Federal inspection record · CMS data as of October 1, 2026
Monroe Springs Skilled Nursing and Rehab
700 Stewart Rd, Monroe, MI · (734) 240-1820
- Certified beds
- 89
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Avon Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1992
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Monroe Springs Skilled Nursing and Rehab carries 37 inspection points. That is fewer than 74% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care3D
- D
Assist a resident in gaining access to vision and hearing services.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspection history
2025-12-03
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-24
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-11-20
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
4 h 9 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 25% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.5 pts worse | 5.1 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 97.9% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 98.5% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 3.7% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.8% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 27.2% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts worse | 19.9% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.5 pts worse | 21.6% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts better | 10.5% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse | 23.3% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 90.7% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts worse | 13.4% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 2.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.5 pts better | 93.0% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts worse | 26.9% | 23.9% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Springs Bay Op Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Gottlieb, Moshe | 5% Or Greater Indirect Ownership Interest · Individual | 48% | 15 facilities |
| Avon Springs Bay Management LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Bhurgri, Aamer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bhurgri, Aamer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Freund, Eliyahu | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Freund, Eliyahu | Corporate Officer · Individual | 0% | 10 facilities |
| Freund, Eliyahu | Adp Of The SNF · Individual | 0% | 10 facilities |
| Gottlieb, Moshe | Adp Of The SNF · Individual | 0% | 15 facilities |
| Monroe Springs Property LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Saba, Gail | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wood, Krysten | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wood, Krysten | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have power receptacles that are properly grounded.
- D
Ensure proper usage of power strips and extension cords.
Smoke3F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have restrictions on the use of highly flammable decorations.
Egress1E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
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Other homes nearby
-
Fountain View of Monroe
Monroe, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Seacrest Rehabilitation and Nursing Center
Monroe, MI · Avon Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Medilodge of Monroe
Monroe, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0