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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 124 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 64% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 16 findings, above the MI average of 9.8. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 113 analyzed
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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.”
“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.”
“The nurses were so helpful and caring- the physical therapy department was outstanding, the nursing assistants were compassionate.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
6
measures
1
measures
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 bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents who got a urinary tract infection
Residents on antipsychotic medication
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
Detailed Medicare record · up to 3-year lookback
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
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.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Sep 7, 2023
$201,851
Adrian Bay Rehabilitation and Nursing Center
for profit
Avon Healthcare
9 facilities nationwide
Chain avg rating: 2.4/5 · Rank 5 of 9
Owners
Springs Bay Op Holdco LLC
Owner · Organization
Freund, Eliyahu
Owner
Gottlieb, Moshe
Owner (parent company)
Freund, Eliyahu
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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124 reviews from families & visitors
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