The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Lenawee Medical Care Facility
Adrian, MI · Medicare-certified · 113 beds
In good standing
Government-run
5 of 5 overall
Lenawee Medical Care Facility has a 5 out of 5 overall rating, with 4 out of 5 for health inspections and staffing and 5 out of 5 for quality measures. It reports 5.22 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.2201 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2201.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.18
- Nurse aides
- 3.54
- Weekend nursing
- 4.63
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.4%Steady
Residents with a fall causing major injury
5.2%Improving
Residents with pressure ulcers (bedsores)
1.6%Worsening
Residents with a urinary tract infection
0.7%Steady
Residents who lost too much weight
4.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.5%Worsening
Residents whose ability to walk got worse
17%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.6%Improving
Short-stay residents newly given an antipsychotic
0.9%Worsening
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
28.6%Improving
Residents with depressive symptoms
3.6%Improving
Long-stay residents given the seasonal flu vaccine
96.3%Steady
Long-stay residents given the pneumonia vaccine
99.8%Steady
Short-stay residents given the seasonal flu vaccine
93.8%Steady
Short-stay residents given the pneumonia vaccine
99%Steady
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure paid feeding assistants had the training they needed. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 948 — 42 CFR §483.95 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
- $15,593
Federal fine
Nov 16, 2023
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 110.8 residents on an average day (98% of 113 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 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.