Michigan ›Adrian

Springcreek Rehabilitation and Nursing Center

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130 Sand Creek Highway, Adrian, MI 49221 (opens Google Maps) · Lenawee County · (517) 265-6554· 113 certified beds · avg 91 residents/day · certified since May 2, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

2/5
Health inspection rating (on-site)
inspected Mar 27, 2026
2
Serious findings on record
most recent Mar 27, 2026
$0
Fines, last 3 years
4.08
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 40 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    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 F-0689

  2. F · Potential for more than minimal harm, widespread

    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. F-0865

  3. E · Potential for more than minimal harm, pattern

    The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. F-0565

View all 40 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 27, 2026▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 27, 2026F · Potential for more than minimal harm, widespreadThe 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. · F-0865
Mar 27, 2026E · Potential for more than minimal harm, patternThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Mar 27, 2026E · Potential for more than minimal harm, patternThe 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. · F-0585
Mar 27, 2026E · Potential for more than minimal harm, patternThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0637
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0803
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0847
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0848
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0849
Mar 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Jan 6, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Jan 6, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0684
May 29, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0686
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0758
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Dec 20, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0849
Dec 20, 2024C · Potential for minimal harm, widespreadThe 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. · F-0574
Oct 11, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 11, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 11, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Oct 11, 2023E · Potential for more than minimal harm, patternThe 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. · F-0761
Oct 11, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Oct 11, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Oct 11, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0757
Oct 11, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0759
Oct 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 1
2024
All citations: 9
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 21
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202391G ▲
202490D
202510D
2026211G ▲

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMichigan averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.08
Michigan average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.41
Michigan average: 0.84
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.83
Michigan average: 3.79
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMichigan avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.084.323.95bottom 49% in Michigan; top 36% in the U.S.
Registered Nurse hours0.410.840.69bottom 11% in Michigan; bottom 24% in the U.S.
Weekend total nurse staffing3.833.793.50top 35% in Michigan; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)0.230.490.48bottom 15% in Michigan; bottom 17% in the U.S.
Total nursing staff turnover (%)46.444.145.8bottom 42% in Michigan; bottom 46% in the U.S.
RN turnover (%)33.339.242.9top 38% in Michigan; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.44 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Springcreek Rehabilitation and Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Freund, EliyahuIndividualIndirect Ownership InterestNOT APPLICABLE05/10/2022
Gottlieb, MosheIndividual5% or Greater Indirect Ownership Interest45%05/10/2022
Koenig, JoshuaIndividualIndirect Ownership InterestNOT APPLICABLE05/10/2022
Renewal Healthcare LLCOrganizationDirect Ownership InterestNOT APPLICABLE05/01/2022
Adrian PropcoOrganizationADP of the SNFNOT APPLICABLE05/10/2022
Frankel, EliyahuIndividualCorporate OfficerNOT APPLICABLE10/01/2018
Frankel, EliyahuIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2018
Freund, EliyahuIndividualCorporate OfficerNOT APPLICABLE05/10/2022
Freund, EliyahuIndividualADP of the SNFNOT APPLICABLE05/10/2022
Gottlieb, MosheIndividualADP of the SNFNOT APPLICABLE05/10/2022
Heidger, SandraIndividualOperational/Managerial ControlNOT APPLICABLE08/22/2024
Illuminate HC LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2022
Johncox, KellieIndividualOperational/Managerial ControlNOT APPLICABLE06/09/2022
Johncox, KellieIndividualADP of the SNFNOT APPLICABLE06/09/2022
Koenig, JoshuaIndividualADP of the SNFNOT APPLICABLE05/10/2022
Scratch, DanaIndividualCorporate DirectorNOT APPLICABLE02/01/2022
Yalavarthi, JyothsnaIndividualOperational/Managerial ControlNOT APPLICABLE01/10/2025
Yalavarthi, JyothsnaIndividualADP of the SNFNOT APPLICABLE08/26/2025

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avon Healthcare — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Lenawee Medical Care Facility0.2 miAdrian, MI★★★☆☆2/5abuse
Lynwood Manor Healthcare Center1.8 miAdrian, MI★★★☆☆3/5
Adrian Bay Rehabilitation and Nursing Center1.9 miAdrian, 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.

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