Adira Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 82 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (27 vs median 8.0)
- High staff turnover (70%)
- High RN turnover (73%)
Bottom 25% in MI · Below recommended RN staffing · Very high staff turnover · Worst in PREFERRED CARE chain · No penalties on record
What this means for your family
Adira offers a clean environment with a highly regarded therapy team, making it a potential option for short-term rehabilitation. However, families must be vigilant regarding basic care needs; we strongly recommend asking how the facility ensures call lights are answered promptly and how they manage medication schedules, as these are recurring points of failure in recent reviews.
Google Reviews
Google Reviews
82 reviews on Google“Adira Nursing and Rehabilitation receives highly polarized feedback, with many families praising the facility's physical environment and dedicated therapy staff, while others report severe concerns regarding neglect and communication. While some visitors describe a warm, attentive atmosphere, multiple reviewers have documented critical failures in basic care, including delayed response times to call lights, medication management issues, and poor wound care. Families should be aware that experiences appear to vary significantly depending on the specific staff on duty and the time of week.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Clean, modern, and well-maintained facility
- Warm and compassionate individual staff members
- Private rooms available for residents
Concerns
- Excessive response times for call lights and basic assistance (mentioned by 7 reviewers)
- Poor communication between shifts and with family members (mentioned by 4 reviewers)
- Inadequate wound care and hygiene management (mentioned by 4 reviewers)
- Medication management delays and pain control issues (mentioned by 3 reviewers)
- Understaffing, particularly on weekends (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 66 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; what is your current process for ensuring that family concerns are communicated effectively across different shifts?
- 2Given that physical and occupational therapy are noted as strengths here, how do you integrate those services into a resident's daily routine to ensure they stay active and engaged?
- 3With the current staffing levels, what specific protocols do you have in place to ensure that call lights and requests for basic assistance are addressed in a timely manner?
- 4Could you walk me through your current system for medication management and how you ensure that residents receive their pain relief and treatments exactly as scheduled?
- 5I understand that hygiene and wound care are critical for resident health; what oversight measures are in place to ensure these tasks are consistently performed to a high standard?
- 6Since weekends can sometimes be challenging for staffing, how do you maintain consistent care quality and support for residents during those days?
Personalized based on this facility's data
Key Review Excerpts
“The ladies who work in the Memory Care unit of Adira- are the best. It is a challenging, exhausting job and they do their best to care for everyone with kindness and respect.”
“However, there is a fundamental lack of communication between shifts, call lights can go unanswered for extremely long periods of time, and the pharmacy used at this facility is truly awful at responding to medication changes.”
“I needed assistance to the bathroom. Call light was answered after an hour, which than I had to urinate on myself. I had to wait 2 hours pass my time fore my pain medication for breakthrough pain.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Adira has faced significant problems, with 23 deficiencies triggered by family complaints. The facility repeatedly struggles with pressure ulcer care, medication management, and infection control across multiple surveys since 2022. While all issues show correction dates, the persistent pattern of similar problems—particularly pressure ulcer care appearing in complaint reports twice—suggests ongoing care quality challenges that families should carefully investigate before choosing this facility.
Jan 22, 2026Routine11
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
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.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Sep 16, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 6, 2025Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Oct 31, 2024Complaint5
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
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.
Oct 31, 2024Routine20
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Sep 18, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ownership & Operations
Who Operates This Facility
Adira Nursing and Rehabilitation
for profit
Chain Affiliation
Preferred Care
13 facilities nationwide
Chain avg rating: 3.5/5 · Rank 13 of 13 (Worst)
Ownership & Management
Owners
Saginaw N Opco Holdco LLC
Owner · Organization
Green, Dov
Owner (parent company)
Klein, Yoni
Owner (parent company)
Schnell, David
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
82 reviews from families & visitors
Official Website
Visit adiranar.com
Medicare data downloads
Original nursing home datasets
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