Regency at Lansing West

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 20, 2025

  This citation pertains to intake MI00150279. Based on interview and record review, the facility failed to prevent a fall for one (Resident #150) of three reviewed for accidents, resulting in a fall with bilateral femur fractures when Resident #150 fell from her bed. Findings include: Resident #150 (R150) Review of the medical record reflected R150 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that included dementia, senile degeneration of brain, right femur pathological fracture, and left femur pathological fracture. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/20/24, reflected R150 scored 7 out of 15 (cognitively impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). […]

• Actual harm, isolatedF686May 15, 2023

  Based on observation, interview and record review facility failed to: 1) accurately assess, monitor and prevent the development and worsening of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for two Residents (R29 and R94) of four reviewed for pressure ulcers, resulting in worsening of pressure wounds requiring re-hospitalization related to wound infection that required use of intravenous antibiotic treatment and multiple debridement's for R94 and development of two facility acquired unstageable deep tissue pressure ulcers, and the increased likelihood for delayed wound healing and/or worsening of wounds and overall deterioration in health status. […]

• Actual harm, isolatedF684Jan 18, 2023

  This citation pertains to intake MI00132479. Based on interview and record review, the facility failed to promptly notify the physician in a change of condition in one of three residents reviewed for medication orders (Resident #3), resulting in delayed transfer to the hospital and re-hospitalization due to sepsis. Findings include: Resident #3 (R3) R3's Minimum Data Set (MDS) dated [DATE], revealed she admitted to the facility on [DATE], had a Brief Interview for Mental Status (BIMS, a brief performance-based cognitive screener for nursing home residents) score of 12 (08-12 Moderate Impairment). […]

• No harm, potential for more than minimal, widespreadF812May 15, 2023

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and sanitize food service equipment effecting 108 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, decreased interior food service equipment illumination, and cross-connections between the potable (drinking) and non-potable (non-drinking) water supplies. Findings include: On 05/09/23 at 09:15 A.M., An initial tour of the food service was conducted with Certified Dietary Manager (CDM) C. […]

• No harm, potential for more than minimal, widespreadF921May 15, 2023

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the physical plant effecting 108 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, decreased illumination, and cross-connections between the potable (drinking) and non-potable (non-drinking) water supplies. Findings include: On 05/10/23 at 09:25 A.M., A common area environmental tour of the facility was conducted with Director of Maintenance E and Housekeeping and Laundry Supervisor D. […]