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Nursing HomeMedicaid

Adrian Bay Rehabilitation and Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

700 Lakeshire Trail, Adrian, MI 49221117 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 115 Google reviews

5
4
3
2
1
Adrian Bay Rehabilitation and Nursing Center Nursing Home in Adrian, MI — Street View
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What this means for your family

This facility has a strong reputation for physical and occupational therapy, making it a viable option for short-term rehabilitation. However, families should be aware of recurring reports regarding slow response times to call lights and inconsistent communication; we strongly recommend visiting in person and asking specifically about their current nurse-to-patient ratios and escalation procedures for medical emergencies.

Google Reviews

Google Reviews

115 reviews on Google
Adrian Bay Rehabilitation and Nursing Center receives highly polarized reviews, with many families praising the compassionate, attentive nursing and therapy staff, while others report severe lapses in care. While many residents and families express gratitude for the rehabilitation services and friendly environment, significant concerns persist regarding staffing levels, slow response times to call lights, and inconsistent communication during medical emergencies.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean8.0Activities8.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly praised rehabilitation therapy team
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Helpful and welcoming administrative staff

Concerns

  • Slow response times to call lights and patient requests (mentioned by 5 reviewers)
  • Understaffing leading to neglect or delayed care (mentioned by 6 reviewers)
  • Poor communication with families regarding medical status or incidents (mentioned by 4 reviewers)
  • Inconsistent or poor quality of food (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2342.7'19(3)4.02.3'21(6)3.64.4'23(5)3.24.5'25(44)4.5'26(24)

Distribution · 104 analyzed

5
70
4
11
3
4
2
2
1
17
10 reviews posted between Jan 7, 2025Jan 11, 2025 · 10 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through your review responses; how do you typically keep families updated on any changes in a resident's medical status or daily care?
  • 2We have heard great things about your rehabilitation therapy team; could you tell us more about how the therapists work with residents to help them regain their independence?
  • 3How do you ensure that call lights and resident requests are addressed promptly, especially during the busier shifts or overnight hours?
  • 4Could you describe the meal service and how you ensure the food is both nutritious and enjoyable for the residents every day?
  • 5What is your process for managing medications to ensure everything is handled accurately and safely for each resident?
  • 6What kind of daily activities or social events do you have planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The therapy team helped tremendously so my loved one could go home. Great support from staff.

Rehab patient's family · 2025★★★★★

My grandmother was there this past year in December and she was left seizing all night and all day until my mother and my uncles showed up and they seen her seizing and they all begged this place to call 911 and they refused until my uncle flipped out on them.

Grandchild of resident · 2024☆☆☆☆

The nurses were so helpful and caring- the physical therapy department was outstanding, the nursing assistants were compassionate.

Daughter of resident · 2025★★★★★
Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
3.52hrs
86%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
12.1%
MI
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.5%
Worse than Avg
Here
24.5%
US
19.4%
MI
20.2%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
3.2%
MI
3.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
15.4%
MI
15.0%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility4.3%
Worse than Avg
Here
4.3%
US
1.6%
MI
1.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility64.6%
Worse than Avg
Here
64.6%
US
79.7%
MI
79.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
81.8%
MI
83.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Mixed vs Avgs
Here
1.5%
US
1.6%
MI
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Above state avg (9.8)
14 complaint-triggered
$245,476 in fines

Families have filed multiple complaints about Adrian Bay Rehabilitation and Nursing Center, triggering 14 deficiencies including serious concerns about accident prevention, medication management, and dietary services. The facility shows recurring problems with safety hazards, fire safety systems, and nutrition across multiple surveys from 2023 to 2025, though all issues have correction dates. Recent complaints involved failure to report suspected abuse and pharmacy service problems, suggesting ongoing care quality concerns that warrant careful consideration.

Dec 9, 2025Complaint
3
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jun 12, 2025Routine
11
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0577Minimal · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Jun 12, 2025Complaint
2
0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 19, 2024Routine
8
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Oct 24, 2023Complaint
7
0809Potential for harm · WidespreadCorrected

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0804Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Sep 7, 2023Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Sep 7, 2023

$201,851

Ownership & Operations

Who Operates This Facility

Owner / Operator

Adrian Bay Rehabilitation and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Avon Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 2.4/5 · Rank 5 of 9

Ownership & Management

Owners

Springs Bay Op Holdco LLC

Owner · Organization

100%

Freund, Eliyahu

Owner

Gottlieb, Moshe

Owner (parent company)

48%

Freund, Eliyahu

Owner (parent company)

Key personnel

Freund, EliyahuManaging Control - Governing BodyGottlieb, MosheManaging Control - Governing BodyGupta, SomilContracted Managing EmployeeGilbert, ChristinaW-2 Managing EmployeeHoevemeyer, AmandaW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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