Nursing Care Index

Lenawee Medical Care Facility

Adrian, Lenawee County, Michigan · CCN 235224 · Government (County) · not part of a chain

CMS rates Lenawee Medical Care Facility 3 of 5 overall as of August 2026. 113 certified beds, 111 residents a day on average. 24 citations on record from the current inspection cycles, 5 involving actual harm; 1 fine totalling $15,593.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing5.32832 hours per resident per day
Registered nurses0.52757 hours per resident per day
Weekend total4.64773 hours per resident per day
Nursing staff turnover50.5% (registered nurses 35%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-14
complaint survey
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 · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-06-12
2026-05-14
complaint survey
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-06-12
2026-05-14
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-05-14
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-05-14
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-03-19
complaint survey
Ensure that paid feeding assistants have the training they need.
Nursing and Physician Services Deficiencies · tag F0948
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-19 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-19 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-19 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-19 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 · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-19 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-02-05
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-02
2025-09-22
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-11
2025-06-25
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2025-05-29
2025-06-25
complaint survey
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 · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2025-06-13
2024-08-01
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-01
2023-11-16 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 · tag F0678
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-12-04
2023-11-16
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-04
2023-11-16 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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-04
2023-11-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-04
2023-11-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-04
2023-11-16 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.
Resident Rights Deficiencies · tag F0585
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-12-04
2023-10-19
complaint survey
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 · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-10-20

Fines and payment denials

DatePenaltyAmount
2023-11-16Fine$15,593

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Lenawee County
Organization
5% or greater direct ownership interest100%1970-09-01
Concept Rehab, Inc.
Organization
adp of the snf2024-01-01
Lenawee County
Organization
adp of the snf1970-09-01
Maner, Costerisan & Ellis, PC
Organization
adp of the snf2025-01-01
Michigan Post-Acute Medical Services 1 PC
Organization
adp of the snf2024-01-01
Morrison Management Specialists Inc.
Organization
adp of the snf2022-01-17
Lenawee County
Organization
operational/managerial control1970-09-01
Blevins, Christina
Individual
adp of the snf2025-09-01
Macnaughton, Thomas
Individual
adp of the snf2015-09-18
Tuckey, Erin
Individual
adp of the snf2025-11-13
Elledge, Sara
Individual
managing control - governing body2017-12-06
Graham, Amy
Individual
managing control - governing body2025-04-14
Jones, Kristie
Individual
managing control - governing body2021-11-01
Jones, Lindsey
Individual
managing control - governing body2023-06-18
Macnaughton, Thomas
Individual
managing control - governing body2015-09-18
Reilly, Jennifer
Individual
managing control - governing body2024-06-17
Tuckey, Erin
Individual
managing control - governing body2021-09-27
Vernier, Kirk
Individual
managing control - governing body2023-06-18
Williamson, Brandy
Individual
managing control - governing body2018-08-20
Blevins, Christina
Individual
operational/managerial control2025-09-01
Scarborough, Joyce
Individual
operational/managerial control2024-11-18

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lenawee County.