Facility profile · CCN 295011
South Lyon Medical Center
52 federal citations on record .
Record summary
Federal record · Q1 202652
Total citations
52
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
52 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 24, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard |
| Jul 24, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Jul 24, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 24, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Jul 24, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 24, 2025 | F838 | 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. | D | Standard |
| Jul 24, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jul 24, 2025 | F727 | 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. | D | Standard |
| Jul 24, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Jul 24, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Jul 24, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 3, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Feb 3, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Feb 3, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 23, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard |
| Jul 23, 2024 | F946 | Provide training in compliance and ethics. | D | Standard |
| Jul 23, 2024 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard |
| Jul 23, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Jul 23, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Jul 23, 2024 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard |
| Jul 23, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard |
| Jul 23, 2024 | F887 | 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. | D | Standard |
| Jul 23, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Standard |
| Jul 23, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Jul 23, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Jul 23, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 23, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Jul 23, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Jul 23, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jul 23, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jul 23, 2024 | F761 | 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. | D | Standard |
| Jul 23, 2024 | F758 | 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. | D | Standard |
| Jul 23, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jul 23, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Jul 23, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Jul 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jul 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jul 23, 2024 | F575 | 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. | D | Standard |
| Sep 26, 2023 | F887 | 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. | D | Standard |
| Sep 26, 2023 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Sep 26, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Sep 26, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| Sep 26, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 26, 2023 | F761 | 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. | D | Standard |
| Sep 26, 2023 | F732 | Post nurse staffing information every day. | C | Standard |
| Sep 26, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 26, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 26, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 26, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 26, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Sep 26, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 26, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at South Lyon Medical Center?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys