Adrian Bay Rehabilitation and Nursing Center
700 Lakeshire Trail · Adrian, MI · 49221 · 5172630781
117 certified beds For profit - Corporation Chain: Avon Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $201,851 |
Inspection citations (40 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 26, 2025 · Pharmacy Service
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Potential for harm · E June 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 25, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
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.
Corrected June 25, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Provide and implement an infection prevention and control program.
Corrected June 25, 2025 · Infection Control
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Potential for harm · F June 12, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 25, 2025 · Environmental
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Potential for harm · D June 12, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 25, 2025 · Resident Assessment and Care Planning
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No harm found · B June 12, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D July 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected August 2, 2024 · Nutrition and Dietary
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Potential for harm · F July 19, 2024
Keep all essential equipment working safely.
Corrected August 2, 2024 · Environmental
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Potential for harm · E October 24, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · F October 24, 2023 · found via complaint
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.
Corrected November 10, 2023 · Nutrition and Dietary
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Potential for harm · E October 24, 2023 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 10, 2023 · Nutrition and Dietary
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Potential for harm · D October 24, 2023 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected November 10, 2023 · Nutrition and Dietary
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Potential for harm · F October 24, 2023 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected November 10, 2023 · Nutrition and Dietary
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Potential for harm · F October 24, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 10, 2023 · Nutrition and Dietary
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No harm found · C October 24, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 10, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 7, 2023 | Fine | $201,851 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235287 · certified since May 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.