Deficiency Records for Regency at Livonia
Updated as of April 01, 2019
This is not the most recent data for Regency at Livonia. For the most recent information, click here.
A list of the most recent deficiencies for Regency at Livonia. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-26 | 2018-10-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-09-27 | 2018-10-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-27 | 2018-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-27 | 2018-10-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-09-27 | 2018-10-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-27 | 2018-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-27 | 2018-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2018-10-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-26 | 2018-05-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2017-12-13 | 2017-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-13 | 2017-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-13 | 2017-12-26 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-18 | 2017-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-14 | 2017-10-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-26 | 2017-08-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-07-26 | 2017-08-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-07-26 | 2017-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-26 | 2017-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-26 | 2017-08-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-20 | 2017-08-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-20 | 2017-08-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-20 | 2017-08-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-20 | 2017-08-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-20 | 2017-08-16 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-20 | 2017-08-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-20 | 2017-08-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-08-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-20 | 2017-08-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-20 | 2017-08-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-20 | 2017-08-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-20 | 2017-08-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-20 | 2017-08-16 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-08 | 2017-06-22 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-12-20 | 2017-01-06 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-20 | 2017-01-06 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-20 | 2017-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-29 | 2016-12-12 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-12-20 | 2016-10-11 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Portable fire extinguishers. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-08-15 | 2016-09-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-17 | 2016-09-14 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-08-17 | 2016-09-14 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-08-17 | 2016-09-14 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-17 | 2016-09-14 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-17 | 2016-09-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-17 | 2016-09-14 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-17 | 2016-09-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-17 | 2016-09-14 | N |
| Keep all essential equipment working safely. | Health | 2016-08-17 | 2016-09-14 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-08-17 | 2016-09-14 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-08-17 | 2016-09-14 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-04-21 | 2016-05-13 | Y |
