Lenawee Medical Care Facility
200 Sand Creek Highway, Adrian, MI 49221
Lenawee Medical Care Facility, a 113-bed government - county nursing facility in Adrian, MI, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #190 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5172636794
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 3 / 5
- Average · CMS overall · nat'l 3.0
- #190 of 420
- In-state rank among rated MI homes
- 5.33
- Well above average · nurse hrs/day · nat'l 3.86
- 24
- Inspection findings · 5 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Lenawee Medical Care Facility, a 113-bed government - county nursing facility in Adrian, MI, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #190 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #190 of 420
- In-state rank among rated MI homes
- 5.33
- Nurse hrs/resident-day · national 3.86
- 24
- Inspection findings · 5 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 422 MI nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 235224
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 113
- Residents
- 111
- In Hospital
- No
- County
- Lenawee
- Last Inspection
- Mar 19, 2026
Staffing Data
How the 5.33 total nursing hours per resident-day are staffed:
- RN Hours
- 0.53 (nat'l avg: 0.69)
- LPN Hours
- 1.11
- CNA Hours
- 3.69
- Total Nursing Hours
- 5.33 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 50.5%
- RN Turnover
- 35.0%
What the CMS Record Reveals About Lenawee Medical Care Facility
According to CMS Nursing Home Compare, Lenawee Medical Care Facility ranks #190 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lenawee Medical Care Facility operates 113 certified beds in Adrian, MI with approximately 111 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 4★ · quality 5★).
The inspection file contains 24 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $16K levied against this facility. Reported nurse staffing runs 5.33 total hours per resident day (national average 3.86); RN hours specifically are 0.53 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Lenawee Medical Care Facility falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (24 most recent)
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 17, 2026
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Apr 17, 2026
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.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 17, 2026
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 17, 2026
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Apr 17, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Apr 17, 2026
Ensure that paid feeding assistants have the training they need.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 17, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 2, 2026
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Dec 11, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 29, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 1, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Dec 4, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 4, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 4, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 4, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 4, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 4, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 20, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 13.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 26.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 93.8% | No |
Penalty History 1 penalties totaling $16K
| Date | Type | Amount |
|---|---|---|
| Nov 16, 2023 | Fine | $16K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Lenawee Medical Care Facility, both outside MI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MI (113 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MI (5.83 here).
Nearby Nursing Homes in MI
421 other nursing homes are on record in MI; 6 are shown here.
Aberdeen Rehabilitation and Skilled Nursing Center
Trenton, MI
Adira Nursing and Rehabilitation
Saginaw, MI
Adrian Bay Rehabilitation and Nursing Center
Adrian, MI
Aerius Health Center
Riverview, MI
Alamo Cove Rehab and Nursing Center
Kalamazoo, MI
Allegan County Medical Care Facility
Allegan, MI
Understanding Nursing Home Data
What the CMS records show for Lenawee Medical Care Facility
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
- Peer homes near 113 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Lenawee Medical Care Facility?
Where does Lenawee Medical Care Facility rank among nursing homes in MI?
What are the staffing levels at Lenawee Medical Care Facility?
How many beds does Lenawee Medical Care Facility have?
Does Lenawee Medical Care Facility have any deficiencies on record?
Has Lenawee Medical Care Facility received any fines or penalties?
Who owns Lenawee Medical Care Facility?
When was Lenawee Medical Care Facility last inspected?
What quality measures are tracked for Lenawee Medical Care Facility?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
