Springcreek Rehabilitation and Nursing Center
130 Sand Creek Highway · Adrian, MI · 49221 · 5172656554
114 certified beds For profit - Limited Liability company Chain: Avon Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (46 in the current record)
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Actual harm · G March 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · E March 27, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
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.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
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.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · E March 27, 2026
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.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Assess the resident when there is a significant change in condition
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
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.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
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 April 16, 2026 · Pharmacy Service
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Potential for harm · D March 27, 2026
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 April 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 27, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · E March 27, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 27, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected April 16, 2026 · Administration
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Potential for harm · D March 27, 2026
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected April 16, 2026 · Administration
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Potential for harm · D March 27, 2026
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.
Corrected April 16, 2026 · Administration
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Potential for harm · F March 27, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 16, 2026 · Administration
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Potential for harm · D March 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 16, 2026 · Infection Control
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Potential for harm · D March 27, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D January 6, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 26, 2026 · Quality of Life and Care
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Potential for harm · D May 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 20, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 14, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 14, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 235504 · certified since May 2, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.