Monroe Springs Skilled Nursing and Rehab — nursing home in Monroe, MI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 89 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: 88.9 CMS, MDS-derived
CMS Certification Number: 235520
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1992
Ownership type: For profit - Individual
Operator (legal business name): Monroe Springs Operating
CMS chain: Avon Healthcare 9 facilities
Phone: (734) 240-1820
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 24, 2026

Citations

19

9 health · 10 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E4	F6
Minimal	A·	B·	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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 235520
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 89
First approved: Jul 1, 1992
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
Jun 24, 2026	Health	Health Complaint	4	Actual harm	—	Open →
Dec 3, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Dec 3, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Oct 24, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Oct 24, 2024	Health	Health Standard	0	No citations	—	Open →
Dec 12, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Nov 20, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 20, 2023	Health	Health Standard	1	Potential 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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E4	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 24, 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	Past non-compliance Jun 5, 2026	Complaint
Jun 24, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 7, 2026	Complaint
Jun 24, 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 Jul 7, 2026	Complaint
Jun 24, 2026	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2026	Complaint
Dec 3, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 19, 2025
Dec 3, 2025	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	Past non-compliance Mar 10, 2025	Complaint
Dec 3, 2025	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 26, 2025
Dec 3, 2025	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	E · Potential harm Pattern	Corrected Dec 26, 2025
Oct 24, 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	F · Potential harm Widespread	Corrected Nov 8, 2024
Oct 24, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 8, 2024
Oct 24, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 8, 2024
Oct 24, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 8, 2024
Oct 24, 2024	K-0912	Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 8, 2024
Dec 12, 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 13, 2023	Complaint
Nov 20, 2023	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 5, 2023
Nov 20, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 5, 2023
Nov 20, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 5, 2023
Nov 20, 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 Dec 5, 2023
Nov 20, 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 Dec 5, 2023

“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 staffing4.14

State avg 4.03US avg 3.90

Registered nurse (RN)0.43

State avg 0.78US avg 0.69

Licensed practical nurse1.32

State avg 0.89US avg 0.86

Nurse aide2.39

State avg 2.36US avg 2.35

Weekend total nurse3.78

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.92 (case-mix index 1.48).

Staff turnover

Total nursing staff turnover34.6%

State avg 44.6%US avg 45.3%

Registered nurse turnover25.0%

State avg 39.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Dec 3, 2025
Cycle 1 health score: 48
Total weighted score: 37

Operating entity

Monroe Springs Operating

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

VerifiedLinked by exact legal name

CMS chain

Avon Healthcare

9 facilities in 1 states. CMS chain ID 840.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

13

Organizations

3

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Springs Bay Op Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 31, 2023
Moshe Gottlieb	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Jul 31, 2023

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
Springs Bay Op Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 31, 2023
Moshe Gottlieb	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Jul 31, 2023
Eliyahu Freund	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 31, 2023
Aamer Bhurgri	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 31, 2023
Gail Saba	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 31, 2023
Krysten Wood	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 31, 2023
Eliyahu Freund	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 31, 2023
Avon Springs Bay Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Monroe Springs Property LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Aamer Bhurgri	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 30, 2025
Eliyahu Freund	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 31, 2023
Moshe Gottlieb	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 31, 2023
Krysten Wood	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 31, 2023

Same chain in Michigan

All 8 in chain →

Facility	Beds	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 1215 N Telegraph Rd, Monroe, MI 48162 CCN 235232	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
Springcreek Rehabilitation and Nursing Center 130 Sand Creek Highway, Adrian, MI 49221 CCN 235504	113	Mar 27, 2026	512 harm	—
Harbor Post Acute Center 2060 Health Drive, Wyoming, MI 49519 CCN 235723	65	Jul 1, 2026	541 harm	$75k

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: 700 Stewart Rd, Monroe, MI 48161
ZIP: 48161
County: Monroe County FIPS 26115
State: Michigan
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Fountain View of Monroe 1971 N Monroe Street, Monroe, MI 48162 CCN 235225	1 km	119	Dec 3, 2025	10	—
Seacrest Rehabilitation and Nursing Center 1215 N Telegraph Rd, Monroe, MI 48162 CCN 235232	1 km	131	Feb 12, 2026	41	—
Medilodge of Monroe 481 Village Green Lane, Monroe, MI 48162 CCN 235563	1.8 km	103	Feb 12, 2026	131 harm	—
Ihm Senior Living Community 610 West Elm Avenue, Monroe, MI 48162 CCN 235648	2 km	58	Aug 27, 2026	131 open	—
Wellspring Lutheran Nursing and Rehab Services 1236 S Monroe St, Monroe, MI 48161 CCN 235274	3.5 km	122	Mar 19, 2026	42	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	235520	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	235520	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 235520

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