A list of the most recent deficiencies for Regency at Whitmore Lake. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-10-11 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-13 | 2023-10-11 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-09-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-09-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-22 | 2023-03-06 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2023-03-06 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-22 | 2023-03-06 | 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 | 2022-11-22 | 2023-03-06 | 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 | 2022-11-22 | 2023-03-06 | 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 | 2022-11-22 | 2023-03-06 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2023-03-06 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-22 | 2023-03-06 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-13 | 2023-03-06 | Y |
Perform COVID19 testing on residents and staff. | Health | 2023-02-13 | 2023-03-06 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-22 | 2022-12-23 | N |
Provide activities to meet all resident's needs. | Health | 2022-11-22 | 2022-12-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-23 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-11-22 | 2022-12-23 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-22 | 2022-12-23 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-22 | 2022-12-23 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-22 | 2022-12-23 | 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 | 2022-11-22 | 2022-12-23 | N |
Implement a program that monitors antibiotic use. | Health | 2022-11-22 | 2022-12-23 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-22 | 2022-12-23 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-11-22 | 2022-12-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-22 | 2022-12-23 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-22 | 2022-12-23 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2022-12-23 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2022-12-23 | Y |
Respond appropriately to all alleged violations. | Health | 2022-11-22 | 2022-12-23 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-22 | 2022-12-23 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2022-12-23 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-22 | 2022-12-23 | 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 | 2022-11-22 | 2022-12-23 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-22 | 2022-12-23 | Y |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-11-22 | 2022-12-23 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-03 | 2022-12-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-03 | 2022-12-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2022-12-23 | 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 | 2022-07-06 | 2022-08-03 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-25 | 2022-02-25 | 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 | 2022-01-25 | 2022-02-25 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-25 | 2022-02-25 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-25 | 2022-02-25 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-25 | 2022-02-25 | Y |
Respond appropriately to all alleged violations. | Health | 2022-01-25 | 2022-02-25 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-25 | 2022-02-25 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-25 | 2022-02-25 | 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 | 2022-01-25 | 2022-02-25 | Y |
Post nurse staffing information every day. | Health | 2022-01-25 | 2022-02-25 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-14 | 2021-09-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-14 | 2021-09-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-14 | 2021-09-24 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-14 | 2021-08-12 | 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 | 2021-07-14 | 2021-08-12 | N |
Assess the resident when there is a significant change in condition | Health | 2021-07-14 | 2021-08-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-07-14 | 2021-08-12 | 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 | 2021-07-14 | 2021-08-12 | N |
Provide activities to meet all resident's needs. | Health | 2021-07-14 | 2021-08-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-14 | 2021-08-12 | 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 | 2021-07-14 | 2021-08-12 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-07-14 | 2021-08-12 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-14 | 2021-08-12 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-14 | 2021-08-12 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-14 | 2021-08-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-04 | 2021-08-12 | Y |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-07 | 2021-08-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-17 | 2021-07-07 | Y |
Respond appropriately to all alleged violations. | Health | 2021-06-17 | 2021-07-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-07-07 | Y |
Address subsistence needs for staff and patients. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Use approved construction type or materials. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-06 | 2019-09-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-07 | 2019-09-04 | N |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-08-07 | 2019-09-04 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-08-07 | 2019-09-04 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-07 | 2019-09-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-04 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-07 | 2019-09-04 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-07 | 2019-09-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-04 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-07 | 2019-09-04 | N |