Nursing Home Alerts

Lenawee Medical Care Facility

200 Sand Creek Highway, Adrian, MI 49221

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Lenawee Medical Care Facility is a nursing home in Adrian, Michigan. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(517) 263-6794
Last standard health inspection
March 19, 2026 (7 months ago)
Certified beds
113
Residents per day, on average
110.9
Ownership type
Government - County
Legal business name
Lenawee Medical Care Facility
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

Fewer health citations than the Michigan average (24 vs 32).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  3. CMS update of June 24, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  4. 5 citations

    Health inspection on May 14, 2026

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    112 of 422 Michigan homes (27%) got a citation at the actual harm level in 2026.

    • Citation F0600. Severity G: actual harm, isolated.

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

      CMS lists it as corrected on June 12, 2026.

      CMS has cited this home for F0600 2 times since 2023.

    • Citation F0604. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on June 12, 2026.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on June 12, 2026.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 12, 2026.

      CMS has cited this home for F0609 2 times since 2023.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on June 12, 2026.

      CMS has cited this home for F0610 2 times since 2026.

    See this home on CMS Care Compare

  5. 7 citations

    Health inspection on March 19, 2026

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0948. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that paid feeding assistants have the training they need.

      CMS lists it as corrected on April 17, 2026.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on April 17, 2026.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on April 17, 2026.

      CMS has cited this home for F0583 2 times since 2025.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on April 17, 2026.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 17, 2026.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on April 17, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 17, 2026.

    See this home on CMS Care Compare

  6. 3 citations

    Fire safety inspection on March 19, 2026

    CMS lists this as a standard inspection.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 2, 2026.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on April 2, 2026.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on April 2, 2026.

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  7. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 4 of 5.

  8. 1 citation

    Health inspection on February 5, 2026

    CMS lists this as a complaint inspection.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on March 2, 2026.

    See this home on CMS Care Compare

  9. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Staffing

      Total nurse staffing reported to CMS went from 5.5 to 5.0 hours per resident per day.

  10. 1 citation

    Health inspection on September 22, 2025

    CMS lists this as a complaint inspection.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on December 11, 2025.

    See this home on CMS Care Compare

  11. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

  12. 2 citations

    Health inspection on June 25, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    148 of 422 Michigan homes (35%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 29, 2025.

      CMS has cited this home for F0689 2 times since 2023.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on June 13, 2025.

    See this home on CMS Care Compare

  13. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  14. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5.

  15. 1 citation

    Health inspection on August 1, 2024

    CMS lists this as a complaint inspection.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on August 1, 2024.

    See this home on CMS Care Compare

  16. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

  17. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from November 16, 2023 from $23,989 to $15,593.

  18. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 3 of 5.

  19. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  20. 6 citations

    Health inspection on November 16, 2023

    CMS lists this as a standard inspection and a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    82 of 422 Michigan homes (19%) got a citation at the actual harm level in 2023.

    • Citation F0678. Severity G: actual harm, isolated.

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

      CMS lists it as corrected on December 4, 2023.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on December 4, 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 4, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on December 4, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 4, 2023.

    • Citation F0585. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 4, 2023.

    See this home on CMS Care Compare

  21. Fine

    November 16, 2023 (2 years ago)

    CMS fine of $15,593 on November 16, 2023.

    See this home on CMS Care Compare

  22. 1 citation

    Health inspection on October 19, 2023

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    82 of 422 Michigan homes (19%) got a citation at the actual harm level in 2023.

    • Citation F0600. Severity G: actual harm, isolated.

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

      CMS lists it as corrected on October 20, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Lenawee Medical Care Facility last inspected?

CMS lists March 19, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Lenawee Medical Care Facility have?

CMS lists 24 health citations since October 19, 2023. CMS also calls these deficiencies.

Has Lenawee Medical Care Facility been fined?

CMS lists 1 fine in the past three years, $15,593 in total.

What is the CMS star rating of Lenawee Medical Care Facility?

Its CMS overall star rating is 4 of 5.

Is Lenawee Medical Care Facility a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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