South Lyon Senior Care And Rehab Center
South Lyon Senior Care and Rehab Center in South Lyon, MI — inspection on September 11, 2025.
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.
Inspection Findings
family wanted the nurse's last name and there was some confusion over who he was talking to on the phone because he asked for a nurse but gave CNA 'B's name.
When queried about whether the facility conducted any investigation regarding R801's change in condition, the DON said an investigation was done to make sure the CNA was not giving family information that should have been given by the nurse. At that time, the DON was asked to provide the investigation, and she said she was not sure she had anything documented.
When queried about whether she knew what happened with R801, the DON said she thought he was being discharged to another facility and was treated for hyperglycemia (high blood sugar).
When queried about whether R801's blood sugar should have been checked as part of the nursing assessment during a change in condition, the DON said she thought it was. A review of an investigation provided by the facility revealed nothing about R801's change in condition and was only to address whether CNA 'B' gave the phone to LPN 'A' when R801's family called.A review of a facility policy titled, Acute Condition Changes - Clinical Protocol, undated, revealed, in part, the following, .Before contacting a physician about someone with an acute change of condition, the nursing staff will make detailed observations and collect pertinent information to report to the Physician; for example, history of present illness and previous and recent test results for comparison .Phone calls to attending or on-call physicians should be made by an adequately prepared nurse who has collected and organized pertinent information, including the resident's current symptoms and status .
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.