Deficiency Records for Regency at Lansing West
Updated as of January 01, 2022
This is not the most recent data for Regency at Lansing West. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-29 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-29 | 2021-09-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-29 | 2021-09-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-03-11 | 2021-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-11 | 2021-04-14 | 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 | 2021-03-11 | 2021-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-11 | 2021-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-11 | 2021-04-14 | 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 | 2021-03-11 | 2021-04-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-11 | 2021-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-11 | 2021-04-14 | 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 | 2021-03-11 | 2021-04-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-03-11 | 2021-04-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-03-11 | 2021-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-10 | 2021-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-10 | 2021-04-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-10 | 2021-04-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-10 | 2021-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-10 | 2021-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-10 | 2021-04-14 | 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 | 2020-09-11 | 2020-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-11 | 2020-10-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-13 | 2020-03-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-13 | 2020-03-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-25 | 2019-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-25 | 2019-05-23 | 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 | 2019-04-25 | 2019-05-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-25 | 2019-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-25 | 2019-05-23 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-22 | 2019-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-26 | 2019-03-19 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-02-26 | 2019-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-26 | 2019-03-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-22 | 2018-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-22 | 2018-04-24 | 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 | 2018-03-22 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-21 | 2018-04-24 | N |
