nursing home in Adrian, MI
Lenawee Medical Care Facility
200 Sand Creek Highway, Adrian, MI 49221 · (517) 263-6794
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lenawee Medical Care Facility at a glance
Lenawee Medical Care Facility is a 113-bed government nursing home in Adrian, Michigan (Lenawee County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Michigan average of 3.1.
Residents receive about 5.3 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (March 19, 2026) found 14 health citations. The Michigan average is 9.9.
Federal regulators fined it 1 time in the past three years, totaling $15,593.
Nursing staff turnover is 50.5% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 113
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 1, 1973
- Resident/family council
- Resident
- County
- Lenawee County
- CMS Certification Number
- 235224
Ratings
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.5 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.33 hrs | 3.99 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.53 hrs | 0.78 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.69 hrs | 2.33 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.65 hrs | 3.50 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 50.5% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 35% | 39.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 82 | 89.4 | 80.6 | Average |
Penalties
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $15,593 | $29,376 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 113 | 104 | 107 | |
| Average residents per day | 111 | 86 | 86 | |
| Occupancy | 98.2% | 83.4% | 80.9% |
Long-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.1% | 3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.6% | 5.1% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.2% | 14.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.9% | 10.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.4% | 12% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 4% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.9% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13% | 19.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.6% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.3% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 95.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.1% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 93.8% | 79.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 83.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected June 12, 2026 |
| May 14, 2026 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | G Actual harm, isolated | Corrected June 12, 2026 |
| May 14, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 12, 2026 |
| May 14, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 12, 2026 |
| May 14, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 12, 2026 |
| March 19, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected April 2, 2026 |
| March 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected April 2, 2026 |
| March 19, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 19, 2026 Complaint | Ensure that paid feeding assistants have the training they need. Nursing and Physician Services Deficiencies · Tag F0948 | E Potential harm, pattern | Corrected April 17, 2026 |
| March 19, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 19, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 19, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 19, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 19, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 17, 2026 |
| February 5, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 2, 2026 |
| September 22, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected December 11, 2025 |
| June 25, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 29, 2025 |
| June 25, 2025 Complaint | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 13, 2025 |
| August 1, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected August 1, 2024 |
| November 16, 2023 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | G Actual harm, isolated | Corrected December 4, 2023 |
| November 16, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 4, 2023 |
| November 16, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 4, 2023 |
| November 16, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 4, 2023 |
| November 16, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 4, 2023 |
| November 16, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | B No harm, pattern | Corrected December 4, 2023 |
| October 19, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $15,593 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 16, 2023 | Fine | $15,593 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LENAWEE COUNTY Organization | 5% or greater direct ownership interest | 100% | 09/01/1970 |
| BLEVINS, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| CONCEPT REHAB, INC. Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| LENAWEE COUNTY Organization | adp of the snf | NOT APPLICABLE | 09/01/1970 |
| MACNAUGHTON, THOMAS Individual | adp of the snf | NOT APPLICABLE | 09/18/2015 |
| MANER, COSTERISAN & ELLIS, PC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MICHIGAN POST-ACUTE MEDICAL SERVICES 1 PC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| MORRISON MANAGEMENT SPECIALISTS INC Organization | adp of the snf | NOT APPLICABLE | 01/17/2022 |
| TUCKEY, ERIN Individual | adp of the snf | NOT APPLICABLE | 11/13/2025 |
| ELLEDGE, SARA Individual | managing control - governing body | NOT APPLICABLE | 12/06/2017 |
| GRAHAM, AMY Individual | managing control - governing body | NOT APPLICABLE | 04/14/2025 |
| JONES, KRISTIE Individual | managing control - governing body | NOT APPLICABLE | 11/01/2021 |
| JONES, LINDSEY Individual | managing control - governing body | NOT APPLICABLE | 06/18/2023 |
| MACNAUGHTON, THOMAS Individual | managing control - governing body | NOT APPLICABLE | 09/18/2015 |
| REILLY, JENNIFER Individual | managing control - governing body | NOT APPLICABLE | 06/17/2024 |
| TUCKEY, ERIN Individual | managing control - governing body | NOT APPLICABLE | 09/27/2021 |
| VERNIER, KIRK Individual | managing control - governing body | NOT APPLICABLE | 06/18/2023 |
| WILLIAMSON, BRANDY Individual | managing control - governing body | NOT APPLICABLE | 08/20/2018 |
| BLEVINS, CHRISTINA Individual | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| LENAWEE COUNTY Organization | operational/managerial control | NOT APPLICABLE | 09/01/1970 |
| SCARBOROUGH, JOYCE Individual | operational/managerial control | NOT APPLICABLE | 11/18/2024 |
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- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Frequently asked questions
What is Lenawee Medical Care Facility's rating?
Lenawee Medical Care Facility has 3 out of 5 stars on the CMS overall star rating. The average for Michigan nursing homes is 3.1 stars.
How many inspection citations did Lenawee Medical Care Facility receive?
Its most recent standard health inspection found 14 citations, compared with a Michigan average of 9.9. Every citation is listed on this page with its severity.
Does Lenawee Medical Care Facility accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lenawee Medical Care Facility?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lenawee Medical Care Facility and how do I contact it?
Lenawee Medical Care Facility is at 200 Sand Creek Highway, Adrian, MI 49221. Phone: (517) 263-6794.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.