harm | $18k |
| Niles Care Center, LLC 911 S 3rd St, Niles, MI 49120 CCN 235361 | 100 | Apr 17, 2026 | 742 IJ3 harm | $119k |
| Monroe Springs Skilled Nursing and Rehab 700 Stewart Rd, Monroe, MI 48161 CCN 235520 | 89 | Jun 24, 2026 | 191 harm | — |
| Harbor Post Acute Center 2060 Health Drive, Wyoming, MI 49519 CCN 235723 | 65 | Jul 1, 2026 | 541 harm | $75k |