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Deficiency Records for Regency at Lansing West

A list of the most recent deficiencies for Regency at Lansing West. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Regency at Lansing West. 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?
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-26 2024-08-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-26 2024-08-30 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-07-26 2024-08-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-31 2023-12-05 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-10-11 2023-10-11 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-15 2023-06-16 Y
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 2023-05-15 2023-06-16 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-05-15 2023-06-07 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-05-15 2023-06-07 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-05-15 2023-06-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-15 2023-06-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-15 2023-06-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-15 2023-06-07 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 2023-05-15 2023-06-07 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-05-15 2023-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-15 2023-06-07 N
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 2023-05-15 2023-06-07 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-05-15 2023-06-07 Y
Provide and implement an infection prevention and control program. Health 2023-05-15 2023-06-07 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-05-10 2023-06-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-05-10 2023-06-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-10 2023-06-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-10 2023-06-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-10 2023-06-07 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-01-18 2023-02-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-01-18 2023-02-14 Y
Respond appropriately to all alleged violations. Health 2023-01-18 2023-02-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-18 2023-02-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-06 2023-01-13 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-12-06 2023-01-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-24 2022-07-01 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2022-05-24 2022-07-01 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-05-24 2022-07-01 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-05-24 2022-07-01 N
Keep residents' personal and medical records private and confidential. Health 2022-05-24 2022-07-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-24 2022-07-01 N
Respond appropriately to all alleged violations. Health 2022-05-24 2022-07-01 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-05-24 2022-07-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-05-24 2022-07-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-24 2022-07-01 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 2022-05-24 2022-07-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-05-24 2022-07-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-24 2022-07-01 N
Provide activities to meet all resident's needs. Health 2022-05-24 2022-07-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-24 2022-07-01 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 2022-05-24 2022-07-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-05-24 2022-07-01 N
Post nurse staffing information every day. Health 2022-05-24 2022-07-01 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-05-24 2022-07-01 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-05-24 2022-07-01 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 2022-05-24 2022-07-01 N
Provide or obtain dental services for each resident. Health 2022-05-24 2022-07-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-24 2022-07-01 N
Dispose of garbage and refuse properly. Health 2022-05-24 2022-07-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-24 2022-07-01 N
Provide and implement an infection prevention and control program. Health 2022-05-24 2022-07-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-24 2022-07-01 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-05-24 2022-07-01 Y
Provide properly protected cooking facilities. Fire Safety 2022-05-12 2022-07-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-12 2022-07-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-12 2022-07-01 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-01-26 2022-02-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-26 2022-02-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-26 2022-02-25 Y
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 2022-01-26 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 2022-01-26 2022-02-25 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-01-26 2022-02-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-09 2021-12-14 Y

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