Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Monroe Springs Skilled Nursing and Rehab

Monroe, MI · 89 certified beds · Last Life Safety survey December 3, 2025

CMS Certification Number 235520 · first certified July 1992

Ownership

Operated by AVON HEALTHCARE · For profit - Individual

  • Ownership changed July 31, 2023 (change of ownership)to MONROE SPRINGS REHAB AND NURSING CENTER from MONROE COMMUNITY HEALTH SERVICES
10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within MI

10 citations — more than 32% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was December 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility10MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-1152024-1012025-12
Citations at each Life Safety survey
Survey dateCitations
November 20, 20234
October 24, 20245
December 3, 20251

Most-cited tags

Most-cited tags at this facility
K-03532K-03211K-05111K-09121K-02251K-09201K-07531K-05211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-24
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-10-24
K-0511Have properly installed electrical wiring and gas equipment.12023-11-20
K-0912Have power receptacles that are properly grounded.12024-10-24
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12023-11-20
K-0920Ensure proper usage of power strips and extension cords.12023-11-20
K-0753Have restrictions on the use of highly flammable decorations.12024-10-24
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-10-24

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 3
  • Services Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies3
Services Deficiencies2
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 3, 2025 — 1 citation

Citations issued on December 3, 2025
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 19, 2025)

October 24, 2024 — 5 citations

Citations issued on October 24, 2024
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 8, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 8, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 8, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (November 8, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (November 8, 2024)

November 20, 2023 — 4 citations

Citations issued on November 20, 2023
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (December 5, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 5, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 5, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 5, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.