Springcreek Rehabilitation and Nursing Center
130 Sand Creek Highway, Adrian, MI 49221 · CCN 235504
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 114
- Avg residents/day
- 88.5
- Phone
- 5172656554
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-20 | 12 | 9.9 | 9.5 | +2.1 worse |
| 2 | 2023-10-11 | 9 | 11.4 | 9.8 | -2.4 better |
| 3 | 2022-08-23 | 30 | 12.0 | 9.3 | +18.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.54 | 55.2% |
| RN staffing (reported) | 0.41 | 42.9% |
| Total nurse staffing (adjusted) | 3.85 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- AVON HEALTHCARE
- Facilities in chain
- 9
- Chain avg overall
- 2.40 / 5
Inspection citations (51)1 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-06 · Health · corrected 2026-01-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-06 · Health · corrected 2026-01-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-29 · Health · corrected 2025-06-12
Potential for more than minimal harm
- CF0574The resident has the right to receive notices in a format and a language he or she understands.2024-12-20 · Health · corrected 2025-01-14
Potential for minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0761Ensure 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.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-20 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-11 · Health · corrected 2023-10-25
Actual harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- EF0761Ensure 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.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-11 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- EF0585Honor 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.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0761Ensure 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.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- CF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-08-23 · Health · corrected 2022-09-27
Potential for minimal harm
- DF0885Report COVID19 data to residents and families.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-08-23 · Health · corrected 2022-09-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RENEWAL HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-05-10 |
| FREUND, ELIYAHU | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-05-10 |
| GOTTLIEB, MOSHE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-05-10 |
| KOENIG, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2022-05-10 |
| ILLUMINATE HC LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 |
| FRANKEL, ELIYAHU | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-01 |
| HEIDGER, SANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-22 |
| JOHNCOX, KELLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-09 |
| YALAVARTHI, JYOTHSNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-10 |
| SCRATCH, DANA | Individual | CORPORATE DIRECTOR | — | 2022-02-01 |
| FRANKEL, ELIYAHU | Individual | CORPORATE OFFICER | — | 2018-10-01 |
| FREUND, ELIYAHU | Individual | CORPORATE OFFICER | — | 2022-05-10 |
Other facilities in Adrian
| Name | Overall | Beds |
|---|---|---|
| Lenawee Medical Care Facility | ★★★★★ | 113 |
| Lynwood Manor Healthcare Center | ★★★☆☆ | 84 |
| Adrian Bay Rehabilitation and Nursing Center | ★★☆☆☆ | 117 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.