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Complaint Investigation

The Lakeland Center

August 19, 2025 · Southfield, MI · 26900 Franklin Road
Citations 1
CMS Rating 1/5
Beds 91
Provider ID 235589
Healthcare Facility
The Lakeland Center
Southfield, MI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

The Lakeland Center in Southfield, MI — inspection on August 19, 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

FF0919
Environmental Deficiencies

three residents observed.

This deficient practice had the ability to affect multiple residents residing in

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 R204's call bell function was conducted with Licensed Practical Nurse (LPN) A. LPN A pressed 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 R205 sitting on the side of their bed. R205 was asked to press their call bell light to see if it was working properly. 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 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.

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 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.


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About This Inspection Report

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.

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