Monroe Springs Skilled Nursing and Rehab

Name: Monroe Springs Skilled Nursing and Rehab
Address: 700 Stewart Rd, Monroe, MI, 48161, US
Telephone: 7342401820

700 Stewart Rd, Monroe, MI 48161 · Monroe County · 89 certified beds · avg 82 residents/day · certified since Jul 1, 1992

Part of chain: AVON HEALTHCARE (9 facilities, chain avg rating 2.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 24, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 24, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 24, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jun 24, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 24, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint
Dec 3, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 3, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Dec 3, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 12, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 20, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	F
2025	3	0	E
2026	4	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.60	4.32	3.95	bottom 15% in Michigan; bottom 42% in the U.S.
Registered Nurse hours	0.34	0.84	0.69	bottom 7% in Michigan; bottom 14% in the U.S.
Weekend total nurse staffing	3.31	3.79	3.50	bottom 27% in Michigan; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.49	0.48	bottom 19% in Michigan; bottom 24% in the U.S.
Total nursing staff turnover (%)	28.0	44.1	45.8	top 11% in Michigan; top 11% in the U.S.
RN turnover (%)	22.2	39.2	42.9	top 18% in Michigan; top 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.84, RN 0.36, weekend 3.53. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Gottlieb, Moshe	Individual	5% or Greater Indirect Ownership Interest	48%	07/31/2023
Springs Bay Op Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	07/31/2023
Avon Springs Bay Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/22/2025
Bhurgri, Aamer	Individual	Operational/Managerial Control	NOT APPLICABLE	07/31/2023
Bhurgri, Aamer	Individual	ADP of the SNF	NOT APPLICABLE	07/30/2025
Freund, Eliyahu	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/31/2023
Freund, Eliyahu	Individual	Corporate Officer	NOT APPLICABLE	07/31/2023
Freund, Eliyahu	Individual	ADP of the SNF	NOT APPLICABLE	07/31/2023
Gottlieb, Moshe	Individual	ADP of the SNF	NOT APPLICABLE	07/31/2023
Monroe Springs Property LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/22/2025
Saba, Gail	Individual	Operational/Managerial Control	NOT APPLICABLE	07/31/2023
Wood, Krysten	Individual	Operational/Managerial Control	NOT APPLICABLE	07/31/2023
Wood, Krysten	Individual	ADP of the SNF	NOT APPLICABLE	07/31/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Fountain View of Monroe	0.6 mi	Monroe, MI	★★★★★	5/5
Seacrest Rehabilitation and Nursing Center	0.6 mi	Monroe, MI	★★★★☆	4/5
Medilodge of Monroe	1.1 mi	Monroe, MI	★★★★★	5/5
Ihm Senior Living Community	1.2 mi	Monroe, MI	★★★★★	5/5
Wellspring Lutheran Nursing and Rehab Services	2.2 mi	Monroe, MI	★★★★☆	5/5
Majestic Care of Point Place	15.0 mi	Toledo, OH	★☆☆☆☆	1/5
Aberdeen Rehabilitation and Skilled Nursing Center	15.5 mi	Trenton, MI	★★☆☆☆	3/5
Applewood Nursing Center, INC	16.0 mi	Woodhaven, MI	★☆☆☆☆	1/5
Hickory Ridge of Temperance	16.0 mi	Temperance, MI	★★★★☆	4/5
Aerius Health Center	18.4 mi	Riverview, MI	★★★★★	5/5
Merit House LLC	18.4 mi	Toledo, OH	★★☆☆☆	1/5
Special Tree Neurocare Center	19.9 mi	Romulus, MI	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Monroe →

Facility data as of CMS processing date 2026-08-01. CCN 235520.

The Care File

Visit checklist — Monroe Springs Skilled Nursing and Rehab

700 Stewart Rd, Monroe, MI 48161 · 7342401820

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 24, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235520 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)