Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fairlane Senior Care And Rehab Center during CMS and state inspections, most recent first.
Improper Dumpster Area Cleanliness and Waste Disposal: The facility failed to properly dispose of garbage, medical supplies, and yard refuse debris, and one dumpster lid was left open, exposing boxes, paper, and tree branches. The area around the dumpster and compressor also contained leaves, cardboard, Styrofoam cups, plastic bottles, medical gloves, face masks, cigarette butts, and broken branches, with flies swarming nearby. The D of M stated the staff assigned to clean the area had been fired and he was now cleaning it, and the NHA stated the expectation was for the area to be kept clean but the facility had no policy for dumpster/compressor cleanliness.
Specialty Call Light Not Within Reach: A resident with MS, severe mobility limitations, and extensive ADL dependence was observed in bed with a specialty call light pinned out of reach on the bed covers. The resident reported waiting about half an hour for staff assistance with oral care and getting up, and stated the device could not be used with the hands because the arms would not move. An LPN later identified the device as a motion call light that could be activated with the head and repositioned it under the resident’s head so it could be used.
PASARR screening was not completed for two residents reviewed for PASSARs. One resident with dementia and suicidal ideations had no current 3877 form or DCH-3878 exemption form in the EHR, and the SW said the annual 3877 was overdue. Another resident with schizoaffective disorder, bipolar type, and altered mental status had no current 3877 form and an expired DCH-3878 exemption form; the SW said a new PASARR should have been completed. The NHA stated PASARRs should be completed thoroughly and timely.
Insufficient Bedroom Square Footage: Surveyors found 58 resident rooms that did not meet required square footage standards, with multiple-occupancy rooms measuring only 141 to 158 square feet. The NHA confirmed the rooms were intended for two-occupancy use, including rooms with one resident or no resident, and document review showed the rooms varied in size but still failed to meet the minimum space requirements.
The facility did not ensure proper disposal of garbage, medical supplies, and yard debris, resulting in an open dumpster with exposed waste, litter, and flies in the surrounding area. Interviews revealed unclear staff responsibility for cleaning the area and the absence of a facility policy for dumpster cleanliness, despite expectations for the area to be kept clean.
A resident with significant physical limitations and upper extremity contractures was unable to access a specialty call light, which was not within effective reach, resulting in unmet care needs. The LPN assigned to the resident was initially unaware of how the call light should be used and only corrected its placement after being prompted. The facility's policy required call lights to be within reach, but this was not followed.
The facility did not complete required PASARR Level I screenings for two residents with mental illness or intellectual/developmental disabilities. For one resident with dementia and suicidal ideations, and another with schizoaffective disorder and severely impaired cognition, necessary PASARR forms were missing or expired. Staff confirmed the documentation was not completed as required, and there was no specific PASARR policy in place.
Surveyors found that 58 rooms did not meet the required minimum square footage for resident occupancy. All rooms were intended for two residents, but measurements showed they were below the regulatory standard, with some rooms housing one or two residents and one room unoccupied. The NHA confirmed the deficiency during the survey.
A staff member posted a video of a resident with dementia and behavioral health diagnoses on social media without consent, violating privacy and confidentiality policies. The video, which showed the resident in a wheelchair yelling in a common area, was online briefly before being deleted. The incident was discovered after the resident's family notified the facility.
The facility failed to employ a qualified social worker to address residents' psychosocial, mental, and behavioral health needs. Despite attempts to hire a qualified individual, the facility relied on unqualified social work techs, with one lacking a bachelor's degree and the other previously serving as an Activities Assistant. The absence of a qualified social worker has persisted since February 2024, as confirmed by the ADON, NHA, and Medical Director.
The facility failed to adequately monitor the temperatures of its hot water holding tanks, as only the temperature of the tank in the East boiler room was documented. The Maintenance Director did not provide temperature readings for the two tanks in the [NAME] boiler room, despite facility guidelines identifying these tanks as potential areas for Legionella growth.
A facility failed to complete a PASARR Level II for a resident with bipolar disorder, who was on antidepressant medication. The initial PASARR incorrectly stated the resident did not have a mental illness, and a quarterly MDS showed moderately impaired cognition. The absence of a social worker and oversight by the Interdisciplinary Team contributed to the deficiency.
A resident with a documented shellfish allergy was mistakenly served shrimp, despite their allergy being noted in their EMR and care plan. The Dietary Manager confirmed the error, which occurred despite a meal ticket system designed to prevent such mistakes. The facility's policy on preventing allergic reactions was not effectively implemented.
The facility did not provide the required 80 square feet per resident in 57 out of 109 rooms, with room sizes ranging from 141 to 158 square feet for two residents. Despite this deficiency, no complaints or health and safety concerns were reported by residents.
The facility failed to ensure that call lights were within reach for three residents, resulting in unmet care needs. Residents with Multiple Sclerosis and Functional Quadriplegia were found with call lights positioned out of reach, despite care plans indicating they should be accessible. Staff and the Nursing Home Administrator acknowledged the issue, which violated the facility's policy on call light use.
Improper Dumpster Area Cleanliness and Waste Disposal
Penalty
Summary
The facility failed to properly dispose of garbage, medical supplies, and yard refuse debris, with one dumpster top left open. On 9/2/25 at 07:35 AM, two dumpster containers were observed near the building with separate top lids, and the dumpster on the right side was open and exposed multiple boxes, loose paper, and tree branches. In between the dumpster and the compressor was a wheelbarrow filled with tree branches, pieces of cardboard, leaves, and loose papers. Behind the compressor, a fence area contained leaves, paper, Styrofoam cups, plastic water bottles, medical gloves, a yellow face mask, and broken tree branches. In front of the dumpster and compressor were yellow medical face masks, examination gloves, multiple cigarette butts, pieces of paper, pieces of cardboard, and small tree branches, with flies swarming around the dumpsters. During interview, the Director of Maintenance stated the staff assigned to clean the dumpster area had been fired and that he was now cleaning the area. The NHA later stated the expectation was that the dumpster and compressor area would be kept clean, and also stated the facility did not have a policy for dumpster/compressor cleanliness.
Specialty Call Light Not Within Reach
Penalty
Summary
The facility failed to ensure a specialty call light was within reach of one resident, resulting in unmet care needs. On 9/2/2025 at 10:39 a.m., the resident was observed lying in bed with the specialty call light pinned to the bed covers on the right side of the bed. During the observation and interview, the resident reported trying to get staff attention for about half an hour because no staff had come in to provide oral care or assist with getting out of bed. The resident stated the call light could not be used by hands and could only be activated with the shoulders and the back of the head, and said, “I have difficulties using a regular call light because my arms don't move to get it.” At 10:42 a.m., the assigned LPN stated the resident could not use the call light by hands and initially could not verbalize what part of the body the resident could use to activate it. The LPN then stated it was a motion call light that could be activated by moving the head, and pinned it under the resident’s head so it could be used. The resident demonstrated using the back of the head to turn the call light on and then requested assistance with ADL care. The resident had diagnoses including multiple sclerosis, seizure disorder, stage 4 sacral pressure ulcer, arthritis, osteomyelitis of the vertebra and sacral region, major depressive disorder, adjustment disorder with mixed anxiety, and hypertension. The quarterly MDS indicated intact cognition with a BIMS score of 13/15, extensive assistance with bed mobility, total dependence for transfers, extensive assistance with ADLs, and bowel and bladder incontinence. The care plan documented an ADL deficit related to multiple sclerosis, neuropathy, generalized muscle weakness, impaired mobility, muscle wasting and atrophy, bilateral upper extremity contractures, DVT, and anxiety, with an intervention to allow and encourage participation in ADLs of choice.
PASARR Screening Not Completed for Two Residents
Penalty
Summary
PASARR screening for Mental disorders or Intellectual Disabilities was not completed for two residents reviewed for PASSARs. For R6, the EHR did not contain the current 3877 form, and there was no DCH-3878 exemption criteria certification form. R6 was admitted with diagnoses of dementia and suicidal ideations, and an MDS assessment with a reference date of [DATE] showed intact cognition with a BIMS score of 13/15. Social Worker B stated on [DATE] at 1:07 PM that the annual 3877 had not been completed for R6 and should have been completed on [DATE]. For R160, the EHR did not contain the current 3877 form, and the DCH-3878 exemption criteria certification form had expired on [DATE]. R160 was admitted with diagnoses of schizoaffective disorder, bipolar type, and altered mental status. An MDS assessment with a reference date of [DATE] showed severely impaired cognition with a BIMS score of 3/15. Social Worker B stated the hospital exemption discharge had expired on [DATE] and a new PASARR should have been completed. The NHA stated PASARRs should be completed thoroughly and timely and later said the facility did not have a PASARR policy since it follows OBRA.
Insufficient Bedroom Square Footage
Penalty
Summary
The facility failed to provide at least 80 square feet per resident in multiple resident bedrooms and at least 100 square feet for single resident bedrooms, affecting 58 resident rooms. During observation of resident rooms and review of the Facility Bed Count Information sheet, surveyors found numerous rooms with two beds and room sizes ranging from 141 to 158 square feet, including rooms 20, 221, 223, 224, 226, 228, 229, 230, 233, 234, 235, 238, 239, 240, 242, 244, 245, 246, 247, 251, 252, 262, 264, 265, 269, 272, 275, 278, 280, 283, 284, 287, 291, 292, 2102, 2107, 2112, 2116, 2117, 231, 136, 141, 143, 149, 150, 161, 167, 168, 1, 171, 173, 176, 177, 1100, 1104, 1109, 1115, and 174. On interview, the NHA stated the facility had 58 rooms that did not meet square footage requirements, with 18 rooms occupied by two residents, 39 rooms with one resident, and one room unoccupied, and explained that even the rooms with one resident or no resident were intended to be two-occupancy rooms. Review of the documents showed the rooms varied in size but did not meet the required square footage.
Failure to Maintain Cleanliness and Proper Waste Disposal in Dumpster Area
Penalty
Summary
The facility failed to properly dispose of garbage, medical supplies, and yard debris, resulting in unsanitary conditions in the dumpster and surrounding area. Observations revealed an open dumpster lid exposing boxes, loose paper, and tree branches, as well as a wheelbarrow filled with additional debris. The area around the dumpster and compressor was littered with leaves, paper, Styrofoam cups, plastic water bottles, medical gloves, yellow face masks, broken tree branches, cigarette butts, and flies swarming the dumpsters. No staff were present in the area during the observations. Interviews with facility staff indicated a lack of clear responsibility for maintaining cleanliness in the dumpster area. The Director of Maintenance stated that the staff member previously assigned to clean the area had been terminated, and that he was now responsible for cleaning it. The Nursing Home Administrator confirmed that the expectation was for the area to be kept clean but acknowledged that there was no facility policy addressing dumpster or compressor area cleanliness. The Director of Maintenance's job description included responsibility for groundskeeping and overall facility appearance.
Failure to Ensure Accessible Call Light for Resident with Physical Limitations
Penalty
Summary
A deficiency occurred when a resident with multiple complex medical conditions, including multiple sclerosis, upper extremity contractures, and impaired mobility, was found unable to access their specialty call light. The call light, designed to be activated using the resident's shoulder or the back of the head due to their inability to use their hands, was observed pinned to the bed covers on the right side of the bed, out of effective reach. The resident reported attempting to get staff attention for approximately half an hour without success, resulting in unmet care needs such as oral care and assistance with getting out of bed. During the observation, the resident demonstrated that the call light could only be activated with the back of the head, and its placement did not allow for this use. Further interviews revealed that the assigned LPN was initially unaware of how the resident could use the call light and only realized after re-entering the room that it was a motion-activated device. The LPN repositioned the call light under the resident's head, confirming that the previous placement was not accessible. The resident's care plan documented extensive assistance needs and encouraged participation in ADLs, but the failure to ensure the call light was within reach directly impacted the resident's ability to request assistance. The facility's policy required call lights to be within reach of residents, but this was not followed in this instance.
Failure to Complete Required PASARR Screenings for Residents with Mental Illness or ID/DD
Penalty
Summary
The facility failed to ensure that required Pre-admission Screening and Annual Resident Review (PASARR) Level I screenings were completed for two residents with diagnoses of mental illness or intellectual/developmental disabilities. For one resident with dementia and a history of suicidal ideations, there was no current 3877 form or exemption certification (DCH-3878) found in the electronic health record, and the annual PASARR was not completed as required. This resident was noted to have intact cognition based on a recent MDS assessment. For another resident with schizoaffective disorder, bipolar type, and altered mental status, the current 3877 form was also missing, and the exemption certification had expired. This resident had severely impaired cognition according to the most recent MDS assessment. Facility staff, including the social worker and the nursing home administrator, confirmed during interviews that the required PASARR documentation was not completed or updated as needed. The facility did not have a specific PASARR policy, stating that they follow OBRA regulations.
Resident Rooms Below Required Square Footage
Penalty
Summary
The facility failed to provide resident rooms that meet the required minimum square footage, as determined by observation, interview, and record review. Specifically, 58 resident rooms were identified as not meeting the standard of at least 80 square feet per resident in multiple occupancy rooms and 100 square feet for single occupancy rooms. Measurements of the rooms showed that all were intended for two residents, but their sizes varied and consistently fell below the required square footage. The Nursing Home Administrator confirmed that 18 rooms had two residents, 39 rooms had one resident, and one room was unoccupied, but all were designed for double occupancy and did not meet the regulatory requirements for space.
Resident Privacy Breach via Unauthorized Social Media Posting
Penalty
Summary
A staff member at the facility failed to maintain a resident's right to privacy and confidentiality by posting a video of the resident on a personal social media account without obtaining consent from the resident or their Legal Guardian. The video, which was approximately 20 seconds long, showed the resident seated in a wheelchair in a common area, fully clothed and yelling out. The incident was discovered when the resident's family notified the facility that the video had been posted online for a short period before being deleted. The staff member involved, a Certified Nursing Assistant (CNA), admitted to posting the video unintentionally and expressed regret for the incident. The resident involved had multiple diagnoses, including mood disorder, psychotic disorder with delusions, and dementia with behaviors. The care plan for the resident included interventions to provide a stress-free environment and allow space as needed. The incident was reported to the State Agency, and the facility confirmed through investigation that the video had been posted without consent, constituting a breach of privacy and confidentiality for the resident.
Facility Lacks Qualified Social Worker
Penalty
Summary
The facility failed to provide a qualified social worker to meet the psychosocial, mental, and behavioral health needs of its residents. Interviews and record reviews revealed that the facility, which has more than 120 beds, did not employ a qualified social worker since February 2024. Social Work Tech A, who was previously an Activities Assistant, and Social Work Tech B, who lacks a bachelor's degree, were both employed in social work roles but did not meet the minimum qualifications for a social worker. The Acting Director of Nursing confirmed the absence of a qualified social worker and a corporate social worker. The Nursing Home Administrator acknowledged attempts to hire a qualified social worker and mentioned that a social worker from another facility provided training to the social work techs twice a week. The Medical Director was also aware of the deficiency. The facility's job description requires a bachelor's degree in social work or a related human service field, which neither of the current social work techs possess.
Inadequate Monitoring of Hot Water Holding Tanks
Penalty
Summary
The facility failed to ensure adequate temperature monitoring of its hot water holding tanks, which could potentially lead to the growth and spread of waterborne pathogens. During an interview and record review with the Maintenance Director and the Nursing Home Administrator, it was revealed that the facility had three hot water holding tanks, but only the temperature of the tank located in the East boiler room was documented. The temperature logs for April, May, and June 2024 did not include readings for the two tanks located in the [NAME] boiler room. The facility's document titled 'Identification of Areas Where Legionella Could Grow and Spread' identified the hot water holding tanks as potential areas for Legionella growth. It stated that the domestic tank supplying water to sinks, showers, and water fountains should be maintained between 105-120 degrees Fahrenheit, while the holding tanks supplying water to the kitchen should have a maximum temperature of 140 degrees Fahrenheit. However, the Maintenance Director did not provide documentation for the temperatures of the two tanks in the [NAME] boiler room, indicating a lapse in the monitoring process.
Failure to Complete PASARR II for Resident with Bipolar Disorder
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASARR) Level II was completed for a resident with a diagnosis of bipolar disorder. The resident was admitted with a pertinent diagnosis of bipolar disorder and was on antidepressant medication, specifically duloxetine. The initial PASARR dated November 6, 2023, incorrectly stated that the resident did not have a mental illness. A quarterly Minimum Data Set (MDS) indicated the resident had moderately impaired cognition. During interviews, the Social Work Tech was uncertain if a PASARR II was needed, and the Acting Director of Nursing acknowledged the absence of a social worker might have contributed to the oversight. The Interdisciplinary Team should have identified this discrepancy, but a PASARR II was not completed.
Failure to Honor Resident's Food Allergies
Penalty
Summary
The facility failed to honor the food allergies of a resident, identified as R240, who was allergic to shellfish. On a specific day, R240 was served shrimp, despite having a documented allergy to shellfish in their Electronic Medical Record (EMR) and care plan. The resident, who was admitted with a diagnosis of Acute and Chronic Respiratory Failure and had intact cognition, reported the incident of being served shrimp, which was confirmed by a review of the meal ticket and the facility's dinner menu. The Dietary Manager acknowledged the error, explaining that the kitchen staff uses a meal ticket system with three staff members checking the food items, with a final check before serving. However, the system failed in this instance, resulting in shrimp being served to R240 instead of the grilled chicken breast that was supposed to be provided. The facility's policy on allergies, which aims to prevent allergic reactions, was not adhered to, as the dietary department was not effectively notified or did not act on the notification of R240's shellfish allergy.
Inadequate Room Space for Residents
Penalty
Summary
The facility failed to provide the required 80 square feet per resident in multiple resident rooms, affecting 57 out of 109 rooms. The rooms in question were identified through observation, interview, and record review, revealing that they did not meet the necessary space requirements. The Room Waiver sheet, dated 1/9/20, listed several Medicare/Medicaid rooms with inadequate square footage, ranging from 141 to 158 square feet for two residents per room. Despite these findings, observations and interviews with various residents indicated no complaints or health and safety concerns related to the space deficiency.
Failure to Ensure Call Lights Within Reach for Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach for three residents, resulting in unmet care needs. Resident R101 was observed in bed with a bedside table out of reach and a call light positioned between the mattress and headboard, making it inaccessible. R101, who has Multiple Sclerosis and requires dependent assistance for ADLs, confirmed the inability to reach the call light. Similarly, Resident R103, who has a diagnosis of Dependence on Renal Dialysis and Functional Quadriplegia, was found with a call light hanging near the floor, out of reach. R103 also confirmed the inability to use the call light to request assistance. Both residents' care plans indicated that call lights should be accessible, but this was not adhered to during the observations made by the surveyors and staff members, including a Registered Nurse and a Certified Nursing Assistant, who acknowledged the issue. Resident R102, diagnosed with Multiple Sclerosis and requiring dependent assistance for ADLs, was also found with a call light positioned between the mattress and headboard, making it inaccessible. R102 confirmed the inability to reach the call light due to limited arm movement. The care plan for R102 also specified that the call light should be accessible. The Nursing Home Administrator confirmed that call lights should be within reach of dependent residents. The facility's policy on call light use, dated 4/1/2008, mandates that call lights be placed within resident reach and not on the floor or bedside stand, which was not followed in these cases.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Detroit
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allegria Village | 2 mi | ★★★★★ | 8 | 0 |
| Sheffield Manor Nursing & Rehabilitation Center | 3.2 mi | ★★★★★ | 15 | 0 |
| Heritage Manor Nursing And Rehabilitation Center | 3.4 mi | ★★★★★ | 26 | 0 |
| The Orchards At Northwest | 3.6 mi | ★★★★★ | 22 | 0 |
| Corewell Health Rehabilitation & Nursing Center - | 3.8 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.