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Complaint Investigation

Sheffield Manor Nursing & Rehabilitation Center

February 26, 2026 · Detroit, MI · 15311 Schaefer Rd
Citations 1
CMS Rating 3/5
Beds 106
Provider ID 235492
Healthcare Facility
Sheffield Manor Nursing & Rehabilitation Center
Detroit, MI  ·  View full profile →
Inspection Summary

Sheffield Manor Nursing & Rehabilitation Center in Detroit, MI — inspection on February 26, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies

According to the quarterly Minimum Data Set assessment dated [DATE], R72 was cognitively intact (BIMS-15), and required extensive one-person assistance with most activity of daily living.

Review of the Social Service progress note dated 12/22/2025, documented in part the following: I was able to talk to (R72) about the incident with one of the CNAs throwing pamper at her.

She mentioned that she is not sure what's going to happen to her.

She just feels like she doesn't want to be around her anymore. On 02/26/2026 at 1:24 p.m. review of Daily Assignment forms, CNA D was assigned to R72's room on 1/17/26, 1/18/26 and 1/28/26. On 2/26/26 at 1:38 p.m. the Nursing Home Administrator (NHA) was interviewed about R72 allegation against CNA D and being assigned to R72's room.

The NHA said the Abuse Coordinator (NHA) was responsible for ensuring the nurse aide's assignment was away from R72.

The NHA said they were unaware CNA D continued to have contact with R72 and have the right to feel comfortable in the bedroom.

The aide should have been removed from the unit and R72 should have never been made to feel uncomfortable by CNA D.

The NHA informed SA, CNA D was terminated on 2/24/26 for an unrelated incident.

There was no return communication from CNA D by the end of the survey.

Review of the facility's policy titled Resident Rights, revision date of 5/14/24 documented the following in part: The facility protects and promotes the rights of each resident.

The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside of the facility.

Residents have freedom of choice, to the maximum extent possible, about how they wish to live their everyday lives and receive care, subject to the facility's rules and regulations affecting resident conduct and those regulations governing protection of resident health and safety.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Detroit, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Sheffield Manor Nursing & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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