Adrian Bay Rehabilitation and Nursing Center
Adrian Bay Rehabilitation and Nursing Center is a 117-bed nursing home in Adrian, Michigan. CMS has certified it for Medicare and Medicaid since 1976-05-01. It averages 95.8 residents a day.
What harm was found in the violations cited at Adrian Bay Rehabilitation and Nursing Center?
CMS lists 41 health-inspection deficiencies for Adrian Bay Rehabilitation and Nursing Center since 2023-05-11, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-22.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-04-22 | F0684, F0842 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-09 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-12-09 | F0609, F0658 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-06-12 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2025-06-12 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-06-12 | F0678, F0684, F0689, F0757, F0761, F0842, F0880 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-06-12 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B |
| 2024-07-19 | F0908 | Keep all essential equipment working safely. | F |
| 2024-07-19 | F0695, F0808 | Provide safe and appropriate respiratory care for a resident when needed. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2023-10-24 | F0803, F0809, F0812 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-24 | F0550, F0806 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E |
| 2023-10-24 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2023-10-24 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | C |
| 2023-09-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-05-11 | F0686, F0689 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-05-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-05-11 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2023-05-11 | F0578, F0641, F0656, F0657, F0684, F0688, F0758, F0759, F0880, F0888 | Honor 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Implement 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. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. / Ensure staff are vaccinated for COVID-19 | D |
Why was Adrian Bay Rehabilitation and Nursing Center fined?
| Date | Type | Amount |
|---|---|---|
| 2023-09-07 | Fine | $201,851 |
How is Adrian Bay Rehabilitation and Nursing Center staffed relative to the MI average?
| Measure | This facility | MI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.41660 | 3.99072 |
| Total nursing staff turnover (%) | 31.8 | 44.1 |
| Average number of residents per day | 95.8 | 85.9 |
Who owns Adrian Bay Rehabilitation and Nursing Center, and what chain is it in?
Adrian Bay Rehabilitation and Nursing Center is registered with CMS as For profit - Corporation, operates under the legal business name ADRIAN BAY OPERATING LLC and belongs to the AVON HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SPRINGS BAY OP HOLDCO LLC | since 07/31/2023 |
| DIRECT OWNERSHIP INTEREST | FREUND, ELIYAHU | since 07/31/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | GOTTLIEB, MOSHE | since 07/31/2023 |
| INDIRECT OWNERSHIP INTEREST | FREUND, ELIYAHU | since 07/31/2023 |
| MANAGING CONTROL - GOVERNING BODY | FREUND, ELIYAHU, GOTTLIEB, MOSHE | since 07/31/2023 |
| CONTRACTED MANAGING EMPLOYEE | GUPTA, SOMIL | since 07/31/2023 |
| W-2 MANAGING EMPLOYEE | GILBERT, CHRISTINA, HOEVEMEYER, AMANDA | since 07/31/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | AVON SPRINGS BAY MANAGEMENT LLC, GILBERT, CHRISTINA, GUPTA, SOMIL, HOEVEMEYER, AMANDA | since 01/02/2025 |
| ADP OF THE SNF | AVON SPRINGS BAY MANAGEMENT LLC, MONROE SPRINGS PROPERTY LLC, SPRINGS BAY OP HOLDCO LLC, FREUND, ELIYAHU, GOTTLIEB, MOSHE, GUPTA, SOMIL, HOEVEMEYER, AMANDA | since 01/09/2025 |
Were you or a family member harmed at Adrian Bay Rehabilitation and Nursing Center?