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 57 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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2023).

  8. 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.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  9. 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).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2026).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2026).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2026).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  22. 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 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

  25. 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).

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.