Springcreek Rehabilitation and Nursing Center

Name: Springcreek Rehabilitation and Nursing Center
Address: 130 Sand Creek Highway, Adrian, MI, 49221, US
Telephone: 5172656554

130 Sand Creek Highway, Adrian, MI 49221 · Lenawee County · 113 certified beds · avg 91 residents/day · certified since May 2, 1991

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

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.08

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 · Mar 27, 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.

Corrected: Apr 16, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Oct 11, 2023 · F-0689

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.

Corrected: Oct 25, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (40)

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
Mar 27, 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
Mar 27, 2026	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 27, 2026	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 6, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 6, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 29, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 20, 2024	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.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 20, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Dec 20, 2024	C · Minimal risk, facility-wide	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Oct 11, 2023	▲ 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.
Oct 11, 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.
Oct 11, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 11, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 11, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 19).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	1	G ▲
2024	9	0	D
2025	1	0	D
2026	21	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)	4.08	4.32	3.95	bottom 49% in Michigan; top 36% in the U.S.
Registered Nurse hours	0.41	0.84	0.69	bottom 11% in Michigan; bottom 24% in the U.S.
Weekend total nurse staffing	3.83	3.79	3.50	top 35% in Michigan; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.49	0.48	bottom 15% in Michigan; bottom 17% in the U.S.
Total nursing staff turnover (%)	46.4	44.1	45.8	bottom 42% in Michigan; bottom 46% in the U.S.
RN turnover (%)	33.3	39.2	42.9	top 38% in Michigan; top 33% 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 3.44, RN 0.35, weekend 3.23. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Freund, Eliyahu	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/10/2022
Gottlieb, Moshe	Individual	5% or Greater Indirect Ownership Interest	45%	05/10/2022
Koenig, Joshua	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/10/2022
Renewal Healthcare LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	05/01/2022
Adrian Propco	Organization	ADP of the SNF	NOT APPLICABLE	05/10/2022
Frankel, Eliyahu	Individual	Corporate Officer	NOT APPLICABLE	10/01/2018
Frankel, Eliyahu	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2018
Freund, Eliyahu	Individual	Corporate Officer	NOT APPLICABLE	05/10/2022
Freund, Eliyahu	Individual	ADP of the SNF	NOT APPLICABLE	05/10/2022
Gottlieb, Moshe	Individual	ADP of the SNF	NOT APPLICABLE	05/10/2022
Heidger, Sandra	Individual	Operational/Managerial Control	NOT APPLICABLE	08/22/2024
Illuminate HC LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2022
Johncox, Kellie	Individual	Operational/Managerial Control	NOT APPLICABLE	06/09/2022
Johncox, Kellie	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2022
Koenig, Joshua	Individual	ADP of the SNF	NOT APPLICABLE	05/10/2022
Scratch, Dana	Individual	Corporate Director	NOT APPLICABLE	02/01/2022
Yalavarthi, Jyothsna	Individual	Operational/Managerial Control	NOT APPLICABLE	01/10/2025
Yalavarthi, Jyothsna	Individual	ADP of the SNF	NOT APPLICABLE	08/26/2025

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?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"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	Flags
Lenawee Medical Care Facility	0.2 mi	Adrian, MI	★★★☆☆	2/5	abuse
Lynwood Manor Healthcare Center	1.8 mi	Adrian, MI	★★★☆☆	3/5
Adrian Bay Rehabilitation and Nursing Center	1.9 mi	Adrian, MI	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Adrian →

Facility data as of CMS processing date 2026-08-01. CCN 235504.

The Care File

Visit checklist — Springcreek Rehabilitation and Nursing Center

130 Sand Creek Highway, Adrian, MI 49221 · 5172656554

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Mar 27, 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.
▲ Oct 11, 2023 (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?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "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 235504 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)