Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Corewell Health Rehabilitation & Nursing Center - during CMS and state inspections, most recent first.
Two residents experienced development and worsening of coccyx and heel pressure ulcers due to the facility’s failure to implement and document ordered preventive and treatment interventions. One resident with severe cognitive impairment and mobility dependence had MASD, a non-blanchable heel, and orders for Triad paste and heel boots that were never documented as applied, no pressure-reducing surfaces or turning program on the MDS, and no skin notes for several days until an LPN discovered an undocumented coccyx ulcer under a foam dressing; later wound assessment showed an unstageable coccyx ulcer and a heel DTI acquired in the facility. Another resident admitted with a small coccyx open area and DVT had an order for barrier cream and a skin risk care plan, but there was no documentation of barrier cream use, the care plan was not updated when a stage 2 ulcer was identified, and multiple subsequent wound treatment orders (Triad paste, oil emulsion/alginate, Manuka Honey, Santyl, Dakin’s) were administered less frequently than prescribed, with delayed initial wound assessment and progression to a larger stage 3 coccyx ulcer requiring hospital transfer. The facility’s own wound and skin management policy requiring routine preventive care, daily CNA skin checks, and nurse skin assessments on bath days was not consistently followed as evidenced by missing documentation and treatment gaps.
The facility failed to maintain proper food safety and sanitation practices. A dietary aide improperly cleaned a thermometer stem with a paper towel instead of alcohol wipes. Resident refrigerators contained unlabeled and undated food items, and kitchen pans were not adequately cleaned or air-dried. The Director of Dining confirmed these practices were against protocol, and the NHA acknowledged the need for adherence to policies.
A resident experienced an incontinent episode after waiting over thirty minutes for assistance with a bedpan, leading to feelings of embarrassment and frustration. The CNA confirmed the delay was due to multiple call lights being on simultaneously. The DON acknowledged the response time should have been quicker, as per the facility's dignity and privacy policy.
A facility failed to promptly notify a resident's representative of a change in condition involving a skin tear requiring treatment. The resident, with severe cognitive impairment and multiple diagnoses, had a skin tear documented on 3/11/25, but the representative was not informed until 3/17/25. Staff interviews revealed that the facility's practice of notifying families during weekly meetings could delay communication, contrary to the facility's policy requiring immediate notification.
A facility failed to obtain tafamidis, a critical medication for a resident with a rare cardiac condition, in a timely manner. Despite the resident's discharge summary indicating the need for this medication, it was not available, and the facility did not adequately follow up with the physician or pharmacy. The issue was only addressed after several days when the physician suggested contacting the resident's family to bring the medication from home.
Failure to Implement Ordered Pressure Ulcer Prevention and Treatment for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to implement ordered pressure ulcer prevention and treatment interventions, resulting in the development and worsening of pressure ulcers in two residents. One resident was re-admitted with diagnoses including cervical spine surgery, diabetes, and metabolic encephalopathy. An admission skin assessment documented no ulcers or skin treatments, but a subsequent assessment identified MASD in the groin and scrotum, a non-blanchable and discolored left heel, and an order for protective heel boots and Triad paste to the coccyx. There was no documentation that the Triad paste or heel boots were ever applied. The resident’s MDS later showed severe cognitive impairment, extensive assistance needs for mobility, and one unstageable DTI, with no pressure-reducing bed or chair and no turning/repositioning program documented. A care plan for risk of skin breakdown was initiated with interventions such as floating heels, pressure-reducing mattress and cushion, and assistance with turning and repositioning, but there were no progress notes or skin assessments for this resident’s skin from mid-December until late December. On a later date, an LPN discovered a foam dressing on the resident’s coccyx during incontinence care and, upon removal, observed an area with eschar and additional open areas along the bilateral buttock region at the tailbone. There were no measurements or detailed descriptions of these wounds at that time, and a treatment order for Manuka Honey to the coccyx was documented as being administered only twice despite being ordered three times weekly. The LPN who found the dressing stated they had not known of any wound prior to that and confirmed there were no prior notes or treatment orders for the coccyx. The DON confirmed there were no skin assessments or treatment orders for the coccyx until that date and that this lack of documentation was not consistent with facility protocol. Another LPN later admitted to having applied the foam patch to the coccyx two days earlier after noticing an ulcer, but stated they became too busy and failed to chart the finding or notify the physician, acknowledging this was not in line with protocol. An initial wound care note several days later documented an unstageable coccyx pressure ulcer with extensive eschar and a DTI on the left heel, and an RN confirmed these pressure ulcers were acquired in the facility and that there had been a delay in prevention and treatment. The second resident admitted with multiple diagnoses including osteoarthritis of the left knee and DVT. Shortly after admission, an RN documented a dime-sized open area on the coccyx, and an order was written for barrier cream as needed after incontinence care, along with a care plan for risk of skin breakdown that included frequent turning and repositioning, use of barrier cream, and pressure-reducing surfaces. There was no documentation that the barrier cream was applied to the coccyx wound. The resident’s MDS later indicated intact cognition, extensive assistance needs for mobility, and one stage 2 pressure ulcer, but the care plan was not revised to reflect actual skin breakdown. No additional progress notes or assessments for the coccyx ulcer were documented until nine days after admission, when a specific Triad paste treatment was ordered. MAR review showed that this treatment was given only three times instead of the prescribed six times over three days, and the order was then discontinued. Subsequent treatment orders for this resident’s coccyx ulcer were repeatedly changed, including orders for oil emulsion and alginate dressings three times weekly and Triad paste to the periwound area, but MARs showed that these treatments were administered less frequently than ordered before being discontinued. An initial wound care note two weeks after admission documented a stage 3 coccyx wound with necrotic tissue and specific measurements. Later, a Manuka Honey and alginate regimen three times weekly was ordered, but again MARs showed missed treatments. A subsequent daily Santyl and alginate regimen was documented as administered on most but not all ordered days, with no PRN treatments documented, and then changed to a Dakin’s solution plus Santyl and alginate regimen. A later wound care note documented a larger stage 3 coccyx pressure ulcer with increased dimensions and depth, and the resident was transferred to the hospital for worsening of the pressure ulcer. An RN acknowledged that the resident admitted with a small open area on the coccyx that progressed to a larger stage 3 ulcer, confirmed that no skin treatments were documented until nine days after admission, and noted gaps in the MAR where ordered treatments were not administered. The facility’s Wound and Skin Management Policy required prevention of avoidable pressure ulcers, necessary treatment and services, routine preventive care including turning, pressure reduction devices, good skin care, and daily CNA skin assessments with prompt reporting of new breakdowns, as well as nurse validation and skin assessment on bath/shower days, which were not consistently carried out as documented in these cases.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to adhere to proper food safety and sanitation practices, as observed during a survey. A dietary aide was seen using a paper towel to clean a thermometer stem between checking the temperatures of various prepared foods, contrary to the facility's protocol of using alcohol wipes. This improper cleaning method was confirmed by the Director of Dining, who acknowledged that alcohol wipes should have been used. Additionally, the facility did not ensure that items stored in resident refrigerators were properly labeled with the resident's name and expiration date. Observations revealed several unlabeled and undated food items in the resident refrigerators and freezers, including ice cream, sandwiches, and beverages. Furthermore, the facility did not maintain cleanliness in the kitchen's pot and pan storage area. Three sheet pans were found stacked together with water droplets on them, and one pan was not adequately cleaned, containing sticky substances. The Director of Dining confirmed that the pans should have been allowed to air dry before stacking. The facility's policy on food brought in from outside was not followed, as resident food items were not labeled or dated, and refrigerator and freezer temperatures were not consistently monitored. The Nursing Home Administrator acknowledged the expectation for in-house policies and procedures to be followed, but no additional documentation or information was provided during the exit conference.
Delayed Response to Call Light Results in Resident's Incontinence
Penalty
Summary
The facility failed to provide timely assistance to a resident, identified as R11, who required a bedpan, resulting in the resident experiencing an incontinent episode. On the morning of March 17, 2025, R11 activated the call light for assistance but had to wait over thirty minutes before a staff member responded. During this time, R11 had a bowel movement in bed, which led to feelings of embarrassment, frustration, and anger. R11, who has a history of anxiety, hemiplegia, hemiparesis, and overactive bladder, expressed that this incident was particularly distressing as they do not typically have bowel movements on themselves. The assigned CNA, identified as K, confirmed that multiple call lights were on simultaneously, which delayed the response to R11's request for a bedpan. The Director of Nursing acknowledged that the response time should have been within fifteen to twenty minutes and understood the resident's upset feelings. The facility's policy on dignity and privacy emphasizes that residents should be cared for in a manner that promotes dignity and self-worth, which was not upheld in this instance.
Failure to Timely Notify Resident Representative of Change in Condition
Penalty
Summary
The facility failed to notify the Resident Representative (RR) in a timely manner regarding a change in condition for a resident, identified as R24, who had a skin tear requiring treatment. R24's clinical record indicated a diagnosis of dementia, pressure ulcer of the sacral region-stage 4, congestive heart failure, and cerebral infarction, with severe cognitive impairment. The resident's spouse was listed as the responsible party, and the son was the RR. On 3/11/25, a wound care progress note documented an acute skin tear on R24's right midline buttock, which required treatment. However, the RR was not informed of this change until 3/17/25, when the resident's husband was updated during a visit to the facility. Interviews with facility staff revealed that the family should have been notified immediately of any changes in the resident's condition. The Unit Manager acknowledged that the clinical record should have documented family notification, but the only evidence of such was a progress note dated 3/17/25. The wound care nurse indicated that the facility's practice of notifying families during weekly wound and nutrition meetings could delay communication. The Director of Nursing confirmed that the nurse should have attempted to contact the resident's spouse when the wound was discovered. The facility's Change of Condition Policy mandates prompt notification of the resident, provider, and representative of any changes in condition, which was not adhered to in this case.
Failure to Obtain Critical Cardiac Medication in a Timely Manner
Penalty
Summary
The facility failed to obtain a critical medication, tafamidis, for a resident with a rare cardiac condition in a timely manner. The resident, who was admitted with diagnoses including sepsis, cognitive communication deficit, and organ-limited amyloidosis, was prescribed 61 mg of tafamidis daily. Despite the hospital discharge summary indicating the need for this medication, it was not available in the facility's medication system, and the pharmacy reported it as a specialty medication not covered by insurance. The facility staff did not follow up adequately with the physician or the pharmacy to resolve the issue promptly. The Unit Manager acknowledged the lack of documentation regarding follow-up actions for the medication issue. The Lead Pharmacist confirmed that the facility was informed about the medication's unavailability and provided a contact number for further assistance. It was not until several days later that the physician was informed of the situation and suggested contacting the resident's family to bring the medication from home. The Director of Nursing later stated that the nursing staff should have acted more swiftly in addressing the medication's unavailability, especially given its importance for the resident's condition.
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Nursing homes near Dearborn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allegria Village | 1.9 mi | — | 8 | 0 |
| Fairlane Senior Care And Rehab Center | 3.8 mi | — | 0 | 0 |
| Optalis Health And Rehabilitation Of Allen Park | 4.3 mi | — | 1 | 0 |
| Optalis Health And Rehabilitation Of Dearborn Heig | 5.3 mi | — | 20 | 0 |
| Heritage Manor Nursing And Rehabilitation Center | 5.4 mi | — | 26 | 0 |
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