Deficiency Records for Regency at Livonia
Updated as of June 01, 2021
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? |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
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. | Health | 2021-04-21 | 2021-05-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-17 | 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 | 2021-04-21 | 2021-05-17 | N |
Post nurse staffing information every day. | Health | 2021-04-21 | 2021-05-17 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-21 | 2021-05-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-21 | 2021-05-17 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-17 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-21 | 2021-05-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-10-27 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-09-30 | 2020-10-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-30 | 2020-10-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-04 | 2020-09-07 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-08-04 | 2020-09-07 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-08-04 | 2020-09-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-08-04 | 2020-09-07 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-03-11 | 2020-03-27 | Y |
Keep complete, dated laboratory records in the resident's record. | Health | 2020-03-11 | 2020-03-27 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-02 | 2019-12-18 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-28 | 2019-09-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-09 | 2019-09-24 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-28 | 2019-09-24 | Y |
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. | Health | 2019-08-28 | 2019-09-24 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-28 | 2019-09-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-28 | 2019-09-24 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-28 | 2019-09-24 | 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 | 2019-08-28 | 2019-09-24 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-28 | 2019-09-24 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-28 | 2019-09-24 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-28 | 2019-09-24 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-28 | 2019-09-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-09-24 | N |
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 | 2019-05-28 | 2019-06-20 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-28 | 2019-06-20 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-28 | 2019-06-20 | Y |
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 |