Shelby Health and Rehab: Family Left in Dark on Wounds - MI
The resident, identified in inspection records only as R120, arrived at the facility with a pressure ulcer already forming near the tailbone. Over the following weeks, the wounds multiplied. Treatment records show order changes for heel wounds on April 5 and again on April 16. A new wound appeared on the right lower extremity on April 18. A skin tear on the top of the left foot required treatment starting April 22. By April 24, a wound consultant documented that three separate wounds on the resident's buttocks had merged into one.
Nobody called the family.
Inspectors reviewing progress notes found no documented contact with the power of attorney about any of those changes, not the new wounds, not the shifting treatments, not the additions to the care plan. Between April 6 and April 15 alone, staff added nine new care plan entries, including risks for dehydration, constipation, behavioral changes, and an active urinary tract infection. The family learned none of it through official channels.
R120 was almost entirely dependent on staff. The resident had severe cognitive impairment and required help with dressing, toileting, rolling in bed, and transferring. The family's only real window into what was happening came from asking a floor nurse directly about the wound dressings and whether R120 was eating enough.
The unit manager, when interviewed on April 30, acknowledged the staff complaints and said staff "may be able to do better." The director of nursing said a new team was in place and improvements were underway. Care conference notes from March 30 and March 31 showed the plan of care section had been left blank.
The social worker confirmed the power of attorney had sent an email raising concerns about wound care and nutrition. It had been forwarded to the administrator and other staff. There is no record it prompted a call back to the family.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Shelby Health and Rehabilitation Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
Shelby Health and Rehabilitation Center in Shelby Township, MI was cited for violations during a health inspection on April 30, 2026.
The resident, identified in inspection records only as R120, arrived at the facility with a pressure ulcer already forming near the tailbone.
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.