Senior Care Records.

Lenawee Medical Care Facility

200 Sand Creek Highway, Adrian, MI, 49221

Nursing home113 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 14 deficiencies against Lenawee Medical Care Facility in Adrian, Michigan at its most recent standard inspection on 2026-03-19, 8 of them arising from complaints. 5 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $15,593. CMS currently flags this home for abuse. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
113certified beds
14deficiencies at the last inspection
0immediate-jeopardy findings on record
5actual-harm findings on record
1federal fines, $15,593
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.5
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.18
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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 · F0600 · 2026-05-14 · from a complaint · Actual harm to a resident

G

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2026-05-14 · from a complaint · Actual harm to a resident

G

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2026-05-14 · from a complaint · No actual harm, potential for more than minimal harm

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-05-14 · from a complaint · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-05-14 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that paid feeding assistants have the training they need.

Nursing and Physician Services Deficiencies · F0948 · 2026-03-19 · from a complaint · No actual harm, potential for more than minimal harm

E

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · F0554 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies · F0637 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0688 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-03-19 · standard survey · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-02-05 · from a complaint · No actual harm, potential for more than minimal harm

D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2025-09-22 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-06-25 · from a complaint · Actual harm to a resident

G

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 · F0605 · 2025-06-25 · from a complaint · No actual harm, potential for more than minimal harm

D

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2024-08-01 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0678 · 2023-11-16 · standard survey · Actual harm to a resident

G

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-11-16 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0656 · 2023-11-16 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS5.32832
Nursing staff turnoverShare of nursing staff who left in a year50.5%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$15,593
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Lenawee Medical Care Facility

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
LENAWEE COUNTYOrganization100%since 09/01/1970
ELLEDGE, SARAIndividualNOT APPLICABLEsince 12/06/2017
GRAHAM, AMYIndividualNOT APPLICABLEsince 04/14/2025
JONES, KRISTIEIndividualNOT APPLICABLEsince 11/01/2021
JONES, LINDSEYIndividualNOT APPLICABLEsince 06/18/2023
MACNAUGHTON, THOMASIndividualNOT APPLICABLEsince 09/18/2015
REILLY, JENNIFERIndividualNOT APPLICABLEsince 06/17/2024
TUCKEY, ERINIndividualNOT APPLICABLEsince 09/27/2021
VERNIER, KIRKIndividualNOT APPLICABLEsince 06/18/2023
WILLIAMSON, BRANDYIndividualNOT APPLICABLEsince 08/20/2018
LENAWEE COUNTYOrganizationNOT APPLICABLEsince 09/01/1970
BLEVINS, CHRISTINAIndividualNOT APPLICABLEsince 09/01/2025
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Lenawee Medical Care Facility a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 235224.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction