South Lyon Senior Care and Rehab Center

In the surveyor’s words

From the most serious findings on record at South Lyon Senior Care and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 15, 2026

  This citation pertains to intake. 3032954Based on observation, interview and record review, the facility failed to safeguard an appropriately sized wheelchair cushion for one (R702) of two residents reviewed for accidents resulting in R702 falling to the floor, that required hospitalization for treatment of a large laceration requiring 24 sutures and pain. Findings include.Clinical record review revealed R702 was admitted on [DATE]. R702 had Activity of Daily Living (ADL) deficits related to peripheral vascular disease, history of falls related stroke with left sided weakness, vertebral stenosis and vertebral bone spurs. According to the Minimum Data Set (MDS) assessment dated [DATE], R702 required transfer with one-person assist and utilized a wheelchair. […]

• Actual harm, isolatedF684Sep 11, 2025

  This citation pertains to Complaint #2610789.Based on interview and record review, the facility failed to adequately assess, monitor, and treat in a timely manner a resident's change in condition for one (R801) of one resident reviewed for change in condition, resulting in family calling 911 and the resident requiring treatment for hypoglycemia (low blood sugar) with a blood glucose level of 24 milligrams per deciliter (mg/dl). Findings include:A review of a complaint submitted to the State Agency revealed the complainant received a call from R801 on 9/8/25 at approximately 6:00 AM and the resident's speech was slurred, and the complainant could not understand him. The complainant contacted 911 because they were concerned R801 could be having a stroke. […]

• Actual harm, isolatedF689Jan 24, 2024

  This citation pertains to Intake #MI00140638 This citation has two deficient practices. Deficient practice #1 Based on observation, interview and record review the facility failed to consistently monitor and ensure appropriate interventions were in place for one (R171), a severely cognitively impaired resident with a history of falls and wandering, out of four residents reviewed for abuse/accidents, resulting in multiple falls leading to a hip fracture, skin tears requiring sutures, bruising, pain and hospitalization s. Findings include: On 1/22/24 at approximately 1:09 PM, R171 was observed in their room in bed. The resident had gauze wrapped around their left wrist and lower arm. The resident was alert. […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2026

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a sanitary manner resulting in the potential to spread foodborne illness to all residents that consume food from the kitchen.Findings Include: On 04/13/2026 9:31 a.m., the initial tour of the kitchen was conducted with Dietary Director L (DD L) and the following areas of concern were observed:A buildup of scaling was observed on both sides of the ice machine in the upper hinge area.A build-up of food debris was observed on multiple ready to use plastic bins. According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. […]

• No harm, potential for more than minimal, patternF584Feb 20, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, homelike environment, in 12 resident rooms (Room #s 101, 106, 108, 111, 114, 115, 117, 118, 119, 120, 122, and 123), in multiple shower rooms and throughout the hallways. Findings include: On 2/18/25 between 11:00 AM - 2:00 PM, observations of the A and B halls revealed the following environmental concerns: room [ROOM NUMBER]-1 was observed to have damaged drywall near the right side of the bed that was heavily gouged out. The flooring of the room contained scattered wrappers. room [ROOM NUMBER]-2 was observed to have an overbed light that was approximately five to six inches long (unable to be reached by the resident). The flooring near and under the resident's bed had scattered debris. […]