All citations for South Lyon Medical Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to South Lyon Medical Center

Last standard health inspection on record

July 24, 2025

Showing 1 to 25 of 27 citations

  1. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of February 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 17, 2025).

  3. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  4. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  5. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  6. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Widespread (many residents). CMS level F.

    Health citation F-0883, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  8. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 17, 2025).

  9. No harm, with potential for more than minimal harm

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0575, Resident Rights Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  10. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  11. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

  13. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2024).

  14. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  15. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2024).

  19. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0865, Administration Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  20. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0887, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  21. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0941, Administration Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

  22. No harm, with potential for more than minimal harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0942, Resident Rights Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  23. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  24. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0944, Administration Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2024).

  25. No harm, with potential for more than minimal harm

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0945, Infection Control Deficiencies. Inspection of July 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.