Deficiency Index

Regency at Jackson

Jackson, Michigan · CCN 235016

53 surveys since 2010, 18 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
280
Surveys
53
Harm or worse
18
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file40/53

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
82
Ownership
For profit - Corporation
Chain
CIENA HEALTHCARE/LAUREL HEALTH CARE
County
Jackson
Medicare-certified since
1967

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 81 for-profit facilities of 66–99 beds in Michigan.

Last survey on record

Jun 5, 2026

157 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.843.70
Registered-nurse hours per resident day0.57—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$15,593 across 1 penalty
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L11.0%
Actual harmG43.9%H—I—
No harm, potential for more than minimalD7471.8%E1514.6%F98.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 103 of the 280 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6107×

    Respond appropriately to all alleged violations.

  • F6096×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6895×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6844×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Regency at Jackson, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF812Feb 27, 2026

    Based on observation, interview, and record review the facility failed to prepare and serve food in sanitary conditions resulting in an Immediate Jeopardy due to the likelihood of foodborne illnesses to affect 72 resident who ate meals out of the kitchen.Findings Included:During an observation on 2/19/26 at 8:42 a.m., garden hoses were observed coming from an open Dinng Room window to drain located near main entrance of the facility with what appeared to be water coming from the hose. Plumbing contractor van was parked in front of the Dining Room window. […]

  • Actual harm, isolatedF686May 17, 2024

    Based on observation, interview, and record review, the facility failed to timely identify the formation of pressure ulcers and consistently implement ordered wound care treatments for 2 (Resident #3 and #5) of 2 residents reviewed for pressure ulcers, resulting in the development of a facility acquired Unstageable Pressure Ulcer (Full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because it is obscured by slough or eschar) for R3 and a Deep Tissue Injury (intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister) for R5, and the increased likelihood for delayed wound healing and/or worsening of wounds… […]

  • Actual harm, isolatedF689May 17, 2024

    Based on observation, interview, and record review, the facility failed to prevent a fall with major injury for one (Resident #38) of three reviewed, resulting in Resident #38 falling out of bed during care and sustaining a femur fracture. Findings include: Review of the medical record revealed Resident #38 (R38) admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included fracture of lower end of right femur and hemiplegia and hemiparesis following a stroke. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/10/24 revealed R38 scored 11 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). On 5/14/24 at 10:25 AM, R38 was observed in bed with a brace on their right leg. […]

  • Actual harm, isolatedF684Nov 21, 2023

    This citation pertains to intake MI00140183. Based on interview and record review, the facility failed to timely assess, accurately monitor and treat a resident with a history of known insulin-dependent diabetes mellitus (high blood sugar) for one resident (R101) out of three residents reviewed for quality of care, resulting in critically elevated blood sugars requiring emergency hospital treatment and admission. Findings include: Review of an intake submitted to the State Agency (SA) documented concerns the facility was not monitoring or treating resident with diabetes mellitus. […]

  • Actual harm, isolatedF689Aug 14, 2023

    This citation pertains to intake MI00138497. Based on observation, interview and record review, the facility failed to prevent a fall for one (Resident #3) of three reviewed for accidents, resulting in a fall with fracture when Resident #3 fell from her wheelchair in the facility's transport van. Findings include: Review of the medical record reflected Resident #3 (R3) admitted to the facility on [DATE] and readmitted [DATE], with diagnoses that included dementia, muscle weakness, multiple rib fractures of the left side and psychotic disorder with hallucinations. […]

Read 38 findings in full →The most serious and the most recent: 38 of 280 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 5, 2026Standard and complaint24 findings
  • May 28, 2026Complaint8 findings
  • Feb 27, 2026Complaint12 findings · 1 harm
  • Jan 13, 2026Complaint4 findings
  • Dec 18, 2025Complaint1 finding
  • May 2, 2025Complaint3 findings
  • Apr 16, 2025Standard8 findings
  • Jan 29, 2025Complaint1 finding
Show the 45 earlier surveys
  • May 17, 2024Standard and complaint12 findings · 2 harm
  • Feb 15, 2024Complaint2 findings
  • Nov 21, 2023Complaint1 finding · 1 harm
  • Aug 14, 2023Complaint3 findings · 1 harm
  • Jun 26, 2023Complaint1 finding
  • Feb 21, 2023Standard24 findings
  • Aug 16, 2022Complaint1 finding
  • Feb 23, 2022Standard and complaint8 findings · 1 harm
  • Oct 27, 2021Complaint2 findings · 1 harm
  • Jul 7, 2021Complaint2 findings
  • Dec 30, 2020Infection control1 finding
  • Nov 6, 2020Infection control1 finding
  • Oct 15, 2020Complaint1 finding
  • Sep 1, 2020Complaint3 findings · 1 harm
  • Mar 13, 2020Complaint1 finding
  • Oct 23, 2019Standard15 findings
  • Nov 29, 2018Standard19 findings · 1 harm
  • Jul 5, 2018Complaint4 findings
  • Aug 2, 2017Standard12 findings
  • Jun 1, 2017Complaint4 findings
  • Feb 14, 2017Complaint3 findings
  • Jun 9, 2016Complaint1 finding
  • May 12, 2016Standard and complaint6 findings
  • Mar 24, 2016Complaint2 findings
  • Feb 19, 2016Complaint3 findings
  • Sep 21, 2015Complaint5 findings
  • Mar 2, 2015Standard8 findings · 1 harm
  • Oct 27, 2014Complaint2 findings · 1 harm
  • Mar 25, 2014Standard14 findings · 1 harm
  • Sep 3, 2013—1 finding
  • May 31, 2013—2 findings
  • May 10, 2013Standard13 findings
  • Feb 27, 2013—2 findings · 1 harm
  • Oct 31, 2012—4 findings
  • Jul 26, 2012—1 finding · 1 harm
  • Jul 13, 2012—9 findings
  • Mar 27, 2012—1 finding
  • Nov 10, 2011—3 findings
  • Sep 26, 2011—1 finding
  • Aug 26, 2011—13 findings · 1 harm
  • Jun 27, 2011—2 findings · 1 harm
  • May 5, 2011—2 findings
  • Feb 8, 2011—1 finding · 1 harm
  • Jan 7, 2011—1 finding
  • Sep 8, 2010—2 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction