Federal inspection record · CMS data as of October 1, 2026

South Lyon Senior Care and Rehab Center

700 Reynolds Sweet Parkway, South Lyon, MI · (248) 437-2048

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
74
Residents per day
69
Ownership
For-Profit
Chain
Nexcare Health Systems
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

South Lyon Senior Care and Rehab Center carries 53 inspection points. That is fewer than 60% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 53 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–46 pts
  • 3★ 46–78 pts
  • 2★ 78–123 pts
  • 1★ over 123 pts

Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 1 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

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

    June 15, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 13, 2026

  2. G

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

    September 11, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected October 3, 2025

  3. G

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

    January 24, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 14, 2024

Everything else, by area of care

Nutrition and Dietary2F
  1. F

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

    April 15, 2026 · Standard · F812 · Corrected May 7, 2026

  2. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    February 20, 2025 · Standard · F810 · Corrected March 5, 2025

Quality of Life and Care2D
  1. D

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

    April 15, 2026 · Standard · F689 · Corrected May 7, 2026

  2. D

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

    February 20, 2025 · Standard · F689 · Corrected March 5, 2025

Administration1D
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    April 15, 2026 · Standard · F770 · Corrected May 7, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    April 15, 2026 · Standard · F880 · Corrected May 7, 2026

Resident Rights1E
  1. 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.

    February 20, 2025 · Standard · F584 · Corrected March 5, 2025

Resident Assessment and Care Planning1D
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 20, 2025 · Standard · F645 · Corrected March 5, 2025

Pharmacy Service1D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    February 20, 2025 · Standard · F759 · Corrected March 5, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    December 7, 2023 · Complaint · F609 · Corrected December 18, 2023

Inspection history

  1. 2026-04-15

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-02-20

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2024-01-24

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 37 min of nursing staff time a day, 47 min of it from a registered nurse.

This home

3 h 37 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 7% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.61.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.41.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better97.6%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse92.9%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse5.3%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms4.5 pts better0.0%4.5%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts worse6.2%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts worse22.2%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better4.1%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4 pts better7.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better9.4%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better1.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.8 pts better5.6%19.4%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better3.1%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts worse77.7%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better11.4%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse1.2%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.7 pts worse66.8%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse28.5%23.9%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexcare Holdings, LLC5% Or Greater Direct Ownership Interest · Organization100%15 facilities
Beardsley, KevinW-2 Managing Employee · Individual0%1 facilities
Nexcare Health Systems, LLCOperational/Managerial Control · Organization0%28 facilities
Perry, MichaelOperational/Managerial Control · Individual0%29 facilities
Sangster, ToddCorporate Officer · Individual0%28 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    January 24, 2024 · E39 · Corrected February 14, 2024

Egress1D
  1. D

    Have properly located and lighted "Exit" signs.

    January 24, 2024 · K293 · Corrected February 14, 2024

·

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