Regency at Shelby Township

In the surveyor’s words

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

• Actual harm, isolatedF600Jul 26, 2023

  This citation pertains to Intakes: MI00135903 and MI00135359. Based on observation, interview, and record review, the facility failed to provide an environment free from verbal abuse, physical abuse, and neglect from staff to resident for one of one sampled resident (R51) reviewed for abuse resulting in, abuse, neglect and the likelihood of mental anguish using the reasonable person concept. Findings include: A review of Intake called into the State Agency: MI00135903 revealed the following, (R51) had called Certified Nursing Assistant (CNA L) an '[expletive]' and [they] replied, 'no you are an [expletive]' .(R51) and (CNA L) exchanged verbal remarks back and forth and then (CNA L) slapped (R51) on (their) bare bottom and said to (them), who is your daddy? . […]

• No harm, potential for more than minimal, widespreadF919Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to respond to residents needs(call lights) in a timely manner for one resident (R81 and R47) and two resident rooms (rooms [ROOM NUMBERS]) fourteen reviewed for call light response. Findings include: R81 On 9/10/24 at 9:59 AM, R81 was interviewed in their room with their daughter present and ask about the care and services they were receiving at the facility. Both R81 and their daughter indicated that call light wait times, Can be long, up to forty five minutes during the early morning and on weekends. A review of R81's electronic medical record (EMR) revealed R81 was originally admitted to the facility on [DATE] with diagnoses that included, aftercare following knee joint prosthesis and weakness. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure food items were labeled and stored at the appropriate temperature, failed to maintain sanitary conditions, failed to ensure staff donned a beard restraint, and failed to ensure handwashing to prevent cross contamination. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 7/24/23 between 8:45 AM-9:15 AM, during an initial tour of the kitchen with Culinary Manager A, the following items were observed: In the dry storage room, the flour, sugar, bread crumbs and oatmeal bins were all observed to be unlabeled with the contents inside. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2022

  Based on observation, interview, and record review, the facility failed to maintain a refrigerator gasket in good repair, failed to maintain kitchen flooring and equipment in a sanitary manner, and failed to ensure the Riverbend nutrition room was free from pests. This deficient practice had the potential to affect all residents in the facility. Findings include: On 5/16/22 between 8:45 AM-9:15 AM, during an initial tour of the kitchen with Dietary Manager (DM) J, the following items were observed: The gasket on the door of the Delfield reach-in cooler was observed to be torn and loose. […]

• No harm, potential for more than minimal, widespreadF888May 18, 2022

  Based on interview and record review the facility failed to accurately track and document the COVID-19 vaccination status for facility staff, resulting in the potential for inaccurate reporting of staff vaccination staus. Findings include: On 5/18/22 at 9:20 AM, a review of a facility provided document that listed staff and their COVID-19 vaccination status was reviewed. During the review, the document indicated the following: Nurse Unit Manager 'B', Receptionist 'V', Dietary Staff 'W' and Social Work Director 'K' were on the roster as, NOT VACCINATED. The document did not indicate those individuals had a granted exemption (medical or non-medical) from receiving the vaccine. […]