Corewell Health Rehab: Unexplained Leg Wounds - MI
The inspection, completed August 14, 2025, centered on a single resident identified in records as R803. By the time inspectors arrived, the resident had visible open areas on the back of both lower legs. One was pink and shallow. The other appeared deeper, with a darker center.
Nobody could say how they got there.
RN "C," the facility's newly hired wound care coordinator, told inspectors she discovered the wounds during routine skin assessments. When asked what type of wounds they were and how the resident developed them, she said she did not know. She said she wasn't sure whether they were pressure ulcers or whether R803 had injured the legs on a wheelchair.
That uncertainty mattered. Without knowing what caused the wounds, there was no clear path to stopping them from getting worse.
The wounds had not appeared in any skin assessments or progress notes before August 5. A shower skin assessment dated August 6 documented impairment to both the right and left lower rear legs. By August 12, a consulting physician identified as Physician "B" examined R803 and completed a wound and vascular consultation. The right leg wound measured 2.3 centimeters by 0.3 centimeters. The left measured 2.3 centimeters by 1.5 centimeters.
That was the entirety of the documentation. No wound type. No cause. No description of tissue condition or wound edges. Nothing about how the wounds developed or what should be done to prevent them from deepening.
Two days later, when inspectors observed the wounds alongside RN "C," the left leg wound had grown. It now measured 2.5 by 5.0 centimeters, with a pink base and yellow slough, the dead tissue that signals a wound is not healing cleanly. The right leg showed a small open pink area. Neither wound had a documented explanation.
When inspectors brought the physician's consultation to the director of nursing and asked about it, the DON said it "should be more descriptive."
Then the DON acknowledged something broader. The facility had been having problems with wounds. It had not previously employed a wound care coordinator. RN "C" had been hired recently to fill that role.
Asked how the facility could prevent further wound breakdown when staff didn't know how R803 developed the wounds in the first place, the DON did not offer an answer to the underlying question.
Inspectors then asked for the facility's policy on managing non-pressure wounds. The facility produced only a pressure ulcer policy. There was no policy on non-pressure wounds at all.
That gap is not minor. Whether R803's wounds were pressure-related, caused by friction from a wheelchair, or the result of some other mechanism determines how they should be treated and what changes in positioning, equipment, or care routines might prevent them from worsening. Without a cause, the care plan is guesswork.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting few residents. It was the product of a complaint inspection, meaning someone had raised a concern about care at the facility before inspectors walked through the door.
Corewell Health Rehab & Nursing Center operates at 21450 Archwood Circle in Farmington Hills. The inspection was completed on August 14, 2025.
R803's wounds were still open that afternoon, a little larger than they had been two days earlier, on the backs of both legs, their origin unknown.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Corewell Health Rehab & Nursing Center-commons Far from 2025-08-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Corewell Health Rehab & Nursing Center-Commons Far in Farmington Hills, MI was cited for violations during a health inspection on August 14, 2025.
The inspection, completed August 14, 2025, centered on a single resident identified in records as R803.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.