Springcreek Rehabilitation and Nursing Center

    130 Sand Creek Hwy, Adrian, MI, 49221
    3.3 · 61 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff, inconsistent unsafe care

    I saw two sides: many compassionate, knowledgeable caregivers and a wonderful rehab team who treated us like family and kept us updated - I'm grateful for those staff. But care was wildly inconsistent: unresponsive, at-times negligent management, frequent staffing changes, medication errors, long call-button delays, unsanitary, small rooms, facility disrepair and even infections/hospital transfers. I'd only recommend with extreme caution - visit in person, ask detailed questions, and verify staffing and cleanliness.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.30 · 61 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      1.8
    • Amenities

      1.6
    • Value

      2.3

    Pros

    • Compassionate and caring staff
    • Several exemplary nurses by name (Erica M, Megan, Makenzie, Kelsi, Chris)
    • Strong, effective rehab program and physical therapist (Aaron)
    • Helpful, attentive nursing and caregiving staff who go above and beyond
    • Good communication and family updates in many cases (calls, FaceTime, photos)
    • Supportive end-of-life and hospice collaboration
    • Some families experienced 24/7 access and regular reassurance
    • Staff who treat residents like family and maintain dignity
    • Occasional reports of a clean, well-kept room/facility
    • Activities available (bingo, TV, card games)
    • Smooth transitions and helpful intake support from outside staff (Oasis)
    • Examples of high-quality short-term rehab and successful discharge home

    Cons

    • Mismanagement and unqualified or unresponsive management
    • Chronic staffing problems and frequent staff turnover
    • Understaffing leading to long delays for assistance (call lights delayed 10–30 minutes, up to nine hours)
    • Neglect, patient abuse, and safety incidents (fall/bed safety risks, seizures not reported)
    • Medication administration errors and withholding of meds (meds in cups, one-handed dosing risk, meds given without approval)
    • Poor and inconsistent infection control and discharge practices (discharge while infected)
    • Facility disrepair (peeling wallpaper/paint, leaking ceilings, exposed drywall dust)
    • Unsanitary conditions (rusty sinks, soiled linens, urine smell, backed-up toilets)
    • Lost or damaged personal belongings (dentures lost, belongings misplaced)
    • Poor or inconsistent janitorial service and visible dust
    • Food complaints (poor quality, repetitive menu, cold meals, insufficient assistance for dementia patients)
    • Privacy violations and staff misconduct (belittling residents, cigarette smell on staff)
    • Poor communication in many cases (no med list provided, inadequate updates)
    • Overworked and undertrained staff leading to indifference or rudeness
    • Crowded, very small rooms and limited common space
    • Additional undisclosed costs for activities and limited amenities (no courtyard, prison-like environment)
    • Reports of malnutrition, dehydration, pressure sores, infections, hospital transfers, and deaths
    • Inconsistent COVID-19 policies: restrictive visitation for some, but variable enforcement and experience
    • Racism and money-driven practices alleged by some reviewers
    • Inconsistent quality: reviews range from top-notch care to 'worst place'

    Summary review

    Overall sentiment across the reviews is highly mixed and polarized, with persistent themes of both notable individual staff excellence and systemic operational failures. A significant portion of reviewers praise specific caregivers and clinical staff — nurses named Erica M, Megan, Makenzie, Kelsi, and Chris; and physical therapist Aaron — and recount positive rehabilitation outcomes, compassionate end-of-life care, reliable hospice collaboration, and strong communication in certain cases (regular updates, photos, FaceTime, 24/7 access for family). Several families explicitly state they felt peace of mind and that loved ones were treated like family. The rehab program is repeatedly called out as a strength when it works well, with some residents leaving stronger and returning home successfully.

    Contrasting these positive reports are numerous, detailed complaints pointing to systemic problems. Management is frequently described as mismanaged, unresponsive, or unqualified, with scheduling incompetence, frequent staffing changes, and suggestions that overtime practices are used to avoid mandates. Staffing shortages and turnover are recurring complaints; reviewers link these shortages to long delays for basic assistance (call lights often taking 10–30 minutes or far longer, including a report of a nine-hour wait for care), missed or delayed medications, and inattentive or overworked staff. Several accounts describe neglectful or abusive behavior, safety risks (a patient half off the bed, seizure-like episodes not properly handled), and serious clinical failures including dehydration, malnutrition, pressure sores, infections, hospital transfers, and at least one death attributed by a reviewer to substandard care.

    Medication and clinical management concerns are prominent: reports include medications being dispensed in a cup (raising dosing and contamination risks), medications being withheld or administered without proper approval, no medication list being provided to families, and missed or delayed meds. These problems compound safety and trust issues and are tied by reviewers to inadequate clinical oversight. Communication experiences vary widely: some families received proactive updates, photos, and facilitated remote contact, while others report poor communication, lack of transparency, missing documentation, and unresponsiveness from management when complaints were filed.

    Facility condition and cleanliness are another major area of concern. Multiple reviewers cite physical disrepair (peeling wallpaper and paint, leaking ceilings, exposed drywall dust), soiled and tattered linens, rusty fixtures, backed-up toilets, and pervasive smells such as urine or cigarette odor on staff. These descriptions paint an environment some reviewers call unsanitary or beyond disgusting. Janitorial service is described as inconsistent, with visible dust and inadequate housekeeping in many reports. Conversely, a minority of reviewers describe a clean, well-kept facility — illustrating stark variability or uneven maintenance across units or time.

    Dining and activities receive mixed assessments. Several reviewers complain about poor food quality (cold meals, repetitive menus, inability of dementia patients to eat without assistance, insufficient fluids or snacks) while a few note good meals. Activities are mentioned (bingo, TV, cards), but reviewers also note limited engagement, small or limited common areas, and undisclosed fees for some activities. Rooms are frequently described as very small and crowded, and some reviewers lament the lack of outdoor courtyard or more welcoming decor.

    Notable patterns include extreme variability in individual experiences: many families praise specific staff members and clinical teams for compassionate, high-quality care, while others report serious clinical neglect, safety lapses, and mismanagement. Several reviewers specifically praise the staff who “go above and beyond,” while other accounts describe rudeness, indifference, or even abusive conduct. Management responsiveness is another dividing line — where communication and oversight are good, families felt reassured; where it was poor, families filed complaints and some advised others to avoid the facility entirely.

    In summary, Springcreek Rehabilitation and Nursing Center appears to deliver excellent, even exceptional care in certain cases — particularly within the rehab program and from named clinical staff — but it also shows recurring, systemic issues including staffing instability, management failures, medication and safety lapses, and significant facility maintenance and sanitation problems. Prospective residents and families should weigh the facility's demonstrated capacity for compassionate, effective individual care against the clear and frequent reports of organizational, environmental, and safety concerns. If considering placement, families should ask specific, documented questions about staffing levels, medication procedures, infection control, recent complaints and resolutions, room conditions, and the availability of named staff (therapists and nurses) who have been praised, and should seek frequent, written updates during any stay.

    Location

    Map showing location of Springcreek Rehabilitation and Nursing Center

    About Springcreek Rehabilitation and Nursing Center

    Springcreek Rehabilitation and Nursing Center sits in the community with 114 certified beds and usually around 80 residents daily, offering long-term care, short-term rehab between the hospital and home, sub-acute rehabilitation, and hospice and respite care, and there's a special secured memory care neighborhood for those needing more support. The medical team, including skilled nurses and specialized staff, stays on site around the clock, providing physical, occupational, and speech therapy, and they help with personal care, medication reminders, enteral and tube feeding, IV therapy, oxygen therapy, and even pet therapy. For folks with specific needs, there are services for C-Diff and MRSA, as well as support for psychological and mental illness, respiratory therapy, cardiac telemetry, and orthopedic rehabilitation, and they also welcome outpatient rehab patients. The center accepts many forms of payment like private insurance, Medicare, Medicaid, military VA benefits, cash, and check, offering all-inclusive rent options and some nice touches like spa/whirlpool, a computer room, and internet everywhere, with cable or satellite TV in bedrooms and common spaces.

    You're allowed to have visits from your pets, and residents can smoke if they wish. Staff help with grooming and hair care, errands like grocery and pharmacy visits, and they run transportation for appointments. Residents can join in arts and crafts, music, literary and educational programs, exercise classes-including Tai Chi and Yoga/stretching-and outings or field trips, plus there are hobbies, board games, books, TV, cards, and arrangements for social and cultural programs, including horticultural activities and unique events aimed at keeping people involved. There's room service and communal dining, guest meals, parking, fitness facilities, and on-site religious services, and veterans have help with VA Aid Assistance if they qualify. Staff aim to know residents and families well, with a focus on professionalism and responsibility, trying to make everyone as comfortable as possible while promoting "New Frontiers in Patient Care" with 24-hour nursing and specialty care in place.

    Now, Springcreek is a for-profit center run by Illuminate HC LLC since January 2022, with Eliyahu Frankel as manager since October 2018, and inspection reports have noticed 48 deficiencies, including one related to infection control and several around hospice arrangements, care planning, and making sure treatments follow orders and preferences, so the facility has work to do in those areas. The nurse hours per resident are 3.58, below the state average, and nurse turnover stands higher than state numbers, pointing to some staffing challenges, but the team is still dedicated to helping residents feel cared for, and many community members rely on Springcreek for reliable rehab, nursing, and end-of-life support.

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