01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-12 | 16 | 2025-06-12 | 3 |
| Cycle 2 | 2024-07-19 | 3 | 2024-07-19 | 5 |
| Cycle 3 | 2023-05-11 | 22 | 2023-05-11 | 7 |
CMS CCN 2352872026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Adrian Bay Rehabilitation And Nursing Center
700 Lakeshire Trail · Adrian, MI 49221 · Lenawee County
Certified beds117CMS provider file
Recent citation rows56current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
56 rows in the current release
4 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-22 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-04-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2026-04-22 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2025-12-09 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-26 · complaint2025-12-09 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-12-26 · complaint2025-12-09 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-26 · complaint2025-06-12 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0577Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0678Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2025-06-25 · complaint2025-06-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-25 · complaint2025-06-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-12 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-06-12 · FIREK0362Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-06-12 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-06-132024-07-19 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-19 · HEALTHF0808Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-19 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-19 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-19 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-08-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-09-07 | Fine | $201,851 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SPRINGS BAY OP HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/31/2023
- FREUND, ELIYAHUIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/31/2023
- GOTTLIEB, MOSHEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST48% · since 07/31/2023
- FREUND, ELIYAHUIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/31/2023
- FREUND, ELIYAHUIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/31/2023
- GOTTLIEB, MOSHEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/31/2023
- GUPTA, SOMILIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/31/2023
- GILBERT, CHRISTINAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/31/2023
- HOEVEMEYER, AMANDAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/31/2023
- AVON SPRINGS BAY MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/31/2023
- GILBERT, CHRISTINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/20/2024
- GUPTA, SOMILIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/02/2025
- HOEVEMEYER, AMANDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/20/2024
- AVON SPRINGS BAY MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/09/2025
- MONROE SPRINGS PROPERTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/09/2025
- SPRINGS BAY OP HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/09/2025
- FREUND, ELIYAHUIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/09/2025
- GOTTLIEB, MOSHEIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/09/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.42per resident day
RN hours0.48per resident day
Weekend nurse hours3.13per resident day
Staff turnover31.8%CMS reported field
06 / LOCAL RECORDS
Open the Adrian ledger →