South Lyon Senior Care and Rehab Center
700 Reynolds Sweet Parkway, South Lyon, MI 48178 · Oakland County · (248) 437-2048
74 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235065 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 4 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 13 health citations since December 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
36.0% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Nexcare Health Systems, an affiliated group of 20 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
112/23
101/24
502/25
109/25
404/26
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
8D
1E
1F
Potential for minimal harm
0A
0B
0C
June 15, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake. 3032954Based on observation, interview and record review, the facility failed to safeguard an appropriately sized wheelchair cushion for one (R702) of two residents reviewed for accidents resulting in R702 falling to the floor, that required hospitalization for treatment of a large laceration requiring 24 sutures and pain.
April 15, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the kitchen in a sanitary manner resulting in the potential to spread foodborne illness to all residents that consume food from the kitchen. Findings Include: On 04/13/2026 9:31 a.m., the initial tour of the kitchen was conducted with Dietary Director L (DD L) and the following areas of concern were observed:A buildup of scaling was observed on both sides of the ice machine in the upper hinge area. A build-up of food debris was observed on multiple ready to use plastic bins. According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent avoidable falls for one resident (R43) of one resident reviewed for falls, resulting in three avoidable falls.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure a laboratory diagnostics (labs) were completed for one resident (R19) of two residents reviewed for diagnostics.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement appropriate infection control practices during catheter site and wound site care for one resident, (R43) of one resident reviewed for catheter site and wound care, resulting in the potential for the spread of infection.
September 11, 2025Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThis citation pertains to Complaint #2610789. Based on interview and record review, the facility failed to adequately assess, monitor, and treat in a timely manner a resident's change in condition for one (R801) of one resident reviewed for change in condition, resulting in family calling 911 and the resident requiring treatment for hypoglycemia (low blood sugar) with a blood glucose level of 24 milligrams per deciliter (mg/dl).
February 20, 2025Standard inspection · 5 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteOn 2/18/25 at 8:55 AM, the privacy curtain between bed 118-1 and 118-2 was observed to be heavily soiled with yellow and brown stains. On 2/18/25 at 12:11 PM, an observation of the Burgundy [NAME] unit was conducted and revealed the following: The toilet in room [ROOM NUMBER] had fecal matter on the rim. The bathroom floor had sandpaper type strips adhered that were coming unpeeled from the tile. Underneath the soap dispenser was a large patch of unsanded, unpainted drywall mud. The drip tray for the soap dispenser had an accumulation of pinkish/brown liquid contained in it. The sink plumbing in room [ROOM NUMBER]'s bathroom were exposed with a build-up of dust and cobweb debris. Visitors in the room had complaints about the exposed dirty plumbing and the heavily soiled privacy curtain. They said they didn't think the curtain had been changed in a, couple of years. [...]
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure a referral was made for a level II evaluation (a comprehensive evaluation completed by the local community mental health agency) for one (R49) of one residents reviewed for PASARR (Preadmission Screening/Annual Resident Review) screenings.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe positioning of a resident's bed in proximity to a wall heating unit and ensure a complete and thorough investigation into the circumstances of the incident for one (R164) of four residents reviewed for accidents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate less than five percent when two medication errors were observed from a total of 29 opportunities for two residents (R#'s 20 and 52) of four residents observed during medication administration, resulting in a medication error rate of 6.9%.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the consistent use of assistive devices for eating for one resident (R59) of seven residents reviewed for dining.
January 24, 2024Standard inspection, Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to Intake #MI00140638 This citation has two deficient practices. Deficient practice #1 Based on observation, interview and record review the facility failed to consistently monitor and ensure appropriate interventions were in place for one (R171), a severely cognitively impaired resident with a history of falls and wandering, out of four residents reviewed for abuse/accidents, resulting in multiple falls leading to a hip fracture, skin tears requiring sutures, bruising, pain and hospitalizations.
December 7, 2023Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThis citation pertains to Intake(s): MI00140898 and MI00140842. Based on interview and record review the facility failed to report allegations of abuse to the State Agency (SA) for one resident (R702) out of four residents reviewed for abuse.
Fire safety inspections
2 fire safety citations on file: 2 on January 24, 2024.
Every fire safety citation2 citations
- F Conduct testing and exercise requirements.
- D Have properly located and lighted "Exit" signs.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.99 | 3.86 |
| Registered nurses | 0.79 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.50 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 36.0% | 44.1% | 45.8% |
| Registered nurse turnover | 14.3% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.83 on weekdays and 3.07 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.79 | 3.83 | 3.07 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.68 | 0.79 | 3.93 | 3.05 | 0.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.62 | 0.70 | 3.84 | 3.06 | 0.0% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.72 | 0.63 | 3.92 | 3.22 | 0.0% | 0 of 91 | 73 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.5 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.5 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.3 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.5 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: SOUTH LYON SENIOR CARE AND REHAB CENTER, LLC. CMS links this home to Nexcare Health Systems, a group of 20 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 10/31/2013 |
| Beardsley, Kevin | W-2 managing employee | Individual | 12/03/2015 | |
| Sangster, Todd | Corporate officer | Individual | 11/04/2013 | |
| Nexcare Health Systems, LLC | Operational/managerial control | Organization | 01/01/2005 | |
| Perry, Michael | Operational/managerial control | Individual | 08/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "Provide timely, quality laboratory services/tests to meet the needs of residents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Regency at Whitmore Lake Whitmore Lake, 5.1 mi · 1 of 5 stars · 64 citations
- Wellbridge of Novi Novi, 7.4 mi · 3 of 5 stars · 27 citations
- Caretel Inns of Brighton Brighton, 7.7 mi · 2 of 5 stars · 29 citations
- Northville Manor Northville, 8.9 mi · 4 of 5 stars · 37 citations
- Medilodge of Milford Milford, 10.4 mi · 4 of 5 stars · 25 citations
- West Hickory Haven Milford, 10.5 mi · 2 of 5 stars · 38 citations
- The Manor of Novi Novi, 10.7 mi · 1 of 5 stars · 56 citations
- Novi Lakes Health Campus Novi, 10.8 mi · 4 of 5 stars · 24 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is South Lyon Senior Care and Rehab Center's Medicare star rating?
- CMS rates South Lyon Senior Care and Rehab Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did South Lyon Senior Care and Rehab Center get at its last inspection?
- 4 health deficiencies at the standard inspection on April 15, 2026. The Michigan average is 9.9.
- Has South Lyon Senior Care and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does South Lyon Senior Care and Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns South Lyon Senior Care and Rehab Center?
- CMS lists 5 owners and managers, and links the home to Nexcare Health Systems. Legal business name: SOUTH LYON SENIOR CARE AND REHAB CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.