Lenawee Medical Care Facility

200 Sand Creek Highway, Adrian, MI 49221 · CCN 235224 · 113 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-05-14 — ACTUAL HARM (tag F0604, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2026-05-14 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-06-25 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-11-16 — ACTUAL HARM (tag F0678, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2023-10-19 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

4.94

state median 3.44

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −6%

RN hours / resident / day

0.21

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

51%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $15,593 in fines.

Date	Type	Amount
2023-11-16	Fine	$15,593

Ownership

Ownership type: Government - County.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 18

Survey date	Tag	Category	Severity	Corrected
2026-05-14	F0550	Resident Rights Deficiencies	D	not recorded
2026-05-14	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-05-14	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-05-14	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-14	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-19	F0554	Resident Rights Deficiencies	D	not recorded
2026-03-19	F0583	Resident Rights Deficiencies	D	not recorded
2026-03-19	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-19	F0688	Quality of Life and Care Deficiencies	D	not recorded
2026-03-19	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-03-19	F0880	Infection Control Deficiencies	D	not recorded
2026-03-19	F0948	Nursing and Physician Services Deficiencies	E	not recorded
2026-02-05	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-09-22	F0583	Resident Rights Deficiencies	D	not recorded
2025-06-25	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-25	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-08-01	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-16	F0585	Resident Rights Deficiencies	B	not recorded
2023-11-16	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-16	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-16	F0678	Quality of Life and Care Deficiencies	G	not recorded
2023-11-16	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-11-16	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-10-19	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Lenawee Medical Care Facility, Adrian” at medicare.gov/care-compare.