Deficiency Records for South Lyon Senior Care and Rehab Center, L L C
Updated as of March 01, 2019
This is not the most recent data for South Lyon Senior Care and Rehab Center, L L C. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-10 | 2018-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-10 | 2018-11-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-10 | 2018-11-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-10 | 2018-11-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-10 | 2018-11-07 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-10 | 2018-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2018-11-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-10 | 2018-11-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-10-10 | 2018-11-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-10-10 | 2018-11-07 | 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 | 2018-10-10 | 2018-11-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-10 | 2018-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-11 | 2018-09-26 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-24 | 2017-08-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-14 | 2017-08-11 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-07-14 | 2017-08-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-14 | 2017-08-11 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-13 | 2017-08-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-13 | 2017-08-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-07-13 | 2017-08-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-13 | 2017-08-11 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-07-13 | 2017-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-13 | 2017-08-11 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-07-13 | 2017-08-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-13 | 2017-08-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-13 | 2017-08-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-13 | 2017-08-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-13 | 2017-08-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-21 | 2017-01-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-24 | 2016-09-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-24 | 2016-09-23 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-06-15 | 2016-07-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-15 | 2016-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-15 | 2016-07-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-06-15 | 2016-07-08 | N |
