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

(Home page)

Updated as of August 01, 2020

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?
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2019-12-19 2020-01-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-12-19 2020-01-03 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-12-19 2020-01-03 N
Provide properly protected cooking facilities. Fire Safety 2019-12-19 2020-01-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-18 2020-01-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-12-18 2020-01-03 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-12-18 2020-01-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-18 2020-01-03 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 necessary and PRN use is limited. Health 2019-12-18 2020-01-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-18 2020-01-03 N
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 necessary and PRN use is limited. 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