Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Special Tree Neurocare Center during CMS and state inspections, most recent first.
Surveyors found that kitchen staff failed to properly store and label food, clean kitchen surfaces, and follow protocols for utensil storage and air drying. Food past its use-by date was stored with active stock, utensils were not inverted or covered, and some food items were unsealed or unlabeled in resident refrigerators, all contrary to facility policy and professional standards.
The facility did not document or monitor hot water system temperatures as required by its Water Management Plan, and staff failed to use gowns during high-contact care activities for a resident with a PICC line and open wound, contrary to Enhanced Barrier Precautions protocols. Interviews revealed staff misunderstood when EBP measures were required.
Deficient Food Storage, Labeling, and Kitchen Sanitation Practices
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's food service operations during a kitchen tour and record review. Cleaned mixing bowls were stored upright and uncovered, and ladles were hung bowl side up, contrary to professional standards requiring inversion or covering to prevent contamination. Additionally, some pans were found wet and nested together, and the top of the commercial oven and stove drip trays were visibly soiled, with staff acknowledging inadequate cleaning frequency. These practices were not in line with the facility's own cleaning protocols and the FDA Food Code requirements for air drying and proper storage of utensils and equipment. Further deficiencies were identified in food storage and labeling. Food items past their use-by dates, including fruit cocktail and various cheeses, were found stored with active food stock in the walk-in cooler. In the freezer, an opened and unsealed bag of hot dogs was exposed to freezer air. In a resident refrigerator, an opened bag of sweet treats was not labeled with a resident's name, leading to its required disposal. Facility documentation reviewed by surveyors confirmed that these practices did not align with established policies for food storage, labeling, and monitoring of expiration dates.
Failure to Monitor Water Temperatures and Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure adequate temperature monitoring and documentation of its hot water tank and water storage tank, as required by its Water Management Plan (WMP). During interviews and record reviews, the Maintenance Director and Nursing Home Administrator confirmed that temperatures for the hot water generation and return systems were not being recorded, despite the WMP specifying weekly monitoring and documentation. The Maintenance Director acknowledged that this monitoring is necessary to ensure the mixer functions properly and to prevent risks such as scalding and Legionnaires Disease. No additional documentation or information was provided by facility leadership when requested during the exit conference. Additionally, the facility did not ensure that staff followed Enhanced Barrier Precautions (EBP) for a resident with a peripherally inserted central catheter (PICC) line and an open wound. Observations showed that registered nurses administered intravenous antibiotics and performed wound and hygiene care for the resident without wearing gowns, as required for high-contact care activities. Interviews with nursing staff and leadership revealed a misunderstanding of EBP requirements, with staff believing gowns were only necessary if the resident had tested positive for a multidrug-resistant organism. The resident in question had diagnoses including paraplegia, a stage IV sacral pressure ulcer, and osteomyelitis, and was cognitively intact at the time of the observations.
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What surveyors actually found near you
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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 Romulus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Creek Manor Skilled Nursing & Rehab Center | 3.9 mi | — | 0 | 0 |
| The Orchards At Wayne | 4.8 mi | — | 10 | 0 |
| Maple Manor Rehab Center | 5 mi | — | 0 | 0 |
| Regency At Canton | 5 mi | — | 1 | 0 |
| Cherry Hill For Nursing And Rehabilitation | 5.9 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 August 2026) and official state health department websites.