The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Adrian Bay Rehabilitation and Nursing Center
Adrian, MI · Medicare-certified · 117 beds
In good standing
For-profitChain member
3 of 5 overall
Adrian Bay Rehabilitation and Nursing Center has a 3 out of 5 overall rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. Reported nurse staffing is 3.52 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5217 hrs/resident/day
Quality measures
Last inspection: December 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5217.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.18
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.3%10.4%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
6.1%1.3%Improving
Residents with a urinary tract infection
0%6.3%Worsening
Residents who lost too much weight
7.5%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17%12.3%Improving
Residents whose ability to walk got worse
20.1%7.7%Improving
Long-stay residents on antianxiety or sleep medication
21.4%18.6%Improving
Short-stay residents newly given an antipsychotic
4.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.8%29.3%Worsening
Residents with depressive symptoms
48.1%13.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—64.6%—
Short-stay residents given the pneumonia vaccine
91.6%89%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to keep essential equipment working safely. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $201,851 in total fines.
- $201,851
Federal fine
Sep 7, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVON HEALTHCARE · 9 homes · 2.6 stars avg
- Occupancy
- 85.2 residents on an average day (73% of 117 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.