The Lakeland Center
Inspection Findings
F-Tag F0919
F 0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Level of Harm - Minimal harm or potential for actual harm
This citation pertains to complaint: 2570541. Based on observations, interviews and record reviews the facility failed to ensure the resident call light system was fully operable and functioning for two of three residents observed. This deficient practice had the ability to affect multiple residents residing in the facility.
Findings include: A review of a complaint submitted to the State Agency (SA) documented allegations of
the facility's call light system to be broken. On 8/19/25 an onsite investigation into the reported allegation was conducted. On 8/19/25 at approximately 9:55 AM, an observation of Resident R204's call bell function was conducted with Licensed Practical Nurse (LPN) A. LPN A pressed Resident R204's call light several times and the call light indicator outside of the resident's door failed to light up. LPN A confirmed the call bell/light was not working. At approximately 10:00 AM, an observation was made of Resident R205 sitting on the side of their bed. Resident R205 was asked to press their call bell light to see if it was working properly. Resident R205 was observed to have pressed the call bell several times. The call light indicator outside of their door did not light up. A second and third attempt was observed of Resident R205 pressing their call bell button and again the indicator light did not light up. On 8/19/25 at 10:33 AM, Nurse Unit Manager (NUM) B was interviewed and asked about the facility's call light system. NUM B stated staff are alerted by the beeping at the nurse's station but if they aren't near the nurse's station they can tell by the lit lights outside of the resident's door. NUM B denied having been informed of any concerns or issues with the facility's call light system. On 8/19/25 at 11:16 AM,
the Director of Nursing and NUM B were both interviewed together. The DON stated they were aware of an issue with the call light system in July but believed it was fixed on that same day and denied having been informed of any issues since that time. On 8/19/25 at 1:04 PM, the Administrator was interviewed regarding
the facility call light system and stated they were previously unaware of concerns or issues with the call light system. The Administrator stated they instructed the maintenance department to do an audit of the whole facility to ensure all call bells are operating. No further explanation or documentation was provided by the end of the survey.
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
The Lakeland Center in Southfield, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Southfield, 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 The Lakeland Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.