Deficiency Records for South Lyon Senior Care and Rehab Center, L L C

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Updated as of April 01, 2024

A list of the most recent deficiencies for South Lyon Senior Care and Rehab Center, L L C. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-24 2024-02-14 Y
Conduct testing and exercise requirements. Fire Safety 2024-01-23 2024-02-14 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-23 2024-02-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-07 2023-12-18 Y
Provide and implement an infection prevention and control program. Health 2023-02-16 2023-03-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-16 2023-03-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-16 2023-03-08 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-02-16 2023-03-08 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-02-16 2023-03-08 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-02-16 2023-03-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-16 2023-03-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-16 2023-03-08 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-02-16 2023-03-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-16 2023-03-08 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-11-04 2021-12-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-11-04 2021-12-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-11-03 2021-12-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-11-03 2021-12-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-03 2021-12-01 N
Have proper medical gas storage and administration areas. Fire Safety 2021-11-03 2021-12-01 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-11-04 2021-11-18 Y