01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 14 | 2026-03-19 | 3 |
| Cycle 2 | 2025-02-05 | 3 | 2025-02-05 | 0 |
| Cycle 3 | 2023-11-16 | 7 | 2023-11-16 | 0 |
CMS CCN 2352242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lenawee Medical Care Facility
200 Sand Creek Highway · Adrian, MI 49221 · Lenawee County
Certified beds113CMS provider file
Recent citation rows27current 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
27 rows in the current release
5 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-14 · HEALTHF0550Severity D · isolated; 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 · 2026-06-12 · complaint2026-05-14 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-06-12 · complaint2026-05-14 · HEALTHF0604Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-06-12 · complaint2026-05-14 · 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 · 2026-06-12 · complaint2026-05-14 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-06-12 · complaint2026-03-19 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-19 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-19 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-19 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-19 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-19 · 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 · 2026-04-172026-03-19 · HEALTHF0948Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that paid feeding assistants have the training they need.
Correction field: Deficient, Provider has date of correction · 2026-04-17 · complaint2026-03-19 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-03-19 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-03-19 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-02-05 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-02 · complaint2025-09-22 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-12-11 · complaint2025-06-25 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Past Non-Compliance · 2025-06-13 · complaint2025-06-25 · 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: Past Non-Compliance · 2025-05-29 · complaint2024-08-01 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2024-08-01 · complaint2023-11-16 · HEALTHF0585Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-12-042023-11-16 · 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 · 2023-12-04 · complaint2023-11-16 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-12-042023-11-16 · HEALTHF0678Severity G · isolated actual 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 · 2023-12-0403 / 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 |
|---|---|---|---|
| 2023-11-16 | Fine | $15,593 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LENAWEE COUNTYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/01/1970
- ELLEDGE, SARAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/06/2017
- GRAHAM, AMYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/14/2025
- JONES, KRISTIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2021
- JONES, LINDSEYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/18/2023
- MACNAUGHTON, THOMASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/18/2015
- REILLY, JENNIFERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/17/2024
- TUCKEY, ERINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/27/2021
- VERNIER, KIRKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/18/2023
- WILLIAMSON, BRANDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/20/2018
- LENAWEE COUNTYOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/1970
- BLEVINS, CHRISTINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2025
- SCARBOROUGH, JOYCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/18/2024
- CONCEPT REHAB, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- LENAWEE COUNTYOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/01/1970
- MANER, COSTERISAN & ELLIS, PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- MICHIGAN POST-ACUTE MEDICAL SERVICES 1 PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- MORRISON MANAGEMENT SPECIALISTS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/17/2022
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 hours5.33per resident day
RN hours0.53per resident day
Weekend nurse hours4.65per resident day
Staff turnover50.5%CMS reported field
06 / LOCAL RECORDS
Open the Adrian ledger →